HomeMy Public PortalAbout10539 DAINES DR_Plumbing__ 76A667-081712/59 TEMPLE CITY
Y APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
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DEPARTMENT OF COUNTY ENGINEER BUtzDIxG
BUILDING TNR EPS gTY RMSION ADDRESS
JOHN A. M 1 OUNTY NGINEER ) J
WILLIAM A JENSEN, SuPIT OF BUILDING LOCALITY �1G.�>
FOR APPLICANT TO FILL IN NEAREST 171,42-/
NUMBER FIXTURE OR ITEM OWNER �7-
WATER CLOSET
ADDRESS r�.�i /� 6d
BATH TUB CITY TEL NOS/-3—A'/e f�
sxowER
LAVATORY
CONTRACTOR ,
ADDRESS
SINK
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP Z NE ESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
A INSPECTIO RECORD w
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$1.00 PER ITEM
OR FIXTURE $ �� APPROyALS(( DATE INSPECTOR'S SI_ATURE'� 7 �
PERMIT $ 2100 UNDER 4�r M WORK- /rte'L"X 1/: L�'I—H
TOTAL FEE IJP/) ROUGH PLUMBING 4 .n �,-pv�� V
GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 4
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPE Y. e UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE w�+
FINAL
Or VALIDATION—) ROBERT A WOOD,
cK. Id 0 cnsx SUPERVISING MECHANICAL ENG'R
LAAO 4 2 8 4 SEP 1 3 5 D 7.00- 17
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76A667 CF#817 2 62 TEMPLE CE lj V
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER /
BUILDING AND SAFETY DIVISION ADDRESS G7 JFC- /II Lri
JOHN A LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING /
LOCALITY` �L�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE OWNER F(f 1q // Q
WATER CLOSET $1 25 - MAIL
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BATH TUB 125 ADDRESS N IJ
CITY C-yYf ge `j( TEL NO.I fif
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR r
i
SINK 125 ADDRESS
DISHWASHER 1.25 CITY r TEL NO.
LAUNDRY TUB 1 25 CONTRACTOR'S STATE ❑
REGISTRATION NO COUNTY ❑
CLOTHES WASHER 1 25 1DIST ICT NO GROUP Z NE P SEED BY
WATER HEATER 150
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD- - - O
V
0
H
. V
W
III.
to
Z '
^—r APPROVALS DATE INSPECTOR 5 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDE TIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
-
FINAL
VALIDATIOD ROBERT A WOOD
CK M 0 caSH SUPERVISING MECHANICAL ENG R
L'ACO2,5 8 6 0 NOV 14 5 0 5,Q Q~ �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0310130004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 8822 LT: 1 UN: .002 10539 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802813
ASSESSOR INFORMATIONNEAREST CROSS STREET: BALDWIN
8586-011-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TOTAL FEES 43.95 ISSUED ON: PRO S : PLA .
10/13/03 JK 04/10/04
OW L. N0: FINAL FL BY: CODE:
TAMBURRINO ROSE (626) 443-2606-
10539 DAINES DR Q3
TEMPLE CITY 91780p -
INSTALL CENTRAL H ING AND AIR CONDITIONING SYSTEM
APPLICART: TEL. N
DON R WALKER (626) 260-3183-
1175 GREEN HAVEN SPECIAL CONDITIONS:
COVINA
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
VALLEY AIR CONDITIONING AND HEATING (626) 332-0692-
1175 GREENHAVEN ST. LIC. NOER SLAB WORK
COVINA, CA 91722 728982 C20
I/ \ WATER
PLASTISERVICE
METAL Y/N
I GIN L. �/� -
f RSH PLUMBING
LIC. N0:
GAS PIPING
GAS VENT
FDpj 0 IL C )VIV� � � TER
HE—
— �J L^J\- UMBING FIXTURES
LAWN ERS
GAS TESTrrJ •'1 Fr�f�✓
UTILITY COMPANY NO
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sery e GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508