HomeMy Public PortalAbout10621 DAINES DR_Plumbing__ y76A667-CE817 1'<759
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY. IVISION RUILDING
JOHN A. LAMBIE. COUNTY�NGINEER ADDRESS /QGa� ///�_ 1�1Y FS ✓)
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL' IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER b 0.Y G¢.S .I s0. G
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY C '`II (_;:C;r L. NO. �9
SHOWER
LAVATORY CONTRACTOR 42V/ { r
r./�
ADDRESS
SINK
DISHWASHER CITY - TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DIDI^STRICT NO GROG ZONE PROCESSED BY
It WATER HEATER " v Q I �.
INDUSTRIA,
GAS'SYSTEM - WASTE APPROVAL /
n INSPECTION RECORD
O
O
U
�.r w
w
A Z
"A.44,, ;ca /3 ..
9 $1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATU, Er
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE 01y ROUGH PLUMBING �2
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS'.APPLICATION GAS VENT _
AND STATE THAT THEABOVEIS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER n wGD ir' o�4T
_
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 THE ABOVE
` DESCRIBED RESIOENiI L PR ER7Y. UTILITY CO.NOTIFIED
` SIGNATURE # r.
OF PERMITTE
FINAL _
®r
d VALIDATI ROBERT A. WOOD, Y
cK. M.o. cash SUPERVISING MECHANICAL ENG--R
� ; ?3so 5.00
76AB57 -CE#Bt] I2-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OFD COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAM N I COUNTY ENGINEER
COLEMAN W. JEN KIN$, 5u P'T of BUILDING ,_ LOCALITY y^C/
FOR APPLICANT TO FILL IN CROSS ST. /� -oO4//
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 7,25 ADDRESS
SHOWER 1.25 CITY Q TEL. NO.
LAVATORY 1.25 CONTRACTOR +�C9�/ ���(� CQ�✓ST �Q�
SINE 1.25 ADDRESS <�/�Z
DISHWASHER 1.25 CITY pry 1fD d/'/Q TEL. NO.3
LAUNDRY TUB 1,25 CONTRACTOR'SSTATE
REGISTRATION NO. /y ?' SL 7 COUNTY ❑
CLOTHES WASHER 1.25 DISTRI T NO. GROUP ZONE P SSED BY
WATER HEATER 1.50 '
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
D6 i6 ?6 I C
t
W
IL
N
Z
APPROVALS DATE INSPECTOR SSIGNATURE
PERMIT of 2 00 UNDER SLAB WORK �� y
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT Y
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
CE
LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GASTEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO >
RESI BE IN.THE ABOVE DrSCRIBED flE3 ENTIRE PRO ERT UTILITY CO.NOTIFIED
SIGNATURE I
OF PERMITTEE it FINAL nrvt _
VALIDATION ROBERT A."WOOD
cK. M.D. CASH SUPERVISING MECHANICAL ENG'R
�,i G 2 7 OC5 D _7.5 �)
76 A 667-CE 617 468
T�PIe �:Tf yy
APPLICATION FOR .PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
LDING n
BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEERCOLEMAN W. JENKINS, SUPT. OF BUILDING ALITY
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.5OWNER
0 -
0
RATH TUB 1.50 .ADDRESS
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY SEL. NO.
CLOTHES WASHER 1.50STATLIC
LICENE SE NO. "'y CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZONE PROCE66 D BY >-
LAWN SPRINKLER SYSTEM 2.00 SO� O
WATER HEATER 1.50 INDUSTRIAL u
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD O
OUTLETS OVER '
5 PER SYSTEM .30 _ _ F
V W
CL
h
Z
l
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00 11
TOTAL FEE
APPROVALS DATE msPEcroR's SIG NATURE
Plan cheek applicant UNDER SLAB WORK
NameROUGH PLUMBING
Address 5 GAS PIPING
,,GAS VENT
Ci[y. TelNo. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. I FINAL
SIGN ATR ITTE .TACK R. ALLEN, SUPERVISING MECHANICAL ENG-R.
OF PER
VALIDATION �. M.o. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
.5,.1 °5 3� aL28 5 D 3-.50 a
76A667ICE-617) - 5/73
APPLICATION FOR: PLUMBING• PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OR COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FF
IL�INc / Gf
MAKE CHECKS PAYABLE TO. DRESS /d� '/ �, /U(.-e3 'P-
HARVEY T. BRANDT, COUNTY ENGINEER +r�•. - •,CALI7VC
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST "
NUMBER FIXTURE OR ITEMFEE CROSS ST. ,, Al/ �.
77-,— ;OWNER. p• " 77 /�
,
.
WATER CLOSET 1.75 .MAILC M
BATH TUB 1.75 ADDRESS -5A// 1e -
SHOWER 1,75 CITY TEL. NO.
LAVATORY - 1.75 CONTRACTOR Ae�_ 'l1 �f7
SINK 1.75 ADDRESS./ OC . l- �+- ild Jed
DISHWASHER 1.75 CITY /- 01 - TEL. NO. (� O
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR
- LICENSE NO.' pL, CLASS. - -
' 1,75
DISTRICT NO. 'GROUP Z N'.E F CES$ 0 BV
LAWN SPRINKLER SYSTEM 1.75 ^
WATER HEATER 1,75 INDUSTRIAL y
WASTE APPROVAL y
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER 30 • p ec
S PER SYSTEM -91-7-Y4 Al--'Tl �: J7 �7luc-�✓ O
' V
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 Do -
TOTAL FEE
APPROVALS DATE sPECTa R's sIr.NAruflF
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
` HOT WATER HEATER
HEREBY THAT
TH LEDGE THAT HAVE READ THIS PTO COMPLY
.AND STATE THAT THE ABOVE Is CORRECT AND LAWS TO PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGDLATING
PLUMBING. GAS TEST '
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA. OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESC4IBED SIDENTIAL PR PERTY.
FINAL 77
SIGNATURE 1
OF PERMITTEE
PERMIT.VALIDATION cK. M.D. CASH
PLAN CHECK VALIDATION CK. M.Q. CASH U t-
M COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9612090008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 10621 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802815
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8586-010-034 01 PERMIT ISSUANCE FEE - 27.75 THOMAS PAGE:. 597 GRID: C3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
12/09/96 TC 12/09/97
OWNER: TEL. N0: FINAL DATE 23 �l FINAL BY CODE:
10621STEWART WILLIAM J;LYNTH[A K (818) 350-0531- ) 6
10621 DAINES DR
TEMP 917802815 DESCRIPTION OF WORK
NEW GAS SYSTEM FOR HEATING AND A/C SYSTEM
APPLICANT: TEL. NO:
AIR SYSTEMS ENG- (714) 998-5374-
�GVEL E S CSPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AIR SYSTEMS ENGINEERING CO INC (714) 998-5374-
1548 YALE LIC. NO ®� UNDER SLAB WOR
ORANGE, CA 634626 C20 /
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: —
\ ROUGH PLUMBING
LIC. NO: 'n i''� 1
J I GAS PIPING
qq�� GAS VENT
9
..�C " n J KS lROT WATERHEATER
�
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
�V , UTILITY COMPANY NOTIF D
'C G CW
�
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508