HomeMy Public PortalAbout10703 DAINES DR_Plumbing__ 78A687 -CE r81]2-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER .
BUILDING AND SAFETY DIVISION BUILDING o ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER /o D.4 R
WILLIAM A. JENSEN. SUPT OF BUILDING _
LOCALITY
FOR APPLICANT TO FILL IN NEAREST -
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE .J
OWNER V
/ WATER CLOSET S1.25 2 MAIL
BATH TUB 1,25 ADDRESS O >o3 0,9/Jy
SHOWER 1.25 CITY 'T51V4,fc-",r2or TEL. NO.
CONTRACTOR
LAVATORY L25 � '2 V C L UMB/N
SINK 1,25 ADDRESS / LZ 1=4 DR
DISHWASHER LZS CITY CTOR'S / TEL- NO. � y
STATE Pier-
LAUNDRY TUB 1.25 REGINSTRAT ON NO. TCD 332- COUNTY 0
CLOTHES WASHER 1.25 DISTRI T N GRQUP ZONE P CESSED BY
WATER HEATER 1.50 2. 9 :
4-1
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD n T
Ail r�
U
W
a
N
Z
J
'1 A
�V APPRO_VAL`5. DATE INSPECTORS SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING !Df / •I
TOTAL FEE SO GAS PIPING —
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HOT WATER HEATER rte_
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,AND INTEND TO
RESIDE IN,THE ABOVE ESCRIBED RESIDENTIAL PROPERTY, UTILITY CO. NOTIFIED
SIGNATURE EE /
OF PERMITTA
FINAL
VALIDATION ROBERT dWOOD
cK./ M.D. CASH SUPERVISING MECHANICAL ENG'R
4 3 9 3'2 MAY p 5 D 4.50- 1.14
iKi�f�""2ivL�
TCA667 -CE 081710-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS O �'j JJ ( D
WILLIAM A. JENSEN, Bupi of BVILDING LOCALITY _
FOR APPLICANT TO FILL IN cHossSST.. l:l"/D/✓T� •/j I/FI
NUMBER FIXTURE OR ITEM EACH FEE OWNER S^' c. (`(p (l
WATER CLOSES $1.25 yy�� yy
BATH TUB .1.25 ADDRESS /O O YfII 1
sxoweR 1.25 'CITY j-�.(p��: -� ' TEL. NO.
LAVATORY 1,2$ CONTRACTOR P19 v
SINE 1.25 ADDRESS ('i "
DISHWASHER 1.25 CITY W Co V6Y TEL. NO. t.7,9_, S•
CONTRACTOR'S ST
LAUNDRY 'CUB 125 7E
REGISTRATION NO. Z� 'Q O COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. G Z N ES D BY
WATER HEATER 1.50 O
III GAS SYSTEM OUTLETS a INDUSTRIAL y
WASTE APPROVAL p
OUTLETS OVER-5 PER SYSTEM .30 INSPECTION RECORD u
O
H
u
a
z
Z
,APPROVALS DATE� INSPECTOR'5 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING /�/^^ 1 /f _,L,_r
TOTAL FEE . SD GAS PIPI NO
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY � .j..-
WITH ALL couNTY oeolrvArvces wrvD' sigrE uws REGULATING HOTWATE R'H EATEft "Z•�^"~
PLUMBING. . "
1 HERE6Y CERTIFY THAT 1 AM .PROPERLY REGISTERED AND/OR PLUMBING FIXTURES. +�•'��^
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,qN0 IN END TO
RESIDE IN, THE AS D CRIBED RESIDENT L PROP Tv. UTILITY CO. NOTIFIED
SIGNATURE / ,�I i
yA
OF PERMITTE FINAL �3J)��i `/'=i4A•CY�Jr
/ LIDATION ROBERT A. WOOD
cv M.o. CASH SUPERVISING MECHANICAL ENG'R
LiCo 6 C 8 7 E, JUN 1 2 5 D j,j O�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DIEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0010230019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13613 LT: 154 10703 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802820
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE
8573-002-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 5.00 FIX 81.00
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
13 DISHWASHER(S) 1.00 FIX 16.20 10/24/00 UT 04/23/01
21 HOSE BIBB(S) 3.00 FIX 48-60
OWNER: TEL NNO: 25 LAVATORIES/SINKS 7.00 FIX 113.40 FINAL DATE FINAL BY: CODE:
NGAI;TERESA (626) 441-6984- 45 WATER CLOSET/URINAL 4.00 FIX 64.80
10703 DAINES DR 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 7
TEMP 917802820 TOTAL FEES 384.15 DESC IPTI N OF WORK
PLUM ING OR REMODELING 20 ST
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
�O
CONTRACTOR: TEL. N0: P�yGE LE S Co . APPROVALS DATE INSPECTOR SIGNATURE
S
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL N0:
C L ARCHITECTS (626) 441-0411 ROUGH PLUMBING
1026 MILAN AVE. LIC. N0: I 1117111 `3 1 20
S. PASADENA, CA NONE L GAS PIPING
IC (� GAS VENT
u �v O �W C W OW S HOT WATER HEATER
PLUMBING FIXTURES
0 LAWN SPRINKLERS
O O GAS TEST
®- ®6 UTILITY COMPANY NOTIFIED
46ii �1c� CWV
Service Tha[
GRAY WATER SYSTEMM/�
�S \I l c l kyllllw -3 2
6Akl)C�Vl� 40
REPORT ID: DPR263 ROUTE TO: BS0508