HomeMy Public PortalAbout10732 DAINES DR_Plumbing__ ]6A66] ICE-8171 - 1/75
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES �.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDIN
MAKE CHECKS PAYABLE TO: Ul
ADDRESS
'
ADDRESS
HARVEY T. BRANOT, COUNTY ENGINEER LOCALITY '
FOR APPLICANT TO FILL IN IPRINT OR TY PEI NEAREST I.
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE -
2.00 OWNER P y
WATER CLOSET MAIL
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY TEL. NO.
LAVATORY 2,00 CONTRACTOR ^rte
SINK, 2.00 ADDRESS
DISHWASHER 2.00 CITY TEL. NO. [ GO
CLOTHES WASHER 2.00 STATE —•� LIC
LICENSE NO. G�O Z CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRIC@T NO.GROUP ZONE R ESSED-BY
LAWN SPRINKLER SYSTEM 2.00 V r / P
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL _
GAS SYSTEM OUTLETS 2.00 0 (! INSPECTION RECORD
OUTLETS OVER 30 U
5 PER SYSTEM d.
O
H
U
W
1
N
Z
Plan check tee See Re verse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE -
APPROVALS DATE INS PECTO R'9 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address - GAS PIPING
Tel. NO. GAS VENT
City HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ .THIS APPLICATION
. AND STATE THAT THE ABOVE. 15 CORRECT AND.AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUIREO OS NGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M TM LEGAL OyyyyyIIIIINER OF N0 INTEND i0
RESIDE IN THE ABOV ED RESIDNI P EMIT. FINAL
SIGNATURE _
OF FERMI /
:_, PERMIT VALIDATION CK. M.O: CASH
PLAN CHECK VALIDATION CK. M.D. CASH
3 5 1 SER 24 5 U _ / 7 5 (� ••qB
COUNTY OF LOS ANBELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0007250010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGAL ID: EES PAID BUILDING ADDRESS:
TR: 13613 LT: 10 10732 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802819
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON
8573-003-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIX 16.20 08/17/00 UT 02/14/01
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. N0: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE F BY: CODE:
WONG HENLEE;WAILAN - TOTAL FEES 108.75 1�-q.,��
10732 DAINES DR GGw
TEMP 917802819 - DESCRIPTION OF WORK
PLUMBING FOR NEW BATHROOM
APPLICANT: TEL. NO:
P S CONSTRUCTION -
3211 MINNESOTA #C SPECIAL CONDITIONS:
LOS ANGELES, CA
PrAGELES Co
CONTRACTOR: TEL. N0: SGS �/'// ` APPROVALS DATE INSPECTOR SI ATURE
CONST
P S CONSTRUCTION CO. (323) 223-7785-
3211 MINNESOTA ST., #L LIC. NO UNDER SLAB WORK
LOS ANGELES, CA 90031 7540896
/ WATER SERVILE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
KWOK, TERRENCE (323) 728-4833/ ROUGH PLUMBING
109 E. FLORAL DR. LIC. N0 L
MONTEREY PARK, CA C-24796 C' 1111111 GAS PIPING
GAS VENT
I��II II ��II \Ill\11/ O�IIIS \� HOT WAT R HEATER
Illl L`J' V ll V ll�ll LLL111U �1 NNNJJJ
PLUMBING FIXTURES
LAWN SP INKLERS
O O ullj.�r t.,
✓ � GAS TES
UTILITY COMPANY NOTIFIED
ServiOce That�ot CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508