HomeMy Public PortalAbout10940 DAINES DR_Plumbing__ APPLICATION FOR PLUMBING PERMIT 1
DBB 1 DIVISION OF BUILDING AND SAFETY
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Department of County Engineer
County of Los Angeles BUILD ING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS x�'
CASSATT D. GRIFFIN, SUP T OF BUILDING
- LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER DISTRICT NO� GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS Y
IN.,CITY TEL. NO. WASTEAPPROVAL
PLUMBERINSPE TION RECORD
ADDRESS,UL3///{//���/���%Z,��I/G�/,�� ��
CITY.- 0 //� C>�"�TEL. NO. /OC�L�/
LICENSE NO. L, Z-�'"I 5;�'/� -
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ 51.00 $ O
BATH TUB @ 51.00 O
SHOWER @ $1.00 /
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TU BORTRAY @ $1.00
CLOTHES WASHER @ $1.00 ` Q
WATER HEATER @ 51.00
GAS SYSTEM @ $1.00
APPROVALS
DATE I NSPECTOR'S�/S�/IGNATURE
UNDER SLAB WORK �- �T—�/ A�_14
PERMIT 5 1 00 - ROUGH PLUMBING J
GAS PIPING
TOTAL FEE r
GAS VENT ,,.,/
1 HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION HOT WATER HEATER `�`"�1.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HERERY CERTIFY THAT I m-
JOHN
GAS TEST
LICENSED AS REQUIRED OS A
CALIFORNIA OR THA AM LEUTILITY CO.NOTIFIED
DESCRIBED RESIDE AL PR PTY. -
SIGNATURE /
OF PERMITT E
A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
cn. s. e,D4 0
CA'H
(� 5 5 JAN 10 3 8.0 0
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oes APPLICATION FOR PLUMBING PERMIT 1
`'&VISION OF BUILDING AND SAFETY
Deportment of County Engineer -
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN, SUPT or BUILDING
LOCALITY Te i-r a l o
ICAN
.. . ... . ,..
FOR APPLT TO FILL IN I NEAREST /
CROSS ST, i ) G IO p,
OWNER - DISTRICT�ID. GROUP ZONE READY FOR INSPECTION
MAIL' (� {� }� µJ
ADDRESS A �V/ h [)j% / /II P S ,/1/+ -•r / ,
-rA / INDUSTRIAL
CITY M O/O /0i ./ TEL. NO. WASTE APPROVAL
PLUMBER (� s, F�?`' a , n/ INSPECTION RECORD
ADDRE�S/S� /
CITY //J,L/ 0/,0 ! i r TEL. 10.41 K77 tl�
LICENSE NO. / O O 9- / /,/ /, va(i
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 S
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ 51.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 �e_�
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
ROUGH PLUMBING
PERMIT - $ 7 00
GAS PIPING
TOTAL FEE �, O
GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM. THE,LEGAL WNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL p,!(O PERTY.
SIGNATURE P///'>O/J///
OF PERMITTEE � FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
Id. 1. CASH
A 6077 mAR1cJ 3 2.00 N
76A667 (CE-B 17)-6/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
,IIAKE CHECKS PAYAI3 LE TO: eV UD ING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCA LIN
Tem le Cit
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST Welland
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSET 1.75 OWNERM. Hoo end k
MAIL
BATH TUB 1.75 ADDRESS pp p
SHOWER 1.75 GITMTem le Cit TEL. NG446-9584
LAVATORY 1.75 CONTRACTOR W. E. Graham
SINK 1.75 ADDRESS9 122 leas Tunas Drive
DISHWASHER 1.75 CITYTem le City TEL. NO.286-9293
CLOTHES WASHER 1.75 STATE ,.L6 CLASS 6 LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. 1044-6
DISTRICT NO. GROUP ZONE F OCESSED BY
J
LAWN SPRINKLER SYSTEM 1.75 COB �iod�A.IC✓
WATER HEATER 1.75 INDUSTRIAL y
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30
relocate has meter j 75w
a
z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE ns Pec rD R's slcu ATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY OROINANC ES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICEN
SEDAS REDO RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
REST OE IN THE ABOVE DESCRIBED RE S IDEEN�TIAL PROPERTY. FINAL �(� - u.'-�, ,
SIGNA TU RE '::;e
y/—
OP PERMITTEE L�G�� ../wC ���—����JJJ _ `
PERMIT A IDATION cK: / M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH /
2 2 6�iAAR 2 �� 4.75698
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1308220029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 10898 LT: 1 BE .001 ON: .002 1 10940 DAINES DR 1
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917802920 1
1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: SANTA ANITA 1
18573-018-031 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 1.00 FIX 16.20
I TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY- PLAN BY: 1
145 WATER CLOSET/URINAL 1.00 FIX 16.20 108/22/13 SR
TOTAL FEES 76.40 I
IOWNER: TEL. N0: I IF AL DATE FINAL Y: CODE:
JWU, LE RUN (626) 636-0390-
115
11525 OAK GROVE AVE l�
SAN MARINO, CA 91108 IDESCRIPTION OF WORK
(REPLACE BATHTUB/SHOWER, LAVATORIE AND WATER CLOSET
I
((APPLICANT: TEL. NO: I I I
ISHIH, HSAO I (626) 377-1033- 1 1 1
11439 EASTLEIGH ST. 1 (SPECIAL CONDITIONS: 1
(HACIENDA HEIGHTS
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATDRE
(GRAND PALACE CONSTRUCTION INC (626) 377-1033- I 1
11439 EASTLEIGH AVENUE LIC. NO UNDER SLAB WORK
(HACIENDA HEIGHTS CA 91.745 678049
I IWATER SERVICE
(PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
- (ROUGH PLUMBING
LIC. NO: 1 11
(GAS PIPING
I I 1GAS VENT I I I
I (HOT WATER HEATER 1 1
1
PLUMBING FIXTURES 1 1 I
I I (LAWN SPRINKLERS I
IGAS TEST I I
1 1-1-
I 1 (UTILITY COMPANY NOTIFIEDI I 1
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(GRAY WATER SYSTEM
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(REPORT ID: DPR263 ROUTE T0: 850506
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