HomeMy Public PortalAbout10942 DAINES DR_Plumbing__ DBS_17 APPLICATION FOR ,PLUMBING PERMIT 1
D95-I>10.58
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of , C Angeles TILO
DING � ,57"
' JOHN A. LAMBIE. COUNTY ENGINEERESS 7`
CASSATT D. GRIFFIN, SUPT OF BUILDING
o . 1 a. LI TY
FOR APPLICANT TO FILL IN I NEAREST
//y�- CROSS ST.
OWNER / / % ��/ DISTRICT�� GROUP ZONE PEAKY FOR I1151ECTINN
MAIL JTL J1
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER Jk/ `/�� / Sam INSPECTION RECORD
ADDRESS,�J-3j,4-ley,,/)✓, ,/ �/��� '
CITY S� �[//r/1- /TEL. NO/-7720�/ !
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOI LET) @ $1.00 $
BATHTUB @ $1.00 C'[/
SHOWER @ $1.00 w-s�
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TU B OR TRAY @ $1.00
CLOTHES WASHER @ $1.00 ,40
WATER HEATER @ $1.00 ry
GAS SYSTEM @ $1.00 ern
4
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK -�•n��
PERMIT' $ 7 00 ROUGH PLUMBING !)A.ry �Will=—
GAS
�—
GAS PIPING
TOTAL FEE GAS VENT /`1• �'j' �I""(i:vL �-,... �/
)//n,.
I HEREBY ALKN THE ABOVE
THAT 1 HAVE READ THIS APPLICATION ; HOT WATER HEATER ,rr•nt� � (f+•//,:.G M-Lrr✓C--�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE REGULATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES � Y!+.'.,YS "S4•..
I HEREBY CERTIFY THAT I ROP Y ISTE ED AND/OR GAS TEST
LICENSED A$ REO UIRED B OS UNTY p STA7E OF n �'e
CALIFORNIA OR THAT A OW OF HE ABOVE UTILITY CO.NOTIFIED $� - 3 / �:!/,�_,..1 •.
DESCRIBED RESIOEN AL PB ERT'.
SIGNATURE ,/
OF PERMITTEE �iL� FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD.CHIEF PLBG. INSPECTOR
B.•. CASH
L&4055 JAN 10 3 8.0 0 In
1
76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS nes Drive
HARVEY T. BRAN DT, COUNTY ENGINEER
LOCA LITV11 ^Temple City.
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST Welland
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNER
MAIL
BATH TUB 1.75 ADDRESS10 48 Daines Drive
SHOWER 1.75 CITY Temple City TEL. NO.446-95b4
LAVATORY 1.75 CONTRACTOR W. g.
Graham
SINK 1.75 ADDRESS 9127 Las Tunas Drive
DISHWASHER 1.75 GITYTem le City TEL' NO.@a6-9293
CLOTHES WASHER 1'75 STATE LIC
LICENSE NO. 104466 CLASS —36
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE OCESSED BY
LAWN SPRINKLER SYSTEM 1.75
E
WATER HEATER 1.75 INDUSTRIAL }
WASTE APPROVAL d-
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM
h
U
relocate gas met r
y
z
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 DO
TOTAL FEE
APPROVALS DATE INSPECTOR 5 elsrvA r1RE
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
ANO STATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REGO I RED BY LOS ANGELES COUNTY AND STATE OF
CALI EO RN IA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE /w
OF PERMITTEE
PERMIT VALIDATION cK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH I�
2 2 jAR, 26 5 0 4.7 5 A9d
OesDOS 17 APPLICATION FOR PLUMBING PERMIT 1
.l>,DIVISION OF BUILDING AND SAFETY
Department of County Engineer -
County of Los Angeles&I BU "ING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 6 A/ DLA/N r
CASSATT O,GRIFFIN SUPT OF BUILDING
.,. __ .�.. LOCALITY
FOR APPLICANT TO FILL IN I CROSS ST. �t
OWNER IL( S DISTR T NO. GROUP ZONE. REAYY FOR INSPECTIMON
ADDRESS I P C r �' A J/
CITY ,; MDIs INDUSTRIAL
-iY TEL. NO. WASTE APPROVAL'
PLUMBER j/0,.j_ �w a I INSPECTION RECORD
ADDRESS / I I -1 (i/V I/�t I(> /FIPb+ 7
CITY BY/O�i �! ii/ TEL. NO. g
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ 51.00 S
BATHTUB @ 51.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ S1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ 51.00
CLOTHES WASHER @ SI.00
WATER HEATER @ 51.00
GAS SYSTEM @ $1.00 t7
f
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT S 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 1 00
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPJABOVE
HOTWATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE E _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGPLUMBING FIXTURES A
? PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREDGAS TEST ;l1 t9-4'1 !CA.! r/ -i.•:�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND S
CALIFORNIA OR THAT I A THE LEGAL OWNER OF THUTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P PERT"'SIGNATURE
OF PERM TTEE n //C/ r /^ � ' FINAL AJ 6/6 � I :N!/
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLUG. INSPECTOR
CK B.0. CASH
LAAO 6 0 7 E.t„ MAR 15 3 2.0 0 11
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS PL 0508 1308220030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID I FEES PAID I BUILDING ADDRESS: I
ITR: 10896 LT: 1 BL: .001 UN: .002 1 1 10942 DAINES DR I
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917802920
I ASSESSOR INFORMATION NUMBER: 1NEAREST CROSS STREET: SANTA ANITA
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: I
145 WATER CLOSET/URINAL 1.00 FIX 16.20 108/22/13 SR
TOTAL FEES 76.40 1
OWNER: TEL. NO I IFI AL DATE FINAL BY: CODE:
1152 LE KUG (626) 636-0390- ��6
11525 OAK GROVE AVE
ISAN MARINO, CA 91108 Ip C4 PTZ N OF WORK
REPLACE BATHTUB/SHOWER, LAVATORIE AND WATER CLOSET
APPLI CANT: TEL. N0:
ISHIH, HSAO I (626) 377-1033-
11439 EASTLEIGH ST. I (SPECIAL CONDITIONS:
HACIENDA HEIGHTS
I I I
11 CONTRACTOR: TEL N0: I 1APPROVA LS DATE INSPECTOR SIGNATURE 1
GRAND PALACE CONSTRUCTION INC (626) 377-1033- 1
11439 EASTLEIGH AVENUE LIC. NO I 1UNDER SLAB WORK 1 1
P.ACIENDA HEIGHTS CA 91745 678049 1
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: 1
- I IROUGH PLUMBING1 I
LSC. NO: I
IGAS PIPING
(GAB VENT
I I
(HOT WATER HEATER
I I
I IPLUMBING FIXTURES
I 1 1LAWN SPRINKLERS I I 1
I I I 1
I I (GAS TEST 1 I I
1 11 1
1UTILITY COMPANY NOTIFIEDI I I
Cwv
(GRAY WATER SYSTEM
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REPORT ID: DPA263 ROUTE TO: HS0508
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