HomeMy Public PortalAbout9720 DAINES DR_Plumbing__ ,1
OBS687,OS83. APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SUPT OF BUILDING ,
LOCALITY
F R APPLICANT.-TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT NO GROIt I �% I READY FOR INSPECTION
MAIL �/L'}
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL NO
LICENSE NO
NUMBER TYPE OF IXT E OR ITEM FEE
WATER CLOSET (TOILET) @ $100 $ /
BATH TUB @ 0$1°00 J
SHOWER @ $100
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $100
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING 1O a
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED I
DESCRIBED RESIDENT! P 0 R7Y -�
SIGNATURE "
OF PERMITTE INAL
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JOHN A LAMBIE, COUNTY ENGINEER ALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
CR M O CASH
1923 SEP 3 3 11 .00 .9
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1206050043
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID ( FEES PAID BUILDING ADDRESS
ITR 15762 LT 5 9722 DAINES DR 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803214 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
18588-021-001 101 PERMIT ISSUANCE FEE 27 80 1 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20
ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 11SSUED ON PROCESSED BY PLAN BY 1
145 WATER CLOSET/URINAL 1 00 FIX 16 20 106/05/12 SR
1 TOTAL FEES 76 40 1
I OWNER TEL NO IFINj�L� T� FINAL BY CODE
INIE, CHRISTINA (626) 475-6823- I Q , 1
19720 DAINES DR I � %
ITEMP 917803214 1 (DESCRIPTION OF WORK v1
I (BATHTUB/SHOWER, LAVATORIE AND WATER CLOSET 1
I i I I
1APPLICANT TEL NO I I
IWU, JOHN (626) 293-1001- I I
1412 S STONEMAN I ISPECTAIL CONDITIONS 1
ALHAMBRA, CA 91801 I I
I I I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE
IM E G HOLDING INC (626) 922-8783- 1 I
1316 N PRIMROSE AVE LIC NO (UNDER SLAB WORK 1 1
IALHAMBRA, CA 91801 932603B I I I I
I I (WATER SERVICE 1 I
I I (PLASTIC Y/N METAL Y/N I 1
1ARCHITECT OR ENGINEER TEL NO I I I I
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LIC NO (ROUGH PLUMBING I
I I I I I
I I IGAS PIPING I I
I I I I I I
IGAS VENT 1 I
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I IHOT WATER HEATER 1 I 1
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I 1PLUMBING FIXTURES I I
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I (LAWN SPRINKLERS' 1 I
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I I IGAS TEST
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I I (UTILITY COMPANY NOTIFIEDI I I
I I I 11 I
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(GRAY WATER SYSTEM I I I
I I I I I I
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1 I I I I I
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I IREPORT ID DPR263 ROUTE TO BS0508 1 I I I