HomeMy Public PortalAbout9902 DAINES DR_Plumbing__ 76A667 1G E-817)-8-71
4APPLICATION FOR PLUMBING PER IT -
COUNTY
T -COUNTY OF LOS ANGELES
^I DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION A Lowe
ADDRESS
LOCALITY d-
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
OWNER
WATER CLOSET 1 75
MAIL
BATH TUB 1 75 ADDRESS
I, SHOWER 1 75 CITr7- 6).t- TEL NO
LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITY 'TEL NO
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 75
DISTRICTfyQ/ GRO�JP ZO E E B'Y
LAWN SPRINKLER SYSTEM 1 75 `J�" l//7lJY 7 r/
WATER HEATER 1 75 INDUSTRIAL 96
WASTE APPROVAL 0
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD
OUTLETS OVER 30 A
5 PER SYSTEM
um
V1
z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE tf
APPROVALS DATE I SPECTO R'S OjIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING Z-
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVEREAD THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TH LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE AB CR ED RESIDENT AL P ERTY FINAL -
LOF
GNATURE ,
PERMITT �
PERMIT VALIDATIO CK M o CASH
r
PLAN CHECK VALIDAT19 CK M D CASH
�.to 7`2.6 2jJL 31 " 5 D 1",0:4`0, � '
76A667 DBB 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT ®F BUILDING AND SAFETY PLUMBING
�� �'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN , DISTRICT
/r 21247
PLUMBER Belvedere Plumbing CO. READY FOR
O RECEIVED B� FIRST INSPECTION _DATE �>JE\�
ADDRESS 136 S. Palm Ave• /!n(
BUILDING 9902 Daines Dr.
CITY Alhambra TEL. NO. AT95025 ADDRESS 77
COUNTY
LICENIIE NO. EXPIRES 6-30-52 LOCALITY Temple Cit
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER Harry Crump Jr.
MAIL
WATER
WATER CLOSET(TOILET) @ 0.50 >$ 150 G ADDRESS
BATH TUB ® 0.50 50 CITY TEL N0.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
1 LAVATORY (WASH BASIN) 0.50 SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 0 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
0 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS !10 0.50 5
SIGNATURE O`
WATER HEATER @0.5135O PERMITTE BxwAwxcbendix @ 0.50 150 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS 2
(Y
O
APPROVALS".
DATE INSPECTOR'S NAME
ROUGH PLUMBING LI
i
OAS PIPING
GAS VENT 41V
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 DAB TEST
UTILITY CO. NOTIFIED
TOTAL FEE 50
FINAL
198 M `
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0403030019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL S PAID BUILDING-ADDRESS:
TR: 13805 LT: 82 9902 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802638
ASSESSOR NEAREST CROSS STREET: BALDWIN
8588-017-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 . LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSEDB BY: EXPIRES .
03/03/04 VG 08/30/04-
OWNER:
8/30/04-OWNER: TEL. NO: /�. FINAL DATE FINAL BY: CODE:
CRUMP HARRY W JR CO TR CRUMP TRUST (818) 287-1244- - WSCRIT
9902 DAINESDRTEMP 917802638 F WORK
GAS FOR FAU
APPLICANT: L. NO:
AIR TRO (626) 357-5311-
SPECIAL CONDITIONS:
CONTRACTOR: T EL-. NO' f �` >�, 7 APPROVALS DATE INSPECTOR SIGNATURE
AIR TRO (626) 3i7-5311-
1630-MY E
57-5311-
1630-MYRTLE AVE LIC. NO UNDER
MONROVIA CA 91016 258228C10
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: . !0:
- ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CwV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: SS0508