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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fNEAREST
ILDING
JOHN A. LAMBIE. COUNTY ENGINEER DRESS
COLEMAN W. JENKINS, SUPT OF BUILDING CALITY
FOR APPLICANT TO ,FILL IN oss sr. L
NUMBER FIXTURE OR ITEM EACH FEE
O WNEA
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY L. NO.
LAVATORY 1.25 K CONTRACTOR
/ SIN% 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE F1
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO I GROUPZONE OCESSE,D�B�Y
1.50 �
_
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL >'
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 a INSPECTION RECORD A V
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APROV'`AL^S DATE INSPECTORS SIGNATURE
PERMIT $ CO UNDER SL--Ae WORK Ow/ Gp l
ROUGH PLUMBING
J V
TOTAL FE •._ GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 'S
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT [,AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE _
OF PERMITTEE FINAL r 3
.1.-�.....�
ROBERT A WOOD
K7LIDATION
M o CASH SUPERVISING MECHANICAL ENG'R
LALUO 5 3 7 8 SEP S 5 D -.5 0
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0009120010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 13805 LT: 92 9962 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802638
ASSESSOR INFORMATION NEAREST CROSS STREET: BALDWIN
8588-018-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED PROCESSED B LAN BY: EXPIRES ON:
09/12/00 UT 03/12/01
OWNER: TEL. NO: FINAL DATE FINAL B C
BAKER IRVING S;IRENE V TRS BAKER TR (818) 286-1879- _1
9962 DAINES DR L
TEMP 917802638 D CRIPTION OF WORK
GAS LINE FOR HVAC SYSTEM
APPLICANT: TEL. NO:
CYPRESS HEAT. & AIR COND. (626) 963-9810-
547 S. LORRAINESPECIAL CONDITIONS:
GLENDORA, CA
��1CsEI Es co
CONTRACTOR: NAPPROVALS DATE INSPECTOR SIGNATURE
CYPRESS HEATING AND AIR COND., INC. (626) 963-9810 �0�3 ���`�
547 S. LORAINE AVE. LIC. NO UNDER RK
GLENDORA, CA 91741 302865-HIC
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. N0: 1111111
(j�U
(]ORD)
KS
AS VENT
J L C \��/\��/ E HEATER
L� ��J v v PLUMBING FIXTURES
LAWN SPRINKLERS
O El � `'
0
GAS ST
A Q ® ®g UTILITY COMPANY NOTIFIED
U CWV
Service'Th GRAY� OQ WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0104130006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
_ PHONE: (626) 285-0488 EXT:
LEGAL ID: �- FEES PAID BUILDING .
TR: 13805 LT: 92 9962 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802638
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8588-018-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ISSUED 0PROCESSED BY: PLA P ON:
TOTAL FEES 60.15 04/13/01 JK 10/10/01
OWNER: TEL. NO: FINAL TE FINAL B V CODE:
LIN•LE GENG (626) 448-3098-
9962 DAINES DR
TEMP 917802638 DESCRIPTION Ut- WUR
NEW GAS LINE FOR STOVE, E HEATE , YER;RELOCATE WATERHTR
APPLICANT: T5L. N
DZEN KUO PAN (626) 284-5721-
1604 S. MONTEREY ST SPECIAL CONDITIONS:
ALHAMBRA 91801
CONTRACTOR: TEL. N0: � APPROVALS DATE INSPECTOR SIGNATURE
®�
DZEN-KUO PAN (626) 284-5721- ,
1604 S. MONTEREY STREET LIC. NO UNDER SLAB WORK
ALHAMBRA, CA 91801 518456/C36
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT G E R: TEL. NO:
ROUGH PLUMBING
LIC. N0: 1111111
S PIPING
GAS VENT
(
L��HoL�C' W C
J�(K� T WATER HEATER
�J J/�j u
PLUMBING FIX
z LAWN SPRINKLERS
O 0
❑ f°, GAS TEST
11UTILITY COMPANY NOTIF—IED
ue � c V
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508