HomeMy Public PortalAbout10784 DAINESWOOD DR_Plumbing__ ]6A66]-CE IBI] 6-65
APPLICATION FOR PLUMBIN�RMI�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ` ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY r
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. <.P.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET [31.25MAIL
BATH TUB ADDRESSSHOWER CI TEL. NO.LAVATORY CONTRACTOR QSINE ADDRESSDISHWASHER CI EL. NO
LAUNDRY TUB 1.25 STATE LIC _
LICENSE NO. 70 CLASS
CLOTHES WASHER 135 DI$IfII
WATER HEATER 1.50 t_� , CO X' 17
G Z E P2E e
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GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL Q
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
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APPROVALS DATE INSPECTORSSIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
XEREBT ACKNOWLEDGE 1 HAVE READ THIS APPLICATION
ANO IS STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE r (/
FINAL /
AIMATION
CK. M.O. CASH
r
3.2 5
LN-o 3. 5 3 0 JUL 21 5 D
76AG67C ICE-BfTBI -9/75
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING �q ✓L�/ ,ti��0
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
WATER CLOSET LOCALITYT��'�\nL Gi(.
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL ADDRESS
V FY'' D-
ADDRE55 // �
SINK CITY `TZ--'7A 1' � -
! TEL. N Y) 2-�� 1
DISHWASHER CONTRACTOR/ -IL' �,- �U(JLS
CLOTHES WASHERx/ I
/ ADDRESS V lJ V
SWIMMING POOL RECEPTOR
CITY /J�Q,$ZdCLTEL. NO. I ;),ll-6/
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO. SSS /U CLASS O
DISTRICT NO. P NE CESSE BV U
GAS SYSTEM OUTLETS 3 O O
OUTLETS OVER d U I H
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL H
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel. NO. GAS PIPING
I 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 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED REST ENTIAL PROPERTY. UTILITY CO. NOTIFIED
ii
SIGNATURE rr��
OF PERMITTE FINAL
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALID%TICEN M..b, CASH+
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• 76A667 (f.E-$17)'5/73 /� L
APPLICATION F R'PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING p EtiS wpo
.NA KE CHECKS PAYA6LE T0: ADDRESS '�'� p
HARVEY T. BRANDT, COUNTY ENGINEER 'LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST 0
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
.OWNER
WATER CLOSET 1.75 d
BATH TUB 1.75
' IL
ADDRES 0 G �1'C(
/ SHOWER 7,75 CITYga=jL TEL. NO 2S
LAVATORY 1.75
CONTRACT
SINK 1.75 ADDRESS
DISHWASHER 1.75 t 1C'
CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC ,
LICENSE N , - - CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP F CESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1,75 INDUSTRIAL O
WASTE APPROVAL B—
GAS SYSTEM OUTLETS 7.75 / - a
INSPECTION RECORD o
OUTLETS OVER U
5 PER SYSTEM '30 CD
N
U
W
d
I Z
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
( - APPROVALS DATE INSPECTOR I slruA TDR[
Plan Check applie UNDER SLAB WORK
Name r A ROUGH PLUMBING — 7 7Lw
Address O ' F GAS PIPING
City �,. 7 p r el.. N0. ,? GAS VENT
HOT WATER HEATER
I HEREBY A NO LEDGE THAT AVE EAD iN 15 Oc- J APPLICATION
AND STATE THA THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST �7
HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED By LOS ANGELES COUNTY AND STATE OF
CALIFORN I A_0R THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
510NATU RE r
OF PERMITTE -iZ_t�� .c��
PERMIT VALIDATION cK. G. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
3:0 9:AUG-. 1 5 D 1 1..7 5e�b
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0304160008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13613 LT: 109 10784 DANESWOOD DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802922
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: MCCULLOCH
8573-008-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON:
04/16/03 JK 10/13/03
OWNER: TEL. NO: FINAL DATE FINAL BY: � / CODE:
CANTOS;RAY (626) 442-5900- ,J ) l�
10784 DAINESWOOD DR �/ - / 7 - 03
TEMPLE CITY922 ESCR PTION OF WORK
NEW HVAC SYSTEM
APPLICANT: EL. N0:
TEMPO AIR CONDITIONING (626) 285-1218-
5937 OAK AVENUE SPECIAL—CONDITIONS:
TEMPLE CITY 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
TEMPO AIR CONDITIONING AND HEATING (626) 285-1218-
5937 N. OAK AVE. LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 274880020
WATER SERVICE
ARCHITECT ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC. NO:
GAS PIPING 11-17-e3 41
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS n /
GAS TEST
UTILITY C PANY NOTIFIED
OWv
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508