HomeMy Public PortalAbout10792 DAINESWOOD DR_Plumbing__ 7OA667 •CEu617 12-64
" APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS QisaO.pHIpP ///
COLEIIAN W. JENKINS. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEACRORE Si �!l
NUMBER FIXTURE OR ITEM EACH FEE
OWNER ` , ¢ OX
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS/.,-?y-t.
SHOWER 1.25 CITY TEL. NO. fs3.
LAVATORY 1,25 CONTRACTOR
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PRO SED BY
WATER HEATER 1.50 /i Q —
GAS SYSTEM OUTLETS 1.50 J O INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD TO
.1
C
O
V
W
• a
N
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APPROVALS DATE INSPECTORS SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
TOTAL FEE 3 �) ROUGH PLUMBING fir'
C/ GAS PIPING y.-�G�
It E
1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION GAS VENT 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPL
E TO COMPLY 11
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANWOR PLUMBING FIXTURES
LICENSED AS REOUIREO BY LOS ANGELES COUNTY AND STATE OF GAS TEST �� �4G
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,ANO INTEND TO
RESIDE IN,THE ABOVEEDC IBEO RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED 1
SIGNATURE �.( j/.(AtaJ
OF PE RMITTIAE _ FINAL
ALIDATIOROBERT A. WOOD
CK. M.0. GSN SUPERVISING MECHANICAL ENG'R
LAC8 4 1 8—� DEC30 5 0 3,50^ a
I6A667-CEN817 2-66 eGPER�
APPLICATION FOR PLUMBI
.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
i
FOR APPLICANT TO FILL IN NEAREST
CROSS IT. /n
NUMBER FIXTURE OR ITEM EACH FEE �I
OWNER
I WATER CLOSET 31.25 5'
MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 9 f�'A CONTRACTOR -
•L• S
SINK 1.25 ADDRESS .
DISHWASHER 1.25 CITY �Y
LAUNDRY TUB ATE
1.25 LICENSE NO. �.(.� I 7 - CLASS e C-3 4
CLOTHES WASHER 1.25 DISTRICT70 G] ' Z E 7"
C ED BY
WATER HEATER 1.50 `Ja C �
GAS SYSTEM OUTLETS1.50 INDUSTRIAL
WASTE APPROVAL 0.
OUTLETS OVER 5 PER SYSTEM .30 U
INSPECTION RECORD
t>-1
R
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 00 GAS PIPING
HEREBY ACKNOWLEDGE THAT I HAVE READ T.I. APPLICATION GAS VENT
AHD STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, � 1�
THE ABO D RESIDENTIAL PROPERTY, UTILITY CO. NOTIFIED
SIGNATURE � ,/
OF PERMITTEE ESC EFINAL /A/1/ U(/f`-�]
VALIDATION JACK R. ALLEN
CASH SUPERVISING MECHANICAL ENG-R.
Lti�t� 8 3 7 0 ;fit 4 s D 7.00-
%�ZyzCrinr/
- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0302120011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GAL FEES PAID BUILDINGADDRESS:
TR: 13613 LT: 108 10792 DAINESWOOD DR
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917802922
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: MCCULLOCH
8573-008-007 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 B AN BEXPIRES .
02/12/03 JK 08/11/03
OWNER: TEL. NO: FINAL DATE FINAL BY:J�A CODE:
WALTA;PAUL J (714) 890-3976- yl�In3
5305 VICTORIA PL
WESTMINISTER 92683 D C I-€S TIONUF WORK
GAS LINE FOR FURNACE
A L C
FAST TRAK PERMIT SERVICE (909) 279-0604-
5030 VICEROY AVENUE SPECIAL CONDITIONS:
NORCO 92860
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AIR TRO (626) 357-5311-
1630 MYRTLE AVE LIC. NO UNDER SLAB WORK
MONROVIA CA 91016 258228010 '
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TE 0:
- RUnLUMMBBING
LIC. NO:
GAS PING
GAS --
NT
NOT WATER HEATER
PLUMBING
LAWN SPRINKLERS
GAS TEST L r
Urr-LI—TYCOMPANY NOTIFIEU
CWV
AY WATER SYSTEM
' ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508