HomeMy Public PortalAbout10620 FAIRHALL ST_Plumbing__ <. > � T
''76A667'CE-81 7)-8-71 )
APPLICATION FOR PLUMBING PERMIT {�
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADILDING
DRESS 10620 E . Fairha II Ste,
LOCALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSET 1.75 OWNER WeIS erberMAIL
BATH TUB 1 75 ADDRESS 10620 Ci
E .. Fairha ll
SHOWER 1 .75 CITY Temple C It TEL. NO.
LAVATORY 1 75 CONTRACTOR Rainbow Plumbing
SINK 1 75 ADDRESS P .O . BOX 798
DISHWASHER 1 75 CITY G Iendora TEL. NO. 335-6777
CLOTHES WASHER 1 75 STATE LICENSE NO. 219551 CILASS C 36
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO. GROUP ZONE OCESSED BY
LAWN SPRINKLER SYSTEM 1 751 75 16—l
ov T I
WATER HEATER 1 75 1 75INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75 1 75 INSPECTION RECORD
OUTLETS OVER 30 g
5 PER SYSTEM
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Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City
Tel. NO. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER �R OM1
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 AM GISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED B OS ANGELES OUN AND STATE F
CALIFORNIA OR I E LEGAL OWN R O AND INTEND O /
RESIDE IN THE ABOVE D SC IBED RESIDENT AL ROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.O CASH
PLAN CHECK VALIDATION CK. CASH ` /
1330 /--?ah -2
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0212180017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
- LEGAL I PAID BUILDING DR
TR: 19189 LT: 14 10620 FAIRHALL ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804118
ASSESSOR INFORMATION NUMB R: NEAREST CROSS STREET: PAL MAL/LOWER AZUSA
8585-026-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PAN BY: EXPIRES ON:
12/18/02 JK 06/16/03
OWNER: TEL. NO: FIN L DATE FINAL BY: CODE:
TRINH ROBERT D;LINDA;CECILIA B (626) 279-1521-
10620 FAIRHALL ST
TEMP 917804118 DESCRIPTION F WORK
C/O WATER HEATER
APPLICANT: TEL. NO:
ACTION CONTRACTORS (310) 515-1311-
17111 S BROADWAY SPECIAL CONDITIONS:
GARDENA 90248
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ACTION CONTRACTORS (310) 515-1311-
17111 SOUTH BROADWAY LIC. NO UNDER SLAB WORK
GARDENA CA 90248 B/L 27953
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N
- ROUGH PLU B NG
LIC. N0:
GAS PIPING
GAS VENT
HOT WATER HEATER
v
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
Cu
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
' DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GIROPP ZONE
PERMIT NO.
PLUMBER VALLEY 80111 FVARp 121INn Co. RECEIVED BY READY"FOR DATE ISSUED
��D �y��� FIRST INSPECTION �l�I � d�� •:
ADDRESS 8300 EAS /
BUILDING
CITY ROSEMEAD TEL No.VE)• ADDRESS
COUNTYLOCALITY
1 �C
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. ,l
HUMBER TYPE OF FIXTURE OR ITEM FEE OWNER _//i
MAIL
WATER CLOSET(TOILET) Bd 0.50 IS ADDRESS
BATH TUB ® 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
2 LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
/ I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (w 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
/ OF THE RESIDENTIA/L,p�ROPPEERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS � 13.50
WATER HEATER 0.50 BIGNR
PERMITTEE—
SLOP SINK @ 0.513 INSPECTION RECORD
FLOOR BINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 -I
Q
HOUSE SEINER a 0.60 Z_
MISCELLANEOUS C7
Q'
APPROVALS
DAT INSRECTO R,9 NAME
ROUGH PLUMBING 2 „ lly �»�
GAS PIPING /
GAS VENT
CESSPOOL 1.00 CESSPOOL ,� ,(� f� l //
0 ^ti 's
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
I UTILITY CO.NOTIFIED
TOTAL FEE ,
FINAL
76A667 DBS$ 17 6-52