HomeMy Public PortalAbout10240 FREER ST_Plumbing__ �76A667,-'CE#617 9/63
APPLICATION FOR PLUMBING PERMIT u
COUNTY OF LOS ANGELES u
DEPARTMENT-OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION RUILDING
ADDRESS 102LF0 Freer oto
JOHN A LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY Temple City- '
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEEOWNER J, BL Weber Development
'Z WATER CLOSET 31.25 2 50 MAIL
1 BATH TUB 125 1 25 ADDRESS 5926 Temple tilt Blvd
1 SHOWER 125 1 25 CITY Tem le City TEL. NO.
2 LAVATORY 125 2 50 CONTRACTOR valley Plumbing C®e
1 slNg 1.25 1 25
ADDRESS 442 W. Fleetwood P1.
1 DISHWASHER 1 25 1 25 CITY Ora TEL NEd 5-1295
LAUNDRY TUB 1.25 CONTRACTOR'S 209431 STATE [I
REGISTRATION NO. COUNTY ❑
1 CLOTHES WASHER 125 1 25 DISTRICT NO GROUP ONE CESSED BY
1 WATER HEATER 1.50 11 50 `}
1 GAS SYSTEM OUTLETS 150 1 50 INDUSTRIAL D_
WASTE APPROVAL 0
1 OUTLETS OVER 5 PER SYSTEM 30 30 INSPECTION RECORD V
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING Q
TOTAL FEE 1 55 GAS PIPING -
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY `'GAS VENT - 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
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 I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED 0-/ - a.
SIGNATURE
OF PERMITTEE -
FINAL
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APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM @ FEE LOCALITY J1 �/ ! 7T
WATER CLOSET
BATH TUB NEAREST
CROSS ST
SHOWER OWNER
LAVATORY MAIL ,
ADDRESS
SINK CITY TEL NO
DISHWASHER CONTRACTOPACIFIC IMS i ALLERS
CLOTHES WASHER ADDRESS 10920 E. GRAND AVE. r
SWIMMING POOL RECEPTOR _
LAWN SPRINKLER SYSTEM CITY 'TEMPTE /�y7,�bJ�
STATE / C� LIC
WATER HEATER LICENSE NO ,�/�� `(� CLASS a
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DISTRICT NO, GROUPE OCESSE Y V
GAS SYSTEM OUTLETS
OUTLETS OVERjt
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5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL a
INSPECTION RECORD
Plan check fee
PLUMBING PERMIT ISSUING FEE $ i C
TOTAL FEEt Y)
Plan check applicant
Name APPROVALS DATE INSPECTOR 5 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 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 THE ABOVE DESCRIBBEDJRESIDENTIAL
�PROPERTY UTILITY CO NOTIFIED
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0303030002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING SS:
TR: 29148 LT: 5 10240 FREER ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803313
ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: ARDEN
8585-005-030 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED 0PROCESSED BY: PLAN BY: EXPIRES ON:
03/03/03 JK 08/30/03
OWNER: TEL. N0: FINAL ,DATE FINAL BY: CODE:
BRETZ WILLIAM H;LYNNE F CO-TRUSTEES (626) 442-1734- D 3
10240 FREER ST
TEMP 917803313 MS RIP1'ION OF WORK
C/O WATER HEATER
APPLICANT:
DEAN'S HOME REPAIR (626) 210-8562-
P.O.BOX 1393 SPECIAL CONDITIONS:
GLENDORA 91740
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DEAN'S HOME REPAIR (626) 210-8562-
P.O. BOX 1393 LIC. NO UNDER SLAB WORK
GLENDORA, CA 91740 808571 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENG N R: TEL. NO:
ROUGH PLUMBING
LIC. NO:
-- - GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS
UTILITY COMPAN NOTI I D
CW
GRAY ATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508