HomeMy Public PortalAbout10256 FREER ST_Plumbing__ 78A667 SCE41817 9/63 /
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING A. AAMBIE SAFETY ENGINEER ADDRESS 10256 Freer St
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER J B Weber Development
3 WATER CLOSET 11.25 3 75
1. BATH TUB 1.25 1 25 ADDRESS 5926 Te e City Blvd,
2 SHOWER 1.25 2 50 CITY Temple City TEL. NO.
LAVATORY 1.25 3 75 CONTRACTOR VgL11ey Plumbing Co.
1 SKIS 1.25 1 25 ADDRESS 442 W. Fleetwood Pl.
1. DISHWASHER 1.25 3.1 25_. CITY Glendora TEL. NO. Ed 5®129-1
LAUNDRY TUB 1.25 REGICONSTRAT ON NO. 209431 COUNTY CTOR'S STATE 0
1 CLOTHES WASHER 1.25 -1 25 DISTRICT GROUP ZONE P ESSED BY
1 WATER HEATER 1.50 1 50
1 GAS SYSTEM OUTLETS 1'50 1 50 INDUSTRIAL a
WASTE APPROVAL 0
1 OUTLETS OVER 5 PER SYSTEM .30 30 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK -"7-6,f--
' ROUGH PLUMBING
TOTAL FEE 20 30 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES a
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST l']���4�^' Qju,tl rkA�,
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO L 11o....
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE irV
OF PERMITTEE - FINAL
/VALIDATION ROBERT A. WOOD d
cl¢// M 0 CASH SUPERVISING MECHANICAL ENG'R
Li 1'U8 0 7 7- APR 2 4 5 C 2 0.3 �J"
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0706140004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID- BUILDING ADDRESS:
TTR: 29148 LT: 2 10256 FREER ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803313
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ARDEN / T
18585-005-026 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I 147 WATER HEATER(S) 1.00 WTH 16.20 I I
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I I 106/14/07 SR 12/11/07
TOWNER: TEL. N0: I IFI AL DATE FIN CODE: 1
IVILLALOBOS ALEX;DORIS E (626) 350-1037- 1 1 ,,.f\/S,i 1
110256 FREER ST I I
(TEMP 917803313 I (DESCRIPTION OF WORK I
I I (REPLACE WATER HEATER I
(APPLICANT: TEL. NO: I I I
TRAY A DURAN (626) 285-4672- I I I
1325 E. ANGELENO AVE T ISPECIAL CONDITIONS: I
ISAN GABRIEL 91776 T I I
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
(RAYS PLUMBING (626) 285-4671- 1 1 I
1325 E. ANGELENO AVENUE LIC. NO 1 TUNSER SLAB WORK T I
ISAN GABRIEL, CA 91776 375910 C36 I - I I I
I I (WATER SERVICE I I
I I (PLASTIC Y/N METAL Y/N I I
1ARCHITECT OR ENGINEER: TEL. NO: I I I I
I - I (ROUGH PLUMBING I T I
T LIC. NO: I I ' I I I
I IGAS PIPING I I I
I I IGAS VENT &r
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T IHOT WATER HEATER T I
T IPLUMBING FIXTURES I
I 1 1 LA[+'N SPRINKLERS I 1 I
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I IGAS TEST I T
I 1 1UTILITY COMPANY NOTIFIEDI I I
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I IGRAY WATER SYSTEM I T I
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1' (REPORT ID: DPR263 ROUTE TO: BS0508 I I I c
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