HomeMy Public PortalAbout10533 FREER ST_Plumbing__ 7GA667-C E*81 7 5/63
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES l�� •7�j
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING _
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS. /2GC
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY F.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. d C(-• i
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 S6 MAIL
BATH TUB 1.25 �S ADDRESS
C SHOWER 1.25 � CITY TEL. NO.
LAVATORY' 1.25 5p CONTRACTOR l .4 po
SIN% 1.25 / a ADDRESS Z4 04 nO W A:G
DISHWASHER 1.25 CITY LV. CSU/�/ TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. �C Q 5IQ COUNTY
CLOTHES WASHER 1.25 S DISTRICT NO. GROUP ZONE P ESSED BY
` WATER HEATER 1.50 I cS0 � O 5;— 2-
GAS SYSTEM OUTLETS 1.50 S� INDUSTRIAL d
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
H
V
W
CL
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APPROVALS' DATE INSPECT_OR'S SIPN ftURE
PERMIT $ 2 00 UNDER SLAB WORK � a l/� a
S D� ROUGH PLUMBING
TOTAL FEE GAS PIPING 9, (L l
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THATHE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT _
WITH
UMB NG COUNTY ORDINANCES
AND STATE LAWS REGULATING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED M LOS ANGELES COUNTY AND STATE OF GAS TEST ��!!at
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
FINAL
/VALIDATION ROBERT A. WOOD
c/ K M O CASH SUPERVISING MECHANICAL ENG'R
LAGo 3 5 3 6GO DEC 16 5 D 15-00—
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COUNTY OF LOS ANGELES TEMPLE CITY # 0108 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0407220027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 14 BL: .001 10533 FREER ST
FEE DESCRIPTION: QUANTITY: UOM- _ AMOUNT: TEMP CA 917803446 y' • , ' :,
ASSESSOR INFORMATION NU1BER: NEAREST CROSS STREET:
8585-021-038 01 PERMIT ISSUANCE FEE, 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EX'PIRES.ON:-
07/22/04 JK 01/18/05
OWNER: TEL. NO: FINAL DATE FINAL BY:- _CODE:
RULE PAUL D;KAREN K
10533 FREER .ST
TEMP 917803446 DESCRIPTION OF WFORK
EXTENT GAS LINE FOR THE GENERATOR'
APPLICANT: TEL. NO:
TRIPLE ELECTRICAL CONTRACTOR
2535 SOUTH THIRD AVE SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: _., APPROVALS DATE INSPEETOR SIGNATURE
TRIPPLE ELECTRICAL CONTRACTORS -
2535 S 3RD AVENUE LIC. NO UNDER SLAB 14ORK
ARCADIA, CA 91006 410132
WATER SERVICE
PLASTIC Y/N MEIAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING '' --- - i
LIC. NO: _
GAS PIPING
�• _ GAS VEN I
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508