HomeMy Public PortalAbout10610 FREER ST_Plumbing__ 76A 667- CE#817 5-61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 106 0 Freer St.
WILLIAM A. JENSEN, SUPT OF BUILDING
LocALmr Tem le Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER Ken F. Williams
2 WATER CLOSET
1 BATH TUB s 1 ADDRESS 6 )dorman Ave.
1 SHOWER CITY Arcadia Tom- NO. HI 75658
LAVATORY QL /?— �-�� ADDRESS
Belvedere PlumbingCo.
I SINK ZS ADDRESS11ROO E. Garvey Ave,
DISHWASHER CITY El Ifonte Ti:L.NO. GI 89836
coNTRAT79568 COUNTY
LAUNDRY TUB REGISTRATION
ION NO. 1
CLOTHES WASHERDISTtR�ICT NO.� GRUP NP
WATER HEATER D BY
a
GAS SYSTEM `u INDUSTRIAL U
WASTE APPROVAL
INSPECTION RECORD od
0
I O
a
CAIZ
APPROVALS DATE INSPECTOR'SSIGNATURS
PERMIT $ 2 00 UNDER!St-AM WORK
TOTAL FEE 1 00 ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS RSGULATING
PLUMBING. HOT WATER HEATER
1 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 THE ABOVE
DESCRIBED RESIDE TIAL p OP RY.
-� T � UTILITY CO, NOTIFIED
SIGNATURE I
OF PERMITTE _ L-�9`'a�
FINAL
CK.VALIDATION ROBERT A. WOOD
M.o. CASH SUPERVISING MECHANICAL ENG'R
4�-e1� ,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0907150023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 11290 LT: 1 BL: D 10610 FREER ST
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803425 1
ASSESSOR INFORMATION NUMBER: 1, 1 NEAREST CROSS STREET:
18585-022-019 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1.00 WTH 16.20 1
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
107/15/09 SR 07/15/10
1OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1
ILEI, FEI PEI (626) 417-9824- 1 1 1
110610 FREER ST 1 1
(TEMP 917803425 IDESCRIPTION OF WORK 1
1 (CHANGE OUT WATER HEATER
APPLICANT: TEL. NO: 1 1
ICLEARY (661) 775-2944- 1
124895 ROCKEFELLER ISPECIAL CONDITIONS: I
(VALENCIA, CA 91355 1 1 1
I I I I
I I I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IPAYLESS WATER HEATERS (661) 775-2944- 1 1 1
124895 AVENUE ROCKEFELLER LIC. NO 1 (UNDER SLAB WORK I
(VALENCIA CA 91355 836216 C36 1 I 1
1 (WATER SERVICE I I
1 1PLASTIC YIN METAL YIN
1ARCHITECT OR ENGINEER: TEL. NO: I I I
. - I (ROUGH PLUMBING 1 1
1 LIC. NO: I I I
1 1 IGAS PIPING I I 1
I I I I I I
1 IGAS VENT I I 1
1 I I
1 1HOT WATER HEATER 1 1
1 I I
1PLUMBING FIXTURES I 1 1
I I I I I I
1 ILAWN'SPRINKLERS I I
I I I I I I
1 1 IGAS TEST 1 1 1
1 1
EXPIRED JUTILITY COMPANY NOTIFIEDI 1 1
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1 (GRAY WATER SYSTEM 1 1 1
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I (REPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 1