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Da0.I710•155Vt~ APPLICATION FOR PLUMBING PERMIT 1
DriMON OF BMLDING AND SAFETY
Deq-Ttm nt of C*—t7 F-Wm r
Canatr of Los AaQdm PEST JOHN A. LAMBIE. COUNTY ENOINeIER CASSATT D,GRIFFIN,SUPIT OF BUILPINOF APPLI TO FELL IN OWNER . GROUP 70NIC READY FOR INSPECT Ion
w IL d
D""
50' INDUSTRIAL
C T N WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS Q
CITY TEL NO.
LICEN4E NO.
NUYN[R TYPE OF FIXTURE OR ITIEI FIL
WATER CLOSET (TOILET) 1.00
OATH TUB 41.00
SHOWER $1.00
LAVATORY (WASH BASIN) $1.0-0
K4TCHEIN BINK 1.00
DISHWASHER •1.00
LAUNDRY TUB OR TRAY 10 1.00
CLOTHES WASHER 1.00
4__ WATER HATER 1.00
GAS SYSTEM 1.00
APPHOVAIS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT t 00 ROUGH PLUMBING i
GAS PIPING
TOTAL FEE a"VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT W TSR HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR G 'TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT1 OF
CALIFORRIA OR T94/�T I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENYIA 0 TY.
SIGNATURE
OF PE7YMITTEE NAL f
JOHN A.LAMB11=. CoLINTY ENG1NIEMN VALIDATION ROBERT A.WOOD, CHIEF PL.DG. INar[CTOR
1.S, can
�T41 4 2 6�9 JAN 3 3 7.0 0 b
F
f
COUNTY OF LOS ANGELES T04PLE CITY # 0508 PLUMBING PERMIT
DEPAXIMENr OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1107070010
BUILDING AND SAFETY / LAND DEVELOPKM TEMPLE CITY CA 91780
PHONE: (626) 285-0408 M(T:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11497 LT: 3 BL: A 10904 FREER ST
FEE DESCRIPTION: pIDiNTITY: UOM: AMOUNT: Tfi>•P CA 917803540
ASSESSOR INYORDATION NUMBER: NEAREST CROSS STREET: SANTA ANDA
8574-008-004 01 PERMIT ISSUANCE FSE 27.BO THOMAS PACE;: 597 GELID: 1>4 LOC2U TY: TEMPLE CI`TY, C
25 LAVATORIES/SWIGS 1.00 FII 16.30
TENANT: TOTAL FEES 44.10 ISSUED ON: PROCFBSED BY: PLAN BY:
07/07/11 SR
OWNER: TEL. NO: FIMT /FF��]�_�BY: CODE:
LIA1090, FREE YU (626) 443-2857- 1 ' ■
10904 b'Rffi2 8T I � r
TEMP 917803540 DfSC"RTPT`IOk OF WORK
REPLACE K1'ISN SINK
APPLICANT: TEL. NO:
HUA, DAVID (626) 537-1506-
2929 W. VALLEY BLVD. SPECIAL CONDITIONS:
ALHAMBRA, CA 91803
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DAVID GENERAL BUII.DING CONSTRUCTION (626) 537-1506-
2929 W. VALLEY BLVD. LIC. NO UNDER SLAB WORK
ALHAMBRA, CA 91803 768772 B
FATRR SERVI
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
- ROUGH PLONU3LNO
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HF-=
PLUMBING FIXTURES
LAWN 9 PR INTI K 4
GAS TEST
UTILITY COMPANY NOTIFIED
CFV
GRAY WATER SYSTEM
REPORT ID: DPP263 ROUTE TO: BS0508