HomeMy Public PortalAbout10938 FREER ST_Plumbing__ 76AO67 -CEMS 17 12-64 ,I✓ .- ``�j�/� � [ ,Q-
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESS
G jo F r ee v,
JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING Y
FOR APPLICANT TO FILL INNEAREST
CROSS ST. rrQ
NUMBER . - FIXTURE OR ITEM EACH FEE
OWNER
'Z WATER CLOSET $1.25 Z SGS MAIL
/ BATH TUB 1.25 / 26- ADDRESS
CITY TEL. NO.
I SHOWER 1.25 ZS
Z LAVATORY 1.25 s U CONTRACTOR
SINK 1,25 Z S ADDRESS
STATE
DISHWASHER 1.25 CITY U TEL. NO.
LAUNDRY TUB 1.25 EG STRAT ON NO. z 3 3 COUNTY p
CLOTHES WASHER 1.25 J �-,S DISTRICTNO. GROUP ZONE CRWESSED BY
WATER HEATER 1.50 f �j IWK -4c7-
1.50 INDUSTRIAL
GAS SYSTEM OUTLETS WASTE APPROVAL CL
OUTLETS OVER 5 PER SYSTEM .30 INS IONCORD v
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W
C.
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-� APPROVALS ATE INSPECTOR'S SI GNAT R
PERMIT S 2 QO UNDER SLAB WORK
S pO ROUGH PLUMBING I'h
TOTAL FEE GAS PIPING 0 G�
1 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 1 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 I
RESIDE IN,THE ABOVE DESCRIBED RESIDENT!A PROPERTY. UTILITY CO. NOTIFIED -
SIGNATURE
OF PERMITTEE FINAL
VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
COUNTY OF L03 ANGELES TEMPLE CITY # 0508 PLLMIWG PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUIIMAS - PL 0508 9708120028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY C�
PHONE: (818) 286-0488 EXT:
LEGAI, ID: F EES BUILDING ADDRESS:
TR: 11497 LT: 2 BL: .001 1D938 FREER 3T
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803542
ASSESSOR INFORMATION NLMER: NEAREST CROSS STREET:
8574-009-063 01 PERMIT ISSUkNCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
I 07 BATHTUBS/SHOWERS 1.00 FIX 16.35
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.35ISOM PROCESSED BY: -MINBY: EXPIRES .
.
45 WATER CLOSET/URINAL 1.00 FIX 16.35 08/12/97TC _ 08/12/98 .
47 WATER HEATER(S) 1.00 WTH 16.33
OWNER: TEL NO' FINAL BY: --DME-
DECEMIVIRALE SUlSIE (626) 443-1176- 1 TOTAL FEES 93.15
10938 FREER ST {
TEMP 917803542 DESMIPTrM OF WORK
-
PLIMING FOR BATHROOM ADDITION AND NEW WATER HEATER
APIPLICAKT: TEL. NO:
SAME AS OWER -
&�LES APPROVALS DATE INSPECTOR 9 1 GKATuwr'—
SAME AS OWER - 1 UNDER�l—���
LIC. NO
�ATER SERVICE. PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO
LIC. NO• GAS PIPING
it �LI
GAS VENT
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WAY WATER SYTrW—
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REPORT ID: DPR263 ROUTE TO: 630508