HomeMy Public PortalAbout10721 GRAND AVE_Plumbing__ ` COUNTY OF LOS ANGELES APPLICATION FOR pT
DeparbmBnl of VIS ",N 8c En .a �PLUMBING 1
�
DIVISION OF BUILDING SAFETY
WILLIAM J. FOX, County "pIoose
DIBTRUErr KU. 13 ZONE Pfi:RMl-r N13.0
FOR APPLICANT TO FILL IN s,y
PLUMSIR VAM BOULEVARD IUOEIVID n. READY FOR DATEO IMMU[D
FIRlT INSPECTION
ADDRK= 8300 EAST VALE s
NUI
DITY ROSEMEAD TFJ- No. AT, 2.271 AD LD
Z.Al
COUNTY 93MLOA
CLITYLICIENBE MD. QPIRn 6-30- S'
HE"[MT
PERMT FIMS OREMO ST.
NLJM�t11 TYr[or F XTU ME ON IT[H FEE D"ER
MAIL
WA OLOBET(TOILET) Q 0.00 41 ADDRERM
■ATH TUN Q 0.60 CITY TEL. No.
■HOWIR Q 0.60 I HERESY AOKJiOWLEDME THAT I HAVE READ T'HIR
LAVATORY (WASH SARIN) Q 0.60 APPI-IOATION AND 6TATE THAT THE ASOV[ 10 OORIREOT
AND AORQ TO COMPLY WITH ALL OOIJNTY 13RDIKANCILM
KITCHEN SINK Q 0.60 AND STAT[ LAWN RIOLILATINO PLUMSIN0.
1 QYRTIFY THAT 1 POSSI[OM THE MOV[ VALID LOS
LAUNDRY TUO E R d
TRAY Q O.EO ANO [o COUNTY LICENSE, OR 1 AM THE tKMAL OWNER
OF THE REMIDEPMAL RDP[RTY DKMORIO[D AMOV
OAA MYMTE IJTL rTw Q 0.60
■IONATUR[ OF
WATER HEATER 0 O.SO PERMITTI
SLOP OINK ! [LBO INSPECTION RECORD
FLOOR OINK Q 0.60
FLOOR DRAIN CLOD
DISHWASHER O C.6O
DRINKING FOUNTAIN Q O.SO
URINAL 0.60 -J
t
HOUMI ■EWEI! 0 0.60 Z_
MIRCE L Au[OLID
APPROVALS
EIATE i►+ ['� NA►rc
ROUGH PLUMSINO
OAS PIP-INS ,
CLAM VENT
0[aMPOOL Q 1.00 O[l�POOL
■EPT10 TANKI SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 ■EWER
PERMIT 1.00 OAM TENT
UTILITY O0.NOTIFIED
TOTAL FEE r!
rINAL
TEAWT DEB#IT E--U
L
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0410010020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 17867 LT: 58 10721 GRAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803408
ASSESSOR ER: -NEAREST CROSS STREET: EL MONTE
8574-002-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
11 CLOTHESWASHER(S) 1.00 FIX 16.20ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES .
21 HOSE BIBB(S) 1.00 FIX 16.20 10/08/04 JK 04/06/05 .
25 LAVATORIES/SINKS 1.00 FIX 16.20
OWNER: TEL. NO: 45 WATER CLOSET/UtINAL 1.00 FIX 16.20 .
CAMPBELL PAIR. D;MARY E (818) 579-3827- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
10721 GRAND AV TOTAL FEES 124.95 =0
TEMP 917803408 DESCRIPTION OF WORK
PLUMBING FOR 3/4 BATH AND LAUNDRY ROOM
APPLICANT: TEL. NO:
OILEARY (626) 287-0927-
5823 AGNE8 SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS --DATr--- INSPECTOR SIGN.ATURE
OILEARY TOM (626) 287-0927-
5823 ACNES AVE LIC. NO
TEMPLE CITY, CA 91780 HOMEWATER SERVICE
R 7-
PLASTIC Y/N METAL Y/N
ARCHITECT TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS VENT
HOT 61ATER HEATER
PLUMBING FIXTURES
GAS TEST
UTILITY COMPANY NOTIFIED
Cwv
GRAY WATER SYSTEM
442a P,!9f
REPORT ID: DPR263 ROUTE TO: BS0508