HomeMy Public PortalAbout10727 GRAND AVE_Plumbing__ f76Aee7-Cu8I7 2-86
APPLICATION FOR PLUMBI G PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND 8 FETY DIVISION IUMDING
JOHN A. LAMBIE. COUNTY ENGINEER iDDRM !O
COLEMAN•W. JENKINS. SUPT. OF BUILDING LOCALITT
FOR APPLICANT TO F7LL IN T
Clow Qi.
HUMMER FI)(JUkk OR ITEM EACH FEI OWNER
WATER CLONET ILLI HAIl
)ATS TUI 1.25 ADDI M
SHOWER 1.zs cITY TEL xo
LAVATORT Im qONTIACTOI
1.25 ADDHEN yr Zp
DIIISWAKRIM 1.2% CITY �'.e TEL x0.4 N7 C)
STATLICENSE
LAUNDRY TUR 1.26 Q pp LIC
ICENiH NO. CLASS
CLOTfffII WARP" 133 DIiTR1CT NA/ GROUP ZONK PR' C[ D MY
WATER HEATER 1.50f��/'
4As STETEI[ OIITITe 1 AbTE AL p�
INDUSTRIAL
ounro OVER 5 PER STSTEm .20 ampECTI )ECOID 8
to
Z
APPROVALS DATE INSPECTOR'S 910NATU RX
PERMIT x 2 OO UNDER SLAP WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING•
1 ROL
H[ Y ACKNOWEti+ THAT 1 HAV[ RI
RSAD T • APPLICATION
SI
AND TATTHAT TH[ ASOVI IS CORRECT AND ASRII TO COMPLY GAB VENT
WITH ALL COUNTY ORDINAM=A AND STAT[ LAWS RISULATINS
PLU MSING. HOT WATER HEATER
`
I a
FrX Y CZ3'MPY SHAT I " PROPIRLY RK01WIVRSD AND/OR PLUMBING FIXTURES
LICSNUM AS RKQUIMM NY LOS ANGKLO COUNTY AND STATI OF GAB TEST
CALIFORNIA OR THAT I AM THS LSAWEF
OL OWNER O ,AND INTKNO TO
1lISID[ IN,THI ASCI&M1 IAL P UTILITY CO. NOTIFIED
i1GNATUR[
OF P[RMITT[E
FINAL � ��-
ATION JACK R. ALLEN
Q. usH SUPERVISING MECHANICAL.ENb'R.
5 4 3 SZE 9924 5 0 3,50, �
t; r OOUNTY Of LOS ANGELES APPLICATION FOR PEAM3T
Depest3n !r
ent of County Eagin!
DMSION OF BUILDING & SAFE'L'Y p U M B 1 N 1
7t WILLIAM J. FOX, O.arty Emline r
�
FO{Ry APPLICANT TO FILL IN
PLIJ O ■�( {LISBOULEVARDR[A
REO[ tlf DM FO R DAT[ I9iUED
pp��II11�� E['/1 FIRWr INMPEOTION I �� ��
ADDREMOOJVI! AS '
/� 1�
■UII.DING O
DITY ROSEMEAD TEL ND. ADDR[� Ile
COUNTYLICENSE pi Q. 93 MsxpLOCALITY ,
�N - H[`AR[BT
MUM FEES OROJM NT.
NUMB= TYPE OF FrArURL OR ITEM Fi[ DWTIER
HAIL
WATER OL.OMET(TOILK" ! CLOD * ADDRt>w
BATH'rUD ! CLOD CITY Tit.. No.
■ROWER .! CLOD I HERZOY ADKHOWLEDO[ THAT 1 HAVE READ THIS
LAVATORY (WASH NAMIN) ! 0.60 APRLIDATION AND NTATI THAT THE AJlOVE IO CC
ORRET
AND AMREE TO COMPLY WITH ALL COUNTY
,3
AND
KITDHEN MINK ! O.00 AND MTATI LAWS REGULATING PLUMNINO.
1 OKATIFY THAT I PDiMir THE ANDVE VALID LON
LAUMDRY TUN OR TRAY ! 0.00 ANOM-LEI COUNTY LICKNRF, OR I AM THE {.[CAL OWNER
GA1 fYNTEUTLITO ! 0.60 Of THE RESIDENTIAL PROPERTY DOORIMED I.10
MONATURE OF
WATER HEATER ! CLOD PERMITTI:
401
GLOP MINK ! 0.50 INSPECTION RECORD
FLOOR MINK ! 0.M0
FLOOR DRAIN CLOD _ �•�—
DIMHWAreHrR ! asD
G
DRINKING FOUNTAIN ! CLOD a
URINAL ! CLOO -�
HOUR M[W[R ! 0.b Z_
M 1 MD ELLAN EO l" 0_
0
APPaovALs
DA,wx INR[OTOR'f HAM[
ROUGH PLUMNING
GAM PIPING •i
GAJ! VENT 'r1
OEMMPDCL ! 1.00 DEGIMPOOL
M[PTIO TANKt ■EPTIO TANK
DRAIN ( PIT ( ! 1.DO 9[WER
PERMIT I.CO GAN TENT
trrILITY OCL NOTIFIED
TOTAL FEE 8 t
N
TEA6aT DH9#1T e-U!
L �
COUNTY OF LOS ANGELFg 0508 PLUMBIM PERMIT
DEPARTIENP OF PUBLIC WORKS 9701 Lag TUNAS PL 0508 1206270011
BUILDIM AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEOAL ID: FEES PAID BUILDING ADDRFi9S:
TR: 17867 LT: 59 10727 GRAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TRW CA 917603408
AS8ES80R INFORAATION NUMBER: NEARf9"T CROS-8 STREET:
8574-002-035 01 PERMIT ISSUANCE FEE 27.80 TTK24AS PAGE: 597 GRID: C4 L0(7LLIT'Y: TEMPLE CITY, C
51 IAN PRS OAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 44.00 ISSUED ON: PROCESSED BY: PLAN BY:
06/27/12 SR
OUIl[R: TEL. NO: FINAL DATE FINAL BY: CODE:
BERQSTROM, EILEfiN -
10727 GRAND AVE
TEMPLE CITY CA 91780 DESCRIPTION OF WORK
OAS LINE
APPLICANT: TEL. NO:
SACH21MN, VIGfN (818) 612-5276-
SPECIAL CONDITIONS:
CONTRACTOR: TEL" NO: APPR6vALs DATE INSPECTOR SIMUL=
PRECISE AIR SYSTEoM INC (818) 240-1737-
5467 SAN FER.NANDO RD LIC. NO •3 � 1— LR®EIl SLAB WORK
L08 ANGELES CA 90039 428900
t�–��/L•�t1 WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR Et7O TEL. A0:
-
ROUGH PLOMBINO
LIC. 190:
OAS PIPING
OAS VEMTT
HOT WATER HEXTEiR
PLOI-SIM FIXTURES
LJUM 8 PRINK ERS
OAS TEST
UTILITY COMPANY NOTIFIED
C14 V
(XRAY WATER SYSTEM
+ ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508