HomeMy Public PortalAbout10770 GRAND AVE_Plumbing__ "4% PPLICATION
4%LIGATION FOR PLUMBING PERMIT L1
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDINlO('�� �T1and Ave•
NUMBER FIXTURE OR ITEM ® FEE ADDR SS
WATER CLOSET 6
LOCALITY Temple Cit,
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER Chris Construction
MA
LAVATORY ADDRESS 6002 No Burton
SINK CITY San Gabriel TEL.No. 287-7118
DISHWASHER CONTRACTOR en BDes• Plumbing, Inc.
CLOTHES WASHER inADDRESS 4265 No Baldwin Ave•
SWIMMING POOL RECEPTOR
CITY El Monte 917311L.No. 443-0078
LAWN SPRINKLER SYSTEM
WATER HEATER LICENSE NO. 231741 CLASS C36-20
GAS SYSTEM OUTLETSn(/ DISTRICT NO. GROUP ZONE PROCESSED BY
(J 3
OUTLETS OVER t C)
C)
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL
INSPECTION RECORD
C/)
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK '
Address ROUGH PLUMBING
L
Tel.No. GAS PIPINGEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTV ORDINANCESE LAWS REGULATING PLUMBING. HOT WATER HEATER
EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TESTNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
. UTILITY CO.NOTIFIED
REM ITTEE FINAL
71 i'47 ozA�c-
PLAN CHECK VALIDAT N CK. M.O. CASH PERMIT VALIDMI04, • CK. M.O. CASH
I o Q •
�7 O O •
`O O O Cn D
CH
COUNTY OF LOS ANGELES TEMPLE CITY 0508 PL I-MIPO PER14IT
DSPARTNERT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1104040001
BUILDING AND SAFE'T'Y / LAND DEVELOPMENT T10-12LE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
Bb: 29 PG: 7 PC: 2 10770 GRAND AV
FEE DESCRIPTION: QUANTTTY: DONS: AbflIINT: TE20 CA 917603544
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STRIM: 9ANTA ANITA
8574-024-035 01 PERM= ISSUANCE FEE 27.80 T47OMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CTTY, C
13 DLSHFDL9HER(9) 1.00 FII 16.30
TENI.NT: 25 LAVATORIES/SINES 1.00 FII 16.30 ISSUED ON: PROCF695ED BY: PLAN BY:
TOTAL FEES 60.40 04/04/11 SR
OWNER: TEL. NO: FINAI4,DATE F iii... BY: CODE:
BI, AZHIND (626) 893-8777- 19-11k
}I
107700 GRAND
RAND AV y�/[ � )
TfiT P 917803544 EMSCRAPTION OF WORK
REPLACE K=CUEN SINI AND DISHWASHER FOR KETZHEN REMODEL
APPLICANT: TEL. NO:
SAME AS MZER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS Otid -
LIC. NO UNDER 9LAB W(ORX
WATER SERVICE
PLASTIC Y/N MFrl7LL Y/N
ARCHITECT OR ENGII=: TSL. NO:
ROUGH PLIIMBII(G
LIC. NO:
GAS PIPING
GAS VENT
HOT S(ATER HEATER
PLUMBING FIXTURES
LAWN 8 PRIAIq ERS
GA-9 TEST
UTILITY COMPANY NOTIFIED
CW(V
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: M0508