HomeMy Public PortalAbout10808 GRAND AVE_Plumbing__ 1
DBS-17 -5 10-55APPLIC TION FOR PLUMBING PERMIT 1
DBS-i7 '
: DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles B U""NI
1 NG
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,SUPT OF BUILDING El Monte
LOCALITY n/
FOR APPLICANT TO FILL IN I CROSST' ' ' , yi`
OWNER Sharn, DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO, WASTE APPROVAL
PLUMBER Lee' s Pl umbin,2 INSPECTION RECORD r7,d�s�-✓
ADDRESS7759 E. Garvey Blvd.
o. San Gabriel At 03691
CITY TEL. NO.
16-11 ltq-
LICENSENO, ozp4.p 1 h'
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHESWASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 r Y Alelf}
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/ISD NE .
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK -
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER �1-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDEN A PROP
SIGNATURE
OF PERMITTey�' FINAL f
r
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK.
IS.0. CASH
I {'0 2 9 8 5�' DEC 4 3 1 1 .0 d 0
COUNTY OF LOS ANf3EIM TEMPLE CITY #( 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORL9 9701 LAS TUNAS
FL 0508 1105230018
BUILDING ASAFETY / LAND DEVELOPMENT 'f`RX= CITY CA 91780
AND
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BU=ING ADDRF-S:
TR: 4902 LT: 1 BL: D UN: .002 10808 GRAND AV
FEE DESCRIPTION: QUTNITTY: OCR: AMOUNT: TEMP CA 917803548
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SANTA ANITA
8574-023-013 01 PERM= ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEI4PLE CITY CA
63 WATER PIPING BR/FII 8.00 FII 53.70
TENANT: 64 WATER PIPNG <- 1 1/2 1.00 LIN 16.30 ISSUED ON: PROCESSED BY: PLAN BY:
TOjIAL FEES 97.80 05/23/11 SR
OWNER: TEL. NO: FZNAL DATE F Y: CODE:
MARVIN EJ-MO R;LIBERTA A;ROKM JIIDI (626) 448-3630-
10808 GRAND AV ,•
TRW 917803548
DE9CRIPT2O1,7 OF MOR1C
RE-PIPE 8 PLUMBING FIXTURES AND WATER MAIN
APPLICANT: TEL. NO: _
SEYMfOUR, BRANDEN M (909) 562-7008-
4095 FRUIT ST SPECIAL CONDITIONS:
LA VERN E CA 91750 /p�.,�����(}��
CONTRACTOR: TEL. NO: pp,_�1_'�� Q'6 PVATE INBPRICTOR"�� `fig
ANY DRAIN COMPANY (909) 562-7008-
4095 FRUIT ST LIC. 190 UNDER SLAB WORK
LA VERNE CA 91750 934096
WATER SERVICE
ARCHPTECT OR ENGINEER: TEL. NO: PLASTIC Y/N N
ROUGH PLUMBING r
LIC. NO:
QA9 IPINPG
GAS DENT
HOT WATER HEATER
PLUMING FErIURRE9
LAWN S PR 3flC ER 4
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508