HomeMy Public PortalAbout10839 GRAND AVE_Plumbing__ 76A667-CE#817 2-62
APPLICATION FOR PLUMBING P RMIT , �-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
j JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS f-3 /v1b
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
j FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE w
OWNER C/f
WATER CLOSET $1.25 ? MAIL
/ BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
j C(�'RAz;jOR i 9 "i 1 1 i a :1 t'a Vii:i n
LAVATORY 1.25 1
/ SINK 1.25 Pll-
A Sg iO. C @n3aal7 Blvd.
CI�3 Y' 6 .) NO.
DISHWASHER 1.25 _
LAUNDRY TUB 1.25 CONTyVL STATE ❑
EGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GRO IP ZONE PR SSED BY
WATER HEATER 1.50 l�
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 IN PECTION RECORD d
tV—
r H
r t Z
gEO
ROVALS ,, �^' ATEA INSPECTC'M'S SIGNATURE
PERMIT $ 2 00 uAB WORKRLUMBINGTOTAL FEE ; GGIHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONGAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYW IITH AL COUNTY ORDINANCES AND STATE LAWS REGULATING HR HEATER 1HEREBYCERTIFY THAT I AM PROPERLY REGISTERED AND/OR PFIXTURESLICENSED AS REgU1RED BV LOS ANGELES COUNTY AND STATE OFCALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GRESIDE IN,THE ABOVE DESCRIBED I ENTIA ROPERTv. UO. NOTIFIEDSIGNATURE
OF PERMIT
F
ALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
COUNT)? OF Li S'ANGF.I.P_R T 34PLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC MORES 9701 LAS TUNAS PL 0508 1404090036
BU=ING AND SAFE'T'Y / LAND DEVELOPMENT TRGILE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ED: FEES PAID BD-=LNG ADDRESS:
TR: 14020 LT: 25 10839 GRAND AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803549
ASSESSOR INIIORMATION NUMBER: NEAREST CROSS STRHET: SAMA ANIIA
8574-006-003 01 PERMIT ISSUANCE FEE 27.80 TWCll41.S PAGE: 597 GRID: D4 LOCAL=: TEMPLE Cl'TY CA
07 BATHTSTB9/SHOWERS 2.00 FIX 32.40
TENANT: 21 HOSE BIBB(S) 2.00 FIX 32.40 ISSUED ON: PROCF699M BY: PLAN BY:
25 LAVATORIES/SINKS 2.00 FIX 32.40 04/09/14 SR
45 WATER CLOSET/UR-la-D1L 2.00 FII 32.40
O9aqER: TEL. NO: 47 %= HEATER(S) 1.00 WTH 16.20 F BY: CODE:
BESERRA E KhRD MIAL-TCH R (626) 833-2226- 51 LOM PRS (SAS 5 OUiT,ST 1.00 SYS 16.20
10839 GRAND AV TOTAL, FEES 189.80
TElP 917803549 OF WORE
THTUBS/SHOWERS, HOSE BIBBS, LAVATORIES, WA= CLOSETS,
WATER HEATER AND GAS T,
APPLICANT: TEL. NO:
SAME A9 OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME A9 O1a.IEIt -
LSC. NO UNDER SLAB MORX
MATER SERVICE
PLASTIC YIN MEAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
WHEELER AND WHEELER ARCHITECTS (909) 624-5095- ROUGH PLUMBING
133 SPRING STREET LIC. NO:
CJUUZ ONT CA 91711 * GAS PIPING
GAS VENT woo
HOT WA= HPJ T[iR
PLUMBING FIXTURES
LAWN S PF INTI ERS
GAS TEAT
UTILI'T'Y COMPANY NOTIFIED
CWV
GRAY WA.TII2 SY9TE34
* ADDITIONAL DATA ON F=
REPORT ID: DPR263 ROUTE TO: M0508