HomeMy Public PortalAbout10054 GREEN ST_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUNDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0808250016
B=ING AND SAFETY / LAND DEVELOPMENT TE2P= CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BU-=ING ADDRESS:
ON FILE 10054 GREEN ST
FEE DESCRIPTION: QUArITTY: DOM: AMOQNT: TENT CA 917803331
ASSESSOR INFORtOMON NUMBER: NEAREST CROSS STREET: BALDWIN
8585-007-030 01 PERMIT ISSUANCE FEE 27.75 THOWS PAGE: 597 cn=: B4 LACALITY: TEMPLE CI'T'Y, C
51 LOM PRS GAS 5 OUTLET 1.00 SYS 16.20
TETT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EbPIRES ON:
08/25/08 SR 02/21/09
OWNY,R: TEL. NO: Y: CODE:
PANG JOHNNY C;CHIU OI-LING+ (626) 575-5935-
10056 GREEN ST T)"r
TEMP 917803331 D ON OF STORK
TO REPLACE THE GAS MAIN I FROM GAS MFiTER TO ENTRANCE
APPLICANT: TEL. NO:
PAN (626) 284-5721-
1604 S. MONTEREY ST. SPECIAL CONDITIONS:
ALIAMBRA CA 91801
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SICT.Vk=
DZEN-KUO PAN (626) 922-0279-
1604 S MONTEREY ST. LSC. NO UNDER SLAB WORK
A.LHAMBRA CA 91801 518456 C36
WATER SRRVICE
PLAStIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
PLQDB TNG
LIC. NO:
GAS PIPING i
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN S PR4TL •ERRS
GAS TEST
STTTJ=' COMPANY NOTIFIRD
CKV
GRAY iWATER SYSTEM
REPORT TD: DPP-263 ROUTE TO: BS0508
i
76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ABUILDDREING
SS Q ✓� �"14
JOHN A. LAMBIE, County Engineer
CASSATT D. GRIFFIN, Sup't of Building LOCALITY �-
FOR APPLICANT TO FILL IN —REARECROSSSST. YL'
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO.
/ LAVATORY CONTRACTOR
SINK ADDRESS � kr
DISHWASHER CITY G 4/ &I-?A. NO.
CONTHFICTOT'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRI�. I GROUP ZONE READY FOR INSPECTION
WATER HEATER A"--
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
�r
Q t/�� APPROVALS
$ PER ITEM n/
ORR FIXTURE $ ELI DATE INSPECTOR'S SIGNATURE
UNDER 9tA'5-WORK
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE • GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAV R THIS AP LICATIONGAS VENT
AND STATE THAT THE ABOVE IS COR D AGREE T COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINAN ST E LAWS GULATING
PLUMBING. PLUMBING FIXTURES 09 4
I HEREBY CERTIFY THAT AM EGI RED AND/OR GAS TEST
LICENSED AS REQUIRED- LO C AND STATE OF
CALIFORNIA OR THAT 1 A L N R OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RES[ NTIA
s
SIGNATURE
OF PERMI . FINAL
ROBERTA.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R (�
CK.
U.0. CASH
L&6238 - OCT30 5 A 24.00