HomeMy Public PortalAbout10240 GREEN ST_Plumbing__ 7eAee7 -817)-4/72
t �w APPLICATIO O LUMING P IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �
BUILDING AND SAFETY DIVISION
MAKE CHECYS PAYABLE TO: 'A ILDING
ADDRESS D ,
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST l
CROSS ST. 34/
NUMBER FIXTURE OR ITEM 0 FEE
WATER CLOSET 1.75 OWNER VOL r
IIA I L Q
BATH TUB 1.75 ADDRESS 15-
SHOWER 1.75 CITY TE-L. NO.
LAVATORY 1.75 CONTRACTOR'
ONTRACTO C
SINK 1.75 ADDRESS
DISH ASI-IER 1-.7b t
r�-.. -- —— - C 4-TY - ��L---10. u
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.78
DISTRICT N0. GROUP I ZONE OC.E3S BY
LAWN SPRINKLER SYSTEM 1.78 -4
r 1
WATER HEATER 1.75 Y4ASTE APPROVAL
GAS SYSTEM OUTLETS 1.75
I'114SPECT1614 D
OUTLETS OVER
6 PER SYSTEM 80 )D -J
d
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE 8 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR•e ■IGNATUR[
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS "PLI-CATION
AND STATE THAT THE ABOVE ID CORRECT AND AGREE TO COQI-LY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTJLITY CO. NOTIFIED
LICENS[0 AS R[QUIR[D BY LO
ANGELES COUNTY AND [TATE OF U 1117
CALIFORNIA OR THAT I AM TH[ LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIONATU RE
OF PERMITTEE
PERMIT VALIDATION CK. M.0. CASH
PLAN Ci-IECK VALIDATION {K. M.0_ CASH
7 rtT1 / �J
1 r, 1. 0 173 a91 9 5 `'t t( 5 A V
7aABe7-CES n-.s7
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANagEm
DEPARIXEM oF'COUNTY ENGINM
MDING
E=DING ABAFETY DIVISION D
ND 1020 Green
JOHN A. L.AMBIU. COUNTY ENGINEER
CAeSATT D. G�RIFPIN■, §UP'T or BUILDING L+ �v4CH
LOc,�L= Temple Citi
Flo APP C O r IU I 1 Oos 8.�.
NEXRMT
FNAJER FIXTURE dR ITEM OWNER Lar�OAConst.WATR C4QS= LL is BATH TUR AMDH 912 Val lvimb ro sal
SHOWIM =T Pasadena TES NO.
E LAVATpHT coNTBAcroa$ichard Cavana h Pl=b'
1 anrc ADDRENaZ354 -Central Ave.
D j=, Chino,-
LAUNDRY Tun PONTBACTOR13 ATM
ox xo
CLOfEm WASH£$
DISTR NO. OR ONE [[AoY7oa IK{PRc7-IoX
WATER,HF.ATEB � � f}—
G"SYSTEM INDMTRIAL
ASTE AMQVAL
INIH= x kDCOAD
APMOVAIS
Sim PEA M2d DATE INSPEC-
TOR'$SEGNATURE
n A OR FEKTURE 6 n.00 L N. DEI!SLAB WORK -
a a ROUdH PLUMBING
PERMIT i 7 I Oo
GAO PIPING
TOTAL FES 101.00 AS VENT
1 HEREBY AC[NOWLEDOE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT TH-E ABOVE 10'CORRECT AAD AGREE TO'COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REQULATINQ PLUM19ING FIXTUASS
PLUMBING,
I 'CERTIFY ERTIFY THAT I AN PROP RLY REGISTERED AN R i?AS TAT
LICENSED AS REOUIRED BY L&S A CS COUNTY AND ST OF
CALIFORNIA OR THAT �Ak OWNER OFTH ApOVH UTILITY CO. NOTIrIED
DESCRIBED RFS
SIGNATUR FINAL
OF PER
ROBERT A. WOOD,
m.
?LTIV/�
• $UPERV181N6 MECHANICAL ENb'R
CI. it. WH
60Phi W24 3A 10.00 A
COUNTY OF LOS ANGELES �� TEMPLE CITY .1 0508 . ISG PM1
APARTMENT OF PUBLIC WORKS l'9071 LAS TLNA8. 08 97072 _
BJJ;DIMQ-AND SAFETY /,LAND DEVELOIMS(T TEMPLE CITY,G.
PHONE: '(8113) 285-0488. EXT: '
'ON--FILE 40.GREEMi -FEE'pEEf3t I PT I OM: -QUAlfT I TT: lam(: - AMIOIIIT: f�"G'�17 6
NEAREST CROSS STREET:
8585-00¢-019 01 PERlIIT IS8UAliCE FEE J ZT.75 THOMAS PAGE: 597., GRIDS B4 LOCALIT`'; TEMPLE CITY
- 47 WATER HEATER(S) 1.00 VTH 16:35
-TOTAL FEES 44.10. 1 SSUED ON: PROCESSED BY; PLAN ,
07/24/97 .Tc /24/98 .'
T NAL AT:
10240 MER (818).443-7602 r L�
GREEN
g� d
T EMP 9178033#6 . _ DESCRIPTION OF WORK-
NEW WATER HEATER APPILICANT: TEL. NO: -
�.. i
AMPB CONSTRUICTION (626) 284-3260- '
_ 1� 'TEL. NO: DATF_ IN3P_ECTOR,SIGKATLRE
s L
AMP8 GENERAL CONSTRUCTION (818} 284-3260- O�
1600 ORANGE STREET-- LIC. MO LMDE3L SLAB WORK
- ALHAMBRA,•G .. 5.49061B.
. / PLASTIC Y/)t METAL YIN .
EMU
LIC. M0: 1
PIPING
_
PUBLIC WORK
_ a o �
GAS TEST
IV
119�
-" .y REPORT ID: DPR263 ROUTE TO: BS 08 LL -