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HomeMy Public PortalAbout10249 GREEN ST_Plumbing__ 70A867-CK*817 10-" cmy r - APPLICATION FOR LUMBI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEM B� IAAypNN AD�ONMBIyEEERD r . WILLIAM A. JENIEN, SUPT OF ]BUILDING LOCAIM �2 FOR APPLICANT TO FELL IN NEAREST ' CROW ST. NUMB[R FIXTURE OR IT[M ¢ACH F[G OWxm WATER CLOBET 1135MATT p �f MATH TUB im ADDRESS d 2 / C CITY TEL NO. _ SHOWER im LAVATORT 135 COIITRACTOII SD'.fI 125 RDD , DISHWASHER im CiTT fy_ TEL O. — y� STATE �j L1IUNDRY TUB 1.25 REGISM710N NO. � 3 7 7 � COUIITY CLOTS WASHER 135 DI[TRICT NO. GROUPZONA PROCK"ED ]BY WATER HEATER im 7_-r-- GAS STRTE3( OIITLm im INDUSTRIAL WASTE APPROVAL OUNLM OVER 5 PsTSTEI[ �0 INSPECTION RECORD oe O Z APPROVALS DATE InaFc •• GNATURe PERMIT ; 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HIEREBY ACXNOWI KOQi THAT 1 HAV[ READ THIS APPLICATION GAS VENT AND RAT[ THAT TH[ ADOVX 12 CORXKCT AND AGR— TO cOMFLY WITH ALL COUNTY 011DINANCMD AND RAT[ LAW RK(PULATINa HOT WATER HEATER FLUYBING. 1 HXR"Y CIKTIFY THAT I AM PROPERLY PMGISTKMM AND/OR PLUMBING FIXTURES u CtN![ED AS RIQUIRtD BY LOS ANG[L[l COUNTY AND RAT[ OF GAS TEST CALIFORNIA OR THAT I AM TH[ LKOAL OWNER OF,AND INTEND TO Im1Dt IN,THR AWWR IIID PlTI ROP[RTY. UTILITY CO.NOTIFIED •IdNATUR[ OF PGRMITTE[ FINAL AI.IDATION ROBERT A. WOOD M.o. ur+-I SUPERVISING MECHANICAL ENG'R LAL.o 6 2 4 2 MOV 2'7 5 D 3,5 0'.' v 76A#67A CE 817 1REV.,6/78) ,q lb ©5 APPLI TI N R PLU M B 1 G PE RM IT COUNT OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING1 r NUMBER FIXTURE OR ITEM @ FEE ADDRESS LOCALITY WATER CLOSET NEAREST BATH TUB CROSS ST. SHOWER OWNER MAIL LAVATORY ADDRESS SINK '� CITY TEL.IN DISHWASHER ,p$ CONTRACTOR CLOTHES WASHER < 'bi ADDR S SWIMMING POOL RECEPTOR " CITY TEL.NO. G' O LAWN SPRINKLER SYSTEM ;�°O STA E LIC. WATER HEATER LICENSE NO ,� CLASS GAS SYSTEM LETS APPROVALS ATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING } GAS PIPING d GAS VENT V OC HOT WATER HEATER IO 4 PLUMBING FIXTURES GAS TEST d. VI Plan ee UTILITY CO.NOTIFIED / Z LUMBING PERMIT ISSUING FEE$ K 1 ~ TOTAL FEE FINAL s Plan check applicant PLAN CHECK VALIDATjjr4 17 I �� Name 5,,,e 7f�L}7 Address � � ey Alf ��� , 981.2 , City Tel.No. s • • • • `J� IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE , THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 2 • • 1 O 0 (-/'•,�bly--' IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS n REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE • •, 11 Vl, WNER�IINTef--IOVE DESCRIBED RESIDENTIALPROPERTY.SIGOF PERMIT DISTRICT NO , CE D BY AA INDUSTRIAL WASTE APPROVAL i CONIlITY OF LOS ANGELES TEMPLE CITY f D508Q508G P ) DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS er a'i 17 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE ` 10249 GREEN ST FEE DESCRIPTION: QUANTITY: UOM: AMOLRNT: TEMP CA 917803337 ASSESSOR I ER: NEAREST CROSS STREET: ARDEN 8585-005-013 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE .CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TOTAL FEES 43.95 Igm ON: PROCESSED BY: PLAN BY: EvTffn��- 08[N/00 UTOWNER: TEL. NO: 02/26 SHIRES DONALD L TRUSTEE;SECRES TRUS (62¢) 448-2226- 10249 GREEN ST r' TEMP 917803337 nmtPTION OF WORK CHANCE OUT OF WATER HEATER APPLICANT: TEL. NO: i ACTION CONTRACTORS (310? 515-1311- 17111 S. BROADWAY SPECIAL CONDITIONS: GARDENA, CA PLAGUES C CONTRACTOR: TEL. *0: AMTALS UTF---7NsPF-cToR SIGNATURE ACTION CONTRACTORS (310) 515-1311 17111 S BROADWAY LIC. NQ UNDER SLAB WORK GARDE)LA CA 90248 652535036 r " PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. *0- ROUGH P�U!MBING LIC. LAWN SPRINKLERS 111111 GAS �RT OrikTER HEATER U URI)L C WORKS) PLLN"ING FIXTURES U _ �.7D (J L! ❑ GAS tEST UTILITY CWANy-w"= X046,jc t mot b Service Tha ' 9 i I ADOITIOVAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508 i COUNTY OF LOS ANGELES TII•PLE CITY 0 b50B PTUMB[nvG PERMIT DEPARTME27P OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0903050001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 , PHONE: (626) 285-0488 ETT: LEGAL ID: - FEFL9 PAID BUTLOINO ADDRFSS: ON FILE 10249 GREEN ST FEE DESCRIPTION: QUANTP!'Y: UOM: AMOUNT: TEMP CA 917803337 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALD'WIN 8565-005-013 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 FOCALITY: TZKPLE CI'PY, C 13 DISHWASHER(S) 1.00 FIX 16.20 TENANT: 21 HOSE BIBB(S) 2.00 FII 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/S= 2.00 FIX 32.40 03/05/09 SR 09/01/09 TOTAL FEES 108.75 oleiER: TEL. NO: F CODE: BELLS ISLE, JOHN E (562) 949-2867- /V 8508 CHANEY AVE. s �( V PICO RIVERA_ CA 90660 DESCRIPTION OF WORK • PLUMBING FOR KITCHEN, AND LAUNDRY REMJDEL APPLICANT: TEL. 190: BORLAND (504) 940-7046- 10249 GREEN STREET SPECIAL CONDITIONS: TEMPLE CITY CA 91780 _ ILY'11'V CONTRACTOR: TRL. NO: A15PROVALS DATE INSPECTOR SIGNATURE THO04PLS BORLAND (504) 940-7046- 10249 GREEN STREET LIC. NO UNDER SLAB WORE TEMPLE CITY, CA 91780 NONE XkTER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR E WEER: TEL. NO: - ROUGH PLUMBING LIC. 190: GAS PIPING GAS VENT HOT SCaTER HEATER PLUMBING F'iX RES LAS{N SPRTNIIJEUS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY NATER SYSTEM REPORT ID: DPR.263 ROUTE TO: BS0508