HomeMy Public PortalAbout10112 NADINE ST_Plumbing__ COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1207090040
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 22438 LT 13 10112 NADINE ST
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802725
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET DAINES
18586 025 014 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl
I 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 I
ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 JISSUED ON PROCESSED BY PLAN BY
I 145 WATER CLOSET/URINAL 1 00 FIX 16 20 107/09/12 SR
I I TOTAL FEES 76 40 1 1
(OWNER TEL NO I IFWL DATE FINN, CODE
ISO HENRY (626) 443 4283 1 1
110112 NADINE ST I
TEMP 917802725 1D CRIPTION OF WORK
REPLACE SHOWER PAN VANITY WITH TOP AND WATER CLOSET FOR
BATHROOM REMODEL
APPLICANT TEL NO
SAME AS OWNER 1
SPECIAL CONDITIONS
I �
(CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER I I
LIC NO i (UNDER SLAB WORK
I I I
I IWATER SERVICE I I 1
I IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER TEL NO I I I I I
LIC NO I TROUGH PLUMBING
GAS PIPING
(GAS VENT I I
IHOT WATER HEATER I I I
I I I
I (PLUMBING FIXTURES I I I
I I 1L.AWN SPRINKLERS
i I I
IGAS TEST I I I
(UTILITY COMPANY NOTIFIED( I I
I I
ICWv I I I
IGRAY WATER SYSTEM I I I
i I I I I I
I I I I I I
I I I I i I
I I
1 (REPORT ID DPR263 ROUTE TO BS0508 I I I I
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76A667 APPLICATION FOR PLUMBING PERMIT 1
Des I7 t as
�MSION OF BURDMG AND SAFETY
Depm mmt of Colmiy� Engiaear
Comte of Los Aa
JOHN A LAMBIE COUNTY E ENGINEER ADD DRESS
O/ x LR. �
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITYkmwke A&
FOR APPLICANT TO MI IN NEAREST /
CROSS ST
OWNER DISTRICT NO GROU Z �/I READY FOR INSPECTION
MAIL `
ADDRESS IO//
1 TEL N �S� 3 INDUSTRIAL
WASTE APPROVAL
PLUMBER pp -,P2 IIIISPECTION ORD
ADDRESS �O
CITY TEL NO //-17
-
LICENSE NO ilis3st�4
NUMBER TYPE OF FIXTURE OR ITEM FEE
JL WATER CLOSET (TOILET) @ $100 $
I BATH TUB a $t 00
J SHOWER @ $100g�` ♦ / '
LAVATORY (WASH BASIN) @ $1 00 O J •/ •y
KITCHEN SINK @ $1 00
DISHWASHER @ $100 v
v
LAUNDRY TUB OR TRAY 0 $1 00
CLOTHES WASHER @ $1 00 +
f WATER HEATER @ $1 00
I GAS SYSTEM @ $t 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDE W RK
PERMIT $ 1 1 ,00 ROUGH PLUMBING J
I�00 GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 RESIDENTIAL PROPERTY
SIGNATURE n �` -
OF PERMITTEE �"'�"^""^� FINAL
JOHN A LAMBIE'COUNTY ENGINEER ,.yJMATION ROBERT A WOOD CHIEF PLBG INSPECTOR
C�—CRJ M • GSN
DC09 3 9 1 JM 1 S 3 1200 In