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HomeMy Public PortalAbout10134 NADINE ST_Plumbing__ 76 A 667- CE 817 7-69 CITY OF TEMPLE CITY APPLICATION FOR PLUMBING PERMIT u COUNTY OF LOS ANGELES B47842 u DEPARTMENT OF COUNTY ENGINEER e1rn.DINc BUILDING AND SAFETY DIVISION S1'mDADDRESS 10134 E. Nadine St. JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCASITY Temple City FOR APPLICANT TO FILL IN PR NT O TYPE CROSS RIM T NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1 50 oWNEs H. E. Fanning, Jr. BATH TUB 1 50 AD RM Same SHOWER 1 50 CITY TEL NO LAVATORY 1 !i0 CORTRACTOR Gemwd II08tafttlon Om SINK 1 50 f:ADDR73$8 6m Welllt Bh& DISHWASHER 1 50 cm La Angpda TEL NO PL 3-2M CLOTHES WASHER 1 50 STATE LIC LICENSE NO CPN 161M CLASS SWIMMING POOL RECEPTOR 1 50 D16TRI©O GRO 2E PROCES BY LAWN SPRINKLER SYSTEM 2 00 4 1 WATER HEATER 1 50 1 501+WR AS�TE AP�ovAL S GAS SYSTEM OUTLETS 150 a nMPE=ON RECORD OUTLETS OVERg0 gay far Impectm Now Z 5 PER SYSTEM O WATZR 6071== Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE 3 50 APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAP WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LIC lNSED AS REQUIRED BY LOB ANGELES COUNTY AND STAT! OF GLIFORMIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 4 RESIDE IN THE ASOVE DESCRIBED RZeAm�- TII� FINAL 7' SIGNATURE JACK R ALLEN SU ERVISIN6 MECHANICAL ENG R OF PERMITTEE PERMIT VALIDATION C M o CASH PLAN CHECK VALIDATION CK M o CASH t �lr+ 8620 rE8 3 5 0 3.50~ Q, °A°°7 Des 17APPLICATION FOR PLUMBING PERMIT 1 IDriMON OF BURDRIG ASAFETY f/ ND Depwtment of Couaip Engtaeer Comity of I:os Aageles BUILDING JOHN A L.AMBIE COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO EM IN NEAREST CROSS ST OWNER `r � DIST ICT NO GROUP ZONE READY FOR INSPECT10N MAILI ADDRESS Ja I A CITY 7 INDUSTRIAL TEL NO WASTE APPROVAL PLUMBER pp ® INSPECTION RECORD ADDRESS CITY / TEL NO&O, ;-,3,0 LICENSE NO / NUMSIFRI TYPE OF FIXTURE OR ITEM FEE aa �Z WATER CLOSET (TOILET) Q $1 00 U V I BATH TUB @ $1 00 SHOWER $( 00 a.. LAVATORY (WASHBASIN) Q $1 00 pp06 KITCHEN SINK Q $1 00 N Q DISHWASHER $100 O LAUNDRY TUB OR TRAY Q $1 00 CLOTHES WASHER @ $100 O WATER HEATER @ $100 GAS SYSTEM $100 bo APPROVALS DATE INSPEC ORS SIGN URE UNDE WORK PERMIT $ I 1 00 ROUGH PLUMBING _ I� 00 GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER NEATER I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1 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 i DESCRIBED RESIDENTIAL WPERTY �/W SIGNATURE � OF PERMITTEE FINAL JOHN A LAMBIE COUNTY ENGINEERLIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR CK J M ° CASH Y j3 1 3 1 A DEC 7 3 1200 0