HomeMy Public PortalAbout10157 NADINE ST_Plumbing__ 8 7
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING/D/.
NUMBER FIXTURE OR ITEM ® FEE ADDRESS `
7 YOW)1,4125 S7 ,
WATER CLOSET LOCALITY /
NEAREST
BATH TUB CROSS ST
SHOWER OWNER �LMAIL
b'
LAVATORY DDR
SINK f?d CITY ���"' TEL NOe*,j :2t
DISHWASHER L3do CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEM bTATE LIC
WATER HEATER L
OUTLETS OVER NO CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GAS VENT V
HOT WATER HEATER Q
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO NOTIFIED _
PLUMBING PERMIT ISSUING FEE$ OV
TOTAL FEE L3 00 FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel No -2 8 3 a 9'A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE • • • • • 5
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION ,1 f • ,� O O
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE •< 0 - 13005
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY ��AA 1227-7 227_7 n
SIGNATURE ..i' ` 7
OF PERMITTEE
DISTRI 010 �CESStD
INDUSTRIAL
WASTE APPROVAL
08817 or` APPLICATION FOR PLUMBING PERMIT
ND 1
ri'lVISION OF BUUMXNG
,=
SAFETY
•• Depo>ftmt of Cotmtp lkglnm
Comity Of I" Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 101-r:7
"IAl
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY /n G
FOR APPLICANT TO FM IN NEAREST
CROSS ST V
OWNER DISTRICT ORT6 READY FOR INSPECTION
MAIL AIG OI
ADDRESS ✓
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER �SPECTION
ADDRESS O if fr2
y
CITYTEL NO a
LICENSE NO / 5// 34 q
NUMBER I TYPE OF FIXTURE OR ITEM FEE o
WATER CLOSET CTOILET) Q $100 1p t/ /
BATH TUB $1 00 D
SHOWER $100
LAVATORY CWASH BASIN) Q $100 O�
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY 0 $t 00 n
CLOTHES WASHER @ $1 00
WATER HEATER Q $1 00 a
GAS SYSTEM $100 17
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 7 00
ROUGH PLUMBING
I
Oa GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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 P1 UMBING FIXTURES �'
PLUMBING
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 I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA R RTY
SIGNATURE
OF PERM 1. i FINAL
JOHN A LAMBIE Cou TY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CE r Alb
L&&43, 2 2 2A JM25 3 1100 0
4 : ✓
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING ,EBIII
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS L 9702180019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL ID FEES PAID BUILDIN
ON FILE 10157 NADINE ST
FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917802726
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
8586 027 023 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CT1Y
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 35
TENANT TOTAL FEES 44 10 ISSUED ON PR LAN BY EXPIRES PN
02/18/97 TC 02/1OWNER TEL NO FINAL DATE FI CODE
8/
WU CHEN KAIJUN JAN
1227 STH AV -2 f
ARCD 910064408OFECRIP Of WORK
APPLICANT TEL NO �f/lia GAS LINE FOR NEW HEATING AND JR SYSTEM
SAME AS OWNER '� S
®� i
SPECIAL CONDITIONSdo 4
CONTRACTOR TEL NO _ i
SAME AS OWNER I LIC NO 11
e/j ��l ii*ylK
SWATER SERVICE
ARCHITECT TEL NO O l Y 1 o1-1 9 1 1(j PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC NO
I Li t GAS PIPING
ER
rI
iPLUMBING FIXTUWFr--
LAWN SPRINKLERS
GAS TEST
unrurrmpuriumm
CWY
GRAY WATER SYSTEM
2
REPORT ID DPR263 ROUTE TO BS0508