HomeMy Public PortalAbout10222 NADINE ST_Plumbing__ 76AS67 CROO17 4 64
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGDMM a
BUII.DII�TG AND SAFETY DIVISION
JOHN A LAM IE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LO
FOR APPLICANT TO FILL IN i
NUMBER FIXTURE OR ITEM EACH FEE O r-
WATER CLOSET 81 25
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BASH TUB 125 AD
BROWER 125 C . TEL NO 'i��
LAVATORY 125
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SINE 125 ADD �L ,,/).�
DISHWASHER 125 CITY SEL N``WT a_ //
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IN LAUNDRY TUB 125 REGISTRATION NO .S� CO TATE
CLOTHES WASHER 145 DISTRICT N ORO ZONE (/�(j�
E gROCESSED Y
WATER HEATER,., 150 � �
GAS SYSTEM-OU150 INDUSTRIAL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM ` 4o INSPECTION RECORD V
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1 Z
APPROVALS DATE INSPECTOR B SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLLDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
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WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
LCAFORNIA
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EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOB ANGELES COUNTYDBT'N OF GAS TEST OR THAT 1 TH! LEGAL OWNER OF ND INTEND TON THE ABOV! RIB[D R !NT P RTY UTILITY CO NOTIFIED
URE
RM. FINAL
MTION
ROBERTA WOOD
o CASH SUPERVISING MECHANICAL ENG R
5 3 1 9 0 OCT 2$ 5 D 3,50-
>•MOW 17 8'50 it APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI70 GROUP ZONE PERMIT NO
PLUMBERRECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL NO ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST 44
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) ® O SO S ADDRESS
BATH TUB O SO CITY TEL NO
SHOWER 41 O BO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) O SO APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O BO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O SO ANGELES COUNTYL ENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTI OPER DESCRIBED ABOVE
GAS SYSTEM OUTLETS O SO SIGNATURE OF
WATER HEATER ® O SO PERMITT6
SLOP SINK O SO INSPECTION RECORD
FLOOR SINK O SO
FLOOR DRAIN O SO
DISHWASHER ® 0501
DRINKING FOUNTAIN @ O SO
URINAL O SO j
HOUSE SEWER O SO Z
MISCELLANEOUS
IC
O
APPROVALS
DATE INSPECTOR B NAME
ROUGH PLUMBING
GAS PIPING
1
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT 100 SEWER
PERMIT too GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE 79771FINAL
s"s" 17 a-go 18 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
L� �'
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICJ�NO GROUP ZONE PERMIT NO
S �—
PLUMBER , RECEIVED BY READY FOR DATE ISSUE
V FIRST INSPECTION
ADDRESS Q /x-/ _ro
BUILDING O
CITY J /f� TEL NoAr
ES
3�e ADDRS
COUNTYLICENSE NO /' �/ EXPIRES LOCALITY
07
NEAREST
PERMIT FEF CROSS ST
i 1
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER got
MAIL
WATER CLOSET (TOILET) (il 050 ADDRESS
BATH TUB @ O 50 CITY TEL NO
1
SHOWER 0 O BO t HERE ACKNOW GE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN O BO APPLICATION AND STAT HAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WI ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O SO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O S ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDEN L PROPCRTY DESCRIBED ABOVE
GAB il(STEM OUTLETS @ O BO �►
SIGNATURE OF
WATER HEATER (� O BO PERMITTEE
SLOP SINK O SO INSPECTION RECORD
FLOOR SINK ® O SOI
FLOOR DRAIN ® O SO
DISHWASHER O BO
DRINKING FOUNTAIN O SO
URINAL @ O SO .J
HOUSESEWER @ 050
Z
MISCELLANEOUS
R
O
APPROVALS
DATE INSPECTOR 8 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 100 SEWER
PERMIT 100 GAS TEST
TOTAL FEE
UTILITY CO NOTIFIED
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FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0011220006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES BUILDING ADDRESS
TR 15862 LT 27 AI 10222 NADINE ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802727
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DAINES
8586 026 016 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY
05 BACKFLOW DEVICES) 2 00 DEV 32 40
TENANT 07 BATHTUBS/SHOWERS 2 00 FIX 32 40 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
11 CLOTHESWASHER(S) 1 00 FIX 16 20 11/22/00 UT 05/22/01
13 DISHWASHER(S) 1 00 FIX 16 20
OWNER TEL NO 21 HOSE BIBB(S) 2 00 FIX 32 40I E Y CODE
GONG JING (626) 665 5668 25 LAVATORIES/SINKS 4 00 FIX 64 80
10222 NADINE ST 45 WATER CLOSET/URINAL 2 00 FIX 32 40 Z v
TEMP 917803865 47 WATER HEATER(S) 1 00 WTH 16 20 DESCRIPTION
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 PLUMBING FOR NEW 2 STORY ADDITION AND BATHROOMS
TOTAL FEES 286 95
APPLICANT TEL
SAME AS OWNER
SPECIAL CONDITIONS
�AC, ' ES CO
CONTRACTOR TEL NO ®� �/VAPPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO UNDER SLAB WORK
�Z�f wJ
i
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER
HAN FREEMAN (626) 796 5899�� c_ LUMBING
9051 VALLEY BLVD #104 LIC NO /
ROSEMEAD CA 91770 C21976 ING
GAS VENT
UBOK (C;� W(0 K S HOT WATER HEATER
P ES
0 0
O GAS TEST
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❑ s UTILITY COMPART-ROTTFM
�!" CWV
C Set-viC���a4 GRAY WATER ST
REPORT ID DPR263 ROUTE TO SS0508
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0011220006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE (626) 285 0488 EXT
LEGAL 10 BUILDING ADDRESS
TR 15862 LT 27 10222 NADINE ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802727
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DAINES
8586 026 016 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID 83 LOCALITY TEMPLE CITY
05 BACKFLOW DEVICE(S) 2 00 DEV 32 40
TENANT 07 BATHTUBS/SHOWERS 2 00 FIX 32 40
11 CLOTHESWASHER(S) 1 00 FIX 16 20 07/18/01 UT 01/14/02
13 DISHWASHERS) 1 00 FIX 16 20
OWNER TEL NO 21 HOSE BIBB(S) 2 00 FIX 32 40 FINAL DATE NAL BY CODE
GONG JING (626) 665 5668 25 LAVATORIES/SINKS 4 00 FIX 64 80
10222 NADINE ST 45 WATER CLOSET/URINAL 2 00 FIX 32 40 r��
TEMP 917803865 47 WATER HEATER(S) 1 00 WTH 16 20 DENCITM
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 PLUMBING FOR NEW 2 STORY ADDITION AND BATHROOMS
TOTAL FEES 286 95
APPLICANT TEL NO
GONG JING
SPECIAL CONDITIONS
� S CCONTRACTOR TEL NO �(/ Ty APPROVALS
LLOYD SONAR CONSTRUCTION (909) 350 2724
P 0 BOX 2095 LIC NO UNDER SLAB WORK
FONTANA CA 92335 678641 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT —=No
HAN FREEMAN (626) 796 5899/ ROUGH PLUMBING
9051 VALLEY BLVD #104 LIC NO
ROSEMEAD CA 91770 C21976
GAS VENT vv
' O
U B LC W0K,3
PLUMBING FIXTURES
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S�rvEl Thati��tcWV
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REPORT ID DPR263 ROUTE TO BS0508