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HomeMy Public PortalAbout10225 NADINE ST_Plumbing__ 76A667 CE*817262 TEMPLE CHTY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY E MSION B UILDING JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING e`i FOR APPLICANT TO FILL IN RjR.)eA/ ��lAlLc NUMBER FIXTURE OR ITEM EACH FEE r... WATER CLOSET 3125 MAIL OWNER BATH TUB 125 AADDDRESSAw? 41A. Gr s� SHOWER 125 CITYe.' TEL NO e-,.' o LAVATORY 125 CONTRACTOR SINS 125 ADDRESS 1p.224- 6 DISHWASHER 125 CITY a TEL NO /'Z—.6 LAUNDRY TUB 125 CONTRACTORS STATE ❑ REGISTRATION NO COUNTY ❑ CLOTHES WASHER 125 DIST CT NOON-[ ONE P SSED BY WATER HEATER 150 c GAS SYSTEM OUTLETS 150 WASTESAPPROVAL OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD O. 0 V C 1-� u W d 1A Z APPROVALS DATE INSPEE,=Is sIGN kuRE PERMIT S 2 00 UNDER SLAB WORK paZvi ROUGH PLUMBING r TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APF4kLICkTION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITN ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING �y I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST � CALIFORNIA OR THAT 1 AM THE LEG R OF AND INTEND TO RESIDE IN THE ABOVE lffSCRI05 R IDlNTIA PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL Al :�c VXI3ffXTl0N,----, ROBERT A WOOD CK M O (CAGB SUPERVISING MECHANICAL ENG R cq -AL.o 5 4 7 2:d 1W 31 5 D 14,5 G NrQ '/GAGS`/ CE10817 10 62 ` APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER B Ml. A G AND SAFETY DIVISION BUMDOMIGUM JOHN LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FML IN NEARESTCROSS NUMBER FIXTURE OR ITEM EACH FEE OWNER D WATER CLOSES 5125 MAIL BATH TUB 125 ADDRESS Id a SHOWER 125 CITY ' TEL NO - d LAVATORY 125 CONTRACTOR SINK 125 ADDRESS /,Of,, DISHWASHER 125 CITY ,E g�� qL NO TATE LAUNDRY TUB 125 REGIS�TRAATIION NO ! ��( CO- CLOTHES WASHER 125 DISTRICT NO GROl1LZ NE SED BY WATER HEATER 150 GAS SYSTEM OUTLETS 150 Q IND d WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD V 99 o IL N 1 z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK s ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Ap LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE Ad OF PERM ITTEll1JJJ FINAL M114 /-VALWATION ROBERT A WOOD cK M O CASH SUPERVISING MECHANICAL ENG R cil LhLO 1 7 3 9 114 R 6 5 D 3 5 0" COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1210180021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS 1 ITR 15862 IT 18 I I 10225 NADINE ST IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802728 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 18586 027 018 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl 125 LAVATORIES/SINKS 1 00 FIX 16 20 I I ITENANT I TOTAL FEES 44 00 (ISSUED ON PROCESSED BY PLAN BY 1 I 1 110/18/12 SR (OWNER TEL NO I IFINAL DATE FINAL BY CODE 1 1HUANG ANDREW GRACE BETTY Y C (626) 579 3720 i 1 I 110225 NADINE ST I I 1 ITEMP 917802728 I IDESCRIPTION OF WORK I I 1REPLACE KITCHEN SINK 1 I 1APPLICANT TEL NO I I 1 SAME AS OWNER I I I (SPECIAL CONDITIONS 1 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER I I 1 1 LIC NO 1 1UNDER SLAB WORK I I 1 1 I IWATER SERVICE PLASTIC Y/N METAL Y/N I 1 I (ARCHITECT OR ENGINEER TEL NO I I 1 1 I IROUGH PLUMBING I LIC NO 1 I I 1 IGAS PIPING I I 1 EIGASXPIRE VENT I I 1 I D (HOT WATER HEATER I I 1 I I I 1 I IPLUMBING FIXTURES I I I I 1 (LAWN SPRINKLERS I 1 IGAS TEST I I I I I I I I 1UTILITY COMPANY NOTIFIED] I I I I ICWV 1 1 (GRAY WATER SYSTEM iI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR263 ROUTE TO BS0508 I I I I I I