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
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GAS SYSTEM OUTLETS 150 WASTESAPPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD
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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
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'/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
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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
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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
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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
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I I I I I I
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I I I I I I
IREPORT ID DPR263 ROUTE TO BS0508
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