HomeMy Public PortalAbout10228 NADINE ST_Plumbing__ 761 A 6674-CE 817 8/66
APPLICATION FOR PLUMBING PERMIT {�
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINMM
BUII.DING AND SAFETY DMSION fNEAREST
DRESS ,tib
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING CALPPY
FOR APPLICANT TO FILL IN PR NT OR TYPE) O
ST
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 50 OWNER
_
BATH TUB 1 50 ADDRIM O �s
SHOWER 1 50 CITY TEL NO
LAVATORY 1 50 CONTRACTOR,
SINK 150 ADDRESS S j�
DISHWASHER 150 CITY TEL NO G�1�9a6�
CLOTHES WASHER 1 50 STATE LIG
LICENSE NO CLASS
SWIM6tING POOL RECEPTOR 1 50 DISTRICT NO GROUP I ZONE I PROCESSED BY
LAWN SPRINKLER SYSTEM 2 00r � ����. C
WATER HFATER 1 50 INDUSTRIAL C.i
WASTE APPROVAL c
f GAS SYSTEM 2 OUTLETS 1 50 CTION RECO In
OUTLETS OVER 30 a
5 PER SYSTEM
H
� Z
Plan check fee 21;% of above See reverse
PLUNIB1NC PERMIT 1SSUINC F I E S 1 2 00
TOTAL FFE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK f
Name &jW/VIM ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTItND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL 7
SIGNATURE JACK R ALLEN SUPERVISING ECH ANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION M o CASH
PLAN CHECK VALIDATION CK M o CASH
I Ar 0 5 7 09 JJN 1 5 D 8 0 0- t
TSA667 27 s aS® a APPLICATION FOR PERM
DEPARTNIEW OF BUILDING AND SAFETY � PLUMBING
����t
COUNTY OF LOS ANGELES P
WILLIAM J FOX CHIEF ENGINEER {
FOR APPLICANT TO FILL IN DISTRI O CER UP ZO� PERMIT NO
PLUMBERPRCKly 'READY FOR DA I UItQ
J FIRST INSPECTION
ADDRESS I! AL (4•#j /1
^-� DRESS
Fl
ILOCALITY
CITYCOUNTY
� BUILDING
TEL NO
IM B N EXP RES N '
114
PEID IIT FEES CROSSFAR8sT
t
NUMBER TYPE OF FIXTURE OR ITEM FEB OWNER a 0
MAIL
WATER CL08ET TOILET Ono 8 ADORESB
BATH TUB 0130 CITY TEL NO
SHOWER Ono I HER ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O 50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH 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 050 ANGELES COUNTY NSE OR 1 AM THE LEGAL OWNER
OP
GAS SYSTEM OUTLETS OF THE RESIDENTI DESCRIBED ABOVE.O 50 SIGNATURE OF
WATER HEATER 0 O SO PERMITTB
SLOP SINK O 50 INSPEC.'TION RECORD
FLOOR SINK 013c)
FLOOR DRAIN O 50
DISHWASHER ® O 50
DRINKING FOUNTAIN a O SO
URINAL O SO
HOUSESEWER ® 0130 z
MISCELLANEOUS a
O
APPROVALS
DATE INSPECTOR B NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL too CESSPOOL A .000
SEPTIC TANK SEPTIC TANK !`
L
DRAIN ( ) PIT ( ) ® 100 SEWER
PERMIT too GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE A s, FINAL ��
TSAS67 n s 49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
����' � � 7
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O GROUP I Z014E PERM7I
IIT NO
PLUMBER 1 Pr nS ! RECEIVE READY FOR ATE ISSU D
� FIRST INSPECTION
ADDRESS /
BUILDIN
CITY C 1000A 10 rQ N TEL NO 3 ADDRESS + �I
COUNTY �D LOCALITY
I.ICENSE N EXPIRES
NEAREST
PERMIT FEES ROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
WATER CLOSET TOILET 050--j— ADDRESS �• b
BATH TUB O SO CITY TEL NO 0 Q
SHOWER O SO 1 HEREBY /ACKNOWLEa6Z THAT 1 HAVE READ THIS
LAVATORY WASH BASIN O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O SO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O SO ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENT PROP TY DESCRIBED VE.
GAS SY8TE OUTLETS @ 050
SIGNATURE OR
WATER HEATER O SO PERMITT
400
SLOP SINK ® O Iso INSPECTION RECORD
FLOOR SINK @ O SO
FLOOR DRAIN O SO
DISHWASHER O 80
DRINKING FOUNTAIN GO 0 SO
URINAL O SO
HOUSESEWER 050 Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING r ) lI S
v
r
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1 00 1 SEWER
PERMIT 100 GAS TEST A I'*'9
TOTAL FEE
UTILITY CO NOTIFIED r /G
t6
FINAL
V
COUNT'S OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
bEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1205020012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 15862 IT 28 1 10228 NADINE ST
IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917802727
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
18586 026 017 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl
1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 1 1
ITENANT 111 CLOTHESWASHER(S) 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY 1
1 113 DISHWASHER(S) 1 00 FIX 16 20 105/02/12 SR 1
1 121 HOSE BIBB(S) 2 00 FIX 32 40 1 1
10WNER TEL NO 125 LAVATORIES/SINKS 5 00 FIX 81 00 FINAJ. DATE FI Y CODE 1
ILIANG KENNEY (626) 452 8282 145 WATER CLOSET/URINAL 2 00 FIX 32 40 A 1
110228 NADINE ST 147 WATER HEATER(S) 1 00 WTH 16 20 (J
ITEMP 917802727 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 EtSdRIPTION OF WORK
I I TOTAL FEES 270 80 1PLUMBING FOR NEW MASTER BATHROOM LAUNDRY ROOM KITCHEN
IREMODEL EXISTING BATHROOM GAS LINE AND TANKLESS WATER I
1APPLICANT TEL NO I 1HEATER I
1KWOK TERENCE (323) 697 2120 1 1 1
1260 E GARVEY AVE ISPECIAL CONDITIONS 1
(MONTEREY PARK 91755 1 1 1
I I
1 TEL N (APPROVALS DA Vj_jP TO ATURE 1
1PANN CHAORHUI (626) 960 8826 1 1 1
12237 MAC DEVITT ST LIC NO I (UNDER SLAB WORK 1
WEST COVINA CA 91790 745705 B • I 1 1
IWATER SERVICE 1 1 1
1 I IPLASTIC YIN METAL YIN 1 1
(ARCHITECT OR ENGINEER TEL NO I 1 1 I I
IKWOK TERENCE (323) 697 2120 1 IROUGH PLUMBING 11 1
1260 E GARVEY AVE LIC NO I 1 111�'.�y�r'�I
IMONTEREY PARK CA 91755 C24796 I (GAS PIPING 1 1
I I IGAS VENT I I I
IHOT WATER HEATER 1 1 1
IPLUMBING FIXTURES 1 1 1
ILAWN SPRINKLERS 1 1 1
IGAS TEST I 1
(UTILITY COMPANY NOTIFIED( 1 1
I I 1CWV I I I
IGRAY WATER SYSTEM 1 1 1
I I I I I I
1 I I I I I
I I I I I I
I I I I I
1� ADDITIONAL DATA ON FILE 1 1 1 1
IREPORT ID DPR263 ROUTE TO BS0508 1 1 1 1
I 1 I I I I