HomeMy Public PortalAbout9855 NADINE ST_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 .1203190010
BUILDING AND SAFETY. / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID
I BUILDING ADDRESS:
ITR: 17002 LT: 9 1 1 9855 NADINE ST _
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802621 1
(ASSESSOR INFORMATION NUMBER: - I I- NEAREST CROSS STREET: GOLDEN WEST
18588-017-009 _ - 101 PERMIT ISSUANCE FEE - 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C1.
I I11 CLOTHESWASHER(S) . 1.00 FIX 16.20 I I
(TENANT: 113 DISHWASHERS) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: 1
I 121 HOSE BIBB(S) 1.00 FIX 16.20 103/19/12 SR 1
125 LAVATORIES/SINKS 1.00 FIX_ 16.20 1 1
(OWNER: TEL. NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 F IWL DATE FIN4,L- BY: CODE: 1
(BAKER, LANCE K HOLLY (626) 286-1418-. 1 TOTAL FEES 108.80 1 �� I
19855 NADINE ST - 1 .I I
(TEMP 917802621 1 - IDESCRIPTIO14 OF WORK 1
1 IPLUMBING FOR KITCHEN, LAUNDRY ROOM AND GAS LINE 1
(APPLICANT: TEL. N0:
IKO, DAVID (626) 672-8768=• ( 1
15559 EARLE ST. 1 - ISPECIAL CONDITIONS: -
SAN GABRIEL CA 91776
ICONTRACTOR:. TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IHARTMAN.CONSTRUCTION (626) 286-3944- I _ 1
-1 LIC. NO 1 (UNDER SLAB WORK
1305 W. BROADWAY 701685 B 1
SAN GABRIEL, CA 91776 - 1 (WATER SERVICE I I
I 1PLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I
IWU, HAROLD P (626) 288-0708- 1 (ROUGH PLUMBING 1
11168 SAN GABRIEL BLVD _ _ LIC. NO: 1 I I
(SUITE N 701685 B * 1 IGAS PIPING I I
IROSEMEAD CA 91770
IGAS VENT
_ I I I
I I IHOT WATER'HEATER 1 1 I
_ I I I
I (PLUMBING FIXTURES 1 I I
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I 1 (LAWN SPRINKLERS I I I
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I IGAS TEST I I
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1 (UTILITY COMPANY NOTIFIEDI I I
CWV 1 1
I I (GRAY WATER SYSTEM
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1 I I I I I
1 I I I I I
I* ADDITIONAL DATA ON FILE
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I IREPORT.ID: DPR263 ROUTE TO: BS0508 I I I I
1 I I I I I
�Bwee, n 6-40® �+ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICrO. GROUP I ZONE PERMIT NO.
PLUMBER VALLEY BOULEVARD RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 9MEAST V I I rV P1 v `[
BUILDING j
CITY RO-EMEAD TEL. NO. ADDRESS
LIOUNTY ENSE NO. 93"' EXPIRES 30-,-5--/ LOCALITY
NEAREST
PERMIT FEES CROBS ST.
NUMBER TYPE OF FIXTURE OR ITEM FE6 OWNER
MAIL
WATER CLOSET TOILET 0.SO ADDRESS 7 K� b/
BATHTUB 0.50 CITY TEL NO. TQ V b
SHOWER Q 0.301 HERfiBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN) 0.50 S�Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK a 0.50 j� STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ® O.50 Q ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED'ABOVE-
GAS SYSTE OUTLETS (2 0.50 Iry of
PERMITT
SIGNF J A `aI �•�`6`
WATER HEATER @ 0.30 � --
SLOP SINK Q 0.5o INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 Q
HOUSE SEWER ® 0.50 Z
MISCELLANEOUS D
'a
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT 3
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.001 SEWER
PERMIT 1.00 GAS TEST
r
UTILITY CO. NOTIFIED
TOTAL FEE FINAL /
7BA667-CE817-8-58
APPLICATION FOR 'PLUMBING ' PERMIT 1
COUNTY OF LOS ANGELES i
DEPARTNIENT OF COUNTY ENGENEER
BUUDDING AND SAFETY gDMSION BII>LDIIQO
CJOSN ASSATT D.GEnTI 4.S of Bu"Al"
ADDRESS'
LOCALITY - G!
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER •
DIFIL
BATH TUB ADDRESS S
SHOWER CITY , TEL NO.
LAVATORY CONTRACTOR f
sum ADDRESS 1101wd'GE
DI88WASHER CITY /A./ NO v ep
CONTRACTOR'S 1 STATE
LAUNDRY TUB REGISTRATION NO. Z S`p COUNTY
CLOTHES WA$13Et8 DISTRI NO. GROUP ZONE B
WATER SEATER
GAS SYSTEM INDUSTRIAL.
WASTE APPROVAL
INSPECTION RECORD
AMOVALS
DATE 1_ OR' N TORE
UNDER 8 WORK -
PERMIT $ 2 00 ROUGH PLUMBING.
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO,COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES /
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 1 AH THE LEGAL OW—NEQRa OF^THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PR
TY
SIGNATURE �(/p�
OF PERMITTEE FINAL
ROBERT A.WOOD.
®� VALIDATION SUPERVISING MECHANICAL ENG'R
CR. M.0. CASH -
�, 07272 rtlty ?9 5 A 5.00
'7BA667-CEB 17-8-58 D R/�//✓R L STD N
APPLICATION FOR PLUMBING PERMIT'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION BUILDING g c"j .1/Q ��
JOHN A. LAMBIE, County Engineer �1
TT D. GRUTM,Supt of Building LOCALITY
El-yt le /
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNERMAIL
/aU
WATER CLOSET
BATH TUB DAD REBS 7 /�+ 7 1e& • e
{I SHOWER CTfY vrt CjTEL_/NO.
LAVATORY CONTRACTORN,/
SINK ADDRESS / A • /�?P6/C� '
DISHWASHER CI1Y (,(J/vJ �a TEL NOF�j
LAUNDRY TUB
CONTRACTOR'S �J STATE
REGISTRATION NO. 2 23 s COUNTY
CLOTHES WATER HEATER DIST NO. GROUP ZONE
GAS SYSTEM INDUSTRULL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
ER ITE14
OR PFIXTUHE >{
DATE INSPECTOR'S SIGNATURE
UNDER B WORK
PERMIT2�00
ROUGH PLUMBING -/
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL' COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
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 RESIDENTIAL ER� CIC�v+iv
SIGNATURE
OF PERMITTEE U A EFINAL
®�
VALIDATION ROBERT A.WOOD.
SUPERVISING MECHANICAL ENG'R
H.0. CASH _