HomeMy Public PortalAbout9939 NADINE ST_Plumbing__ COUNTY OF LOS ANGELES 'TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0412060002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL 10: FEES PAID BUILDING ADDRESS:
TR: 17002 LT: 17 9939 NADINE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802623
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8588-018-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
52 ADDN OUTLETS > 5 1.00 OUT 4.20
TOTAL FEES 31.95 .
12/07/04 JK 06/05/05
OWNER: TEL. NO: FINAL DATE FINAL Y: CODE:
ALLOCCI, ARTHUR -(626) 287-1930-
9939 NADINE ST
TEMP 917802623
ADDITIONAL OUTLET FOR THE HEATER
APPLICANT: TEL. NO:
CONNOR AIR CONDITIONING (626) 286-3157-
4931 ENCINITA SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
INSPECTOR TEL. NO: APPROVALS DATE
CONNOR AIR�CONDITIONING (626) 286-3157-
4931 ENCINITA AVE LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 403735 C20
PLASTIC Y/N METAL Y/N
ARCHITECT TEL. NO:
ROUGH PLL14BING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY 0
cWV
GRAY
REPORT ID: DPR263 ROUTE TO: RS0508
78A887-C E*817 10.82
APPLICATION FOR PLU BING PeRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUIWING AND SAFETY DMSION FCROSS
s
JOHNA. LAMBIE. COUNTY ENGINEER 9939 Nadine
NE
OSS
WILLIAM A.JENSEN, SUPT OF BUILDING TY
Ci
FOR APPLICANT TO FILL IN BE
TT. '
NUMBER FIXTURE OR ITEM EACH FEE
OWNER D. Isensee
WATER CLOSET ;1.25 MAIL
BATH TUB 1.25 ADDRESS same
SHOWER 1.25 CITY TEL. NO. At.53579
LAVATORY 1.25 CONTRACTOR pacific Installers
smx 1.25 ADDRESS E Grand .
DISHWASHER 1.25 CITYCity T. le TEL. NO. '-1234
STATE (N
LAUNDRY TUB 1.25 REGISTAATTIION NO. 211898 COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP - ZONE PR SEED BY
], WATER HEATER 1.50 • O
d
GAS SYSTEM OUTLETS 1'50 WASTEINDUSTRIAL
OUTLETS OVER 5 PER SYSTEM .30 INSMCTIOV RECORD A V
09O
replacbment
W
h
z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT s 2. 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING -
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IN VENT
AD STATE THAT THE ABOVE IS 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
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 DEB RIBED RE61DEIITIAL PROPERTY. -UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE n
FINAL K
VALIDATION ROBERT A. WOOD
CK.
M.0. i CASH SUPERVISING MECHANICAL ENG'R
ukw 1 7- 7 7t2_ OCT 23 5 D 3_50-