HomeMy Public PortalAbout9943 NADINE ST_Plumbing__ COUNTY OF LOS ANGETES TEMPLE CITY # 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1101310043
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEAL ID: I FEES PAID BUILDING ADDRESS:
I
ON FILE 1 9943 NADINE ST 1
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917802623 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CAMURY
18588-018-010 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 i 1
ITENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 ISSUED ON: PROCESSED BY: PLAN BY: 1
145 WATER CLOSET/URINAL 1.00 FIX 16.30 101/31/11 SR 1
I I TOTAL FEES 76.70 1
(OWNER: TEL. NO: I IFINAL DATE FIVAL BY: CODE: 1
IQUON GLENN W;KIM YEE (626) 271-6176-
19943 NADINE ST 1 I
TEMP 917802623 1 JDLPSCRIPTION OF WORK 1
1 I IPLUMBING FOR NEW BATHROOM 1
(APPLICANT: TEL. NO: 1
IGONG, ROCKY (626) 350-1345- 1 I I
ISPECTAL CONDITIONS: 1
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR 1
1 CTO SIGNATURE ]
IQUON, GLENN (626) 271-6176- 1 1 I
19943 NADINE STREET LIC. NO ] UNDER SLAB WORK
ITEMPLE CITY, CA 91780 NONE 1
I 1 I I
I 1 CE1PLASTICEY/NMETAL Y/N ,I 1
1ARCHITECT OR ENGINEER: TEL. NO: I
I - I IROUGH PLUMING I I
LIC. NO:
I I
GAS PIPING I
I 1GAS VENT I I I
1 ]HOT WATER HEATER I I I
1 I
I,PLUMING FIXTURES I I I
ILAWN SPRINKLERS
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(GAS TEST 1
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UTILITY COMPANY NOTIFIED] I I
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ICWV I I I
IGRAY WATER SYSTEM I I I
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1 1 I I I I
1 1 I I I I
I I I I 1 I
I I I I I
1 i I I I I
I 1
IREPORT ID: DPR263 ROUTE TO: BS0508
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?4XW 17 °'DO APPLICATION FOR PMUMT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN' DISTRICT NO. GROUP I ZONE PERMIT NO.
VALLEY BOULEVARD .?•O
PLUMBER QQ''/�� `, �/RR RECEIVED BY READY FOR FIRST INSPECTION
DATE ISSUED
ADDRESS &300
`�LU BLVD.
ROSEMEAD BUILDING 3
CITY TEL. NO. ADDRESS ov
COUNTY 93M r),-30;
LICENSE NO. EXPIRES LOCALITY 4
NEAREST
PERM FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) 0.30 S IP ADDRESS
BATH TUB 0.50 d CITY TEL. NO.
SHOWER O.SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 -(j STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY ESCR_IBED ABOVE.
GAS SYSTEM OUTLETS Q 0.50 SIGNATURE OF
WATER HEATER - ® 0.50 U PERMITTED
SLOP SINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN O.SO
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.30
URINAL 0.50 J
HOUSE SEWERQ
®
0.50
Z
MISCELLANEOUS l7
0
I
APPROVALS
IA
DATE INSPECTOR'S NAME
ROUGH PLUMBING
i
GAS PIPING
GAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT. 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE FINAL (O�
78A867-C Eu817 10-87
APPLICATI OR PLUMBI G PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOC
FOR APPLICANT TO FILL IN PR NT OR TYPE) CROSS NEAREST
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNER
KfAM
BATH TUB 1.50 J��JLD _
SHOWER 1.50 TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS, /D
DISHWASHER 1.50 C TEL. N
CLOTHES WASHER 1.50 S ATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 FINDUSTRIUAL
CT NO. GR ZONE PROCES BY
LAWN SPRINKLER SYSTEM 2.00ZL
O
WATER HEATER 1.50 C
PPROVAL
O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V
OUTLETS OVER uJ
5 PER SYSTEM .30 Il-- 3'6 / �
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 9, 0
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
CitLANTATIE
Tel. No. HOT WATER HEATER
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBINGFIXTURESLL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
G.EBYCERTIFYTHAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
IN,THE ABOV[ RIBED RESIDENT L PROPERTY. FINALURE JACK R. ALLEN, SUPERVISI CHANICALG:R.RMITTE
PERMIT VALIDATION cK M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
LAC07 8 5D
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