HomeMy Public PortalAbout10212 RANDWICK DR_Plumbing__ . r
76A667-CE#617 5.61-
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES.
DEPARTMENT OF COUNTY.ENGMM
B MEIG AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS A !,Q
WILLIAM A. JENSEN, SUP'T OF BUILDING
LOCALITY �. y
s FOR APPLICANT TO FILL IN NEAREST "
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET 1&4mB RATS TUB ADDRESS
CITY TEL.NO.
9 SHOWER
LAVATORY coNTRAcToR Valley PlumbingCo.
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p DISHWASHER cm Glendora TEL NO. Ed 5-7293
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CLOTItEB WASHER DISTRICT N0. GROUP NE ED BY
WATER BEATER per,
GYBM ��1 LNDUSTRIAL
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WASTE APPROVAL
r INSPECTION RECORD , °C
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O FIXTURE $ /�� V APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 0I UNDER SLAB WORK
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TOTAL FEE ROUGH PLUMBING� IYy yJ
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION , j
AND STATE THAT THE ABOVE ES CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
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1 HEREBY CERTIFY THAT 1AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES .;
LICENSED AS REQUIRED BY LOS,ANGELES COUNTY AND.STATE OR -
CALIFORNIA OR THAT l AM THE LEGAL OWNER OR THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED.. ��F"'s---elk _.a'y9_M+nk-47
SIGNATURE b
1
OF PERNITTE L O
FINA
GLIDATIONN ROBERT A. WOOD
s:K. M.0. CASH SUPERVISING MECHANICAL ENG'R'
Ltli,o 7 8 1 0Q1 DEC 4 • 5 D 1 6,5 5 a
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0301090021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALp
TR: 27309 LT: 6 10212 RANDWICK DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803351
ASSESSOR IN0 R: NEAREST CROSS STREET: GLICKMAN
8585-005-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 64 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TOTAL FEES 43.95 0 S
01/09/03 JK 07/08/03 .
OWNER: TE 0: FIN L ATE FINAL BY: CODE:
SINNOTT JOAN N TR JOAN N SINNOTT TR (818) 444-8050-
10212 RANDWICK DR ���.� 473
TEMP 917803351 DSL IP o
C/0'WATER HEATER
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APPLICANT: TEL. 0•
ALAP ASSOCIATES (818) 407-1247-
7338 ETHEL AVENUE SPECIAL COND TIONS:
N HOLLYWOOD 91605 _
CONTRACTOR: TEL. NO: APPROVALS DATE NSPEC OR SIGNATURE
ALAP ASSOCIATES (818) 407-1247- t+;a
7338 ETHEL AVE LIC. NOUNOIR SLABR
NO HOLLYWOOD, CA. 91605 771905/C36
,si WAT R SERVICE
ARCHITECT OR ENGINEER: TE 0: I PLASTIC Y/N METAL Y/N
-� L r ��f ` \ R LMB G
LIC. NO•� � �— -— 1 �
GAS PIPING
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GAS'VENT
C) �1 0 R Z
PLUMBING R 5
LAWN SPRINKLERS
GAS TEST
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UTILITYCOMPANY 0 ED
CWV
✓�`r GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508
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