HomeMy Public PortalAbout10256 RANDWICK DR_Plumbing__ IGA667-CE#817 5-61• ��
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELF�
DEPARTMENT OF COUNTY ENGII �iEER
BUII.DIl�iG AND SAFETY DMSION suannaa
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEARSCROSS ST. y
NUMBER FIXTURE OR ITEM
WATER CLOSETMAIL
.
BATH TUB ADDRESS.
rAADDRESS
TEL.NO.
SHOWER TRACTOR valley Plumbing Co.
LAVATORY
snas
W. Fleetwood Pl. .
DL4HWASHEB Glendor 'M NO. Ed 5129
CON=CrTE
LAUNDRY Mm noN Mol 60847 OUNITY
CLOTHES WASHER D;I RCT GROUP NE SEED By
WATER FRIiLTBR ..►/:
GAS sYSTBIIRDUSTEM
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WASTE APPROVAL
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APF LS D,%TE I INSPECTOR'S *GHAT�If26 s 'r
PERMIT N 2 00 UNDER.SI:AB•WORK /0-AJA 9 lkejg;7 !
ROUGH PLUMBING j ) 7,
TOTAL FEE
/� �� GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER �'�F•��+3 ./�D-wm.G i
i HERE" 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 THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE Q/�
OF PERMITTE
FINAL G I ry
VALIDATION ROBERT A.WOOD U I
M.o. DASH SUPERVISING MECHANICAL ENG'R
U"7s17N0DEC 4 5D 16.55Nr'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0807170001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAIDI BUILDING ADDRESS: 1
ITR: 27309 IT: 15 1 10256 RANDWICK DR 1
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803351 I
1 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GLICKMAN 8585-004-013 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 1
(TENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
[ 125 LAVATORIES/SINKS 2.00 FIX 32.40 107/17/08 SR 01/13/09 1
[ 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 1
10WNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.20 IFINAL DATE FINAL BY: CODE: 1
ILEE HUNG CHCKH, HSU YI FAN (626) 215-0716- I TOTAL FEES 157.35
110256
ITEMP 917803351 1 1DE CRIPT N OF WORK 1
I I IPLUMBING FOR KITCHEN, BATHROOMS REMODEL AND TANKLESS WATER 1
(HEATER 1
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I I ISPECIAL CONDITIONS: 1
I I [
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I I
I LIC. NO I (UNDER SLAB WORK [ [ I
I I (WATER SERVICE I I
I I IPLASTIC YIN METAL YIN 1 I I
1ARCHITECT OR ENGINEER: TEL. NO: I I I I I
I - [ IROUGH PLUMBING [ [
1 LIC. NO: I I I I
IGAS PIPING
IGAS VENT I [
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HOT WATER HEATER
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I [ IPLUMBING FIXTURES I I I
I [ I [ 1 I
[ I LAWN SPRINKLERS I I I
I I I I I
[ I IGAS TEST I I I
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I I (UTILITY COMPANY NOTIFIED( I I
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I IGRAY WATER SYSTEM I I
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1 (REPORT ID: DPR263 ROUTE TO: BS0508 [ [ I I
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