HomeMy Public PortalAbout10257 RANDWICK DR_Plumbing__ 0-/7
/6A667•CE*817'5.61•
APPLICATION FOR PLUMBING P RMIT
COUNTY OV LOS ANGELES
DEPARTMENT OF'COUNTY ENGREM
%NIGAMSFETYMISON ��LEENGINEER B®.> 9
WILLIAM A. JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEASEW
CROSS .
NUMBER FIXTURE OR ITEM. OWNS
120-� WATER CLOSET
MAS
9 BATH TUB ADDRESS
CITY TEL.NO.
sHowsR
�- CONTBAClOR
LAVATORT
SINKADDRESS
DISHwAST�B CO1aCITY TEL.NO.
LAUNDRY TUB SGG 8A1�'/ON NO. COII'S 209431 M'Y'
CUMIES WASHRR DI CT MR. GROUP ZONE ED BY
WATER HEATER < -
TEM INDUffrmAL
GAS SYSV
wASTs APPROVAL..
]NSPEC ON RECORD
•`� ��� `fid� f �` �� <`"� O
� • � r W
N
z
B OB ESCTURE s I n
APP,R04ALS D TEJ INSPECTOR'SSJGNATURV
PERMIT $ 2100 UNDER 13"WORK
TOTAL FEE
ROUGH PLUMBING
� ✓"
GAS PIPING I J
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY' dkS VENT {, t_y ,iI
WITH ALL BOUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER N1 n Paf
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/CR PLUMBING FIXTURES A
LICENSED AS REQUIRED BY LOS-ANGELES COUNTY AND STATE OR GAS TEST
'CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL ePOPFRTY. UTILITY CO.NOTIFIED
SIGNATURE � � ! / _ :!
OF PERMITTE _ FINAL a)
ALIDATION ROBERT A.WOOD
E
M.0. CASH SUPERVISING MECHANICAL ENG'R
Ut;O7. DEC 4 5. D
v 4 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0306110008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
4 PHONE: (626) 285-0488 EXT:
FEES PAID BUILDING ADDRESS:
TR: 27309 LT: 17 10257 RANDWICK DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803352
ASSESSOR INFORMA0 NEAREST CROSS STREET: GLICKMAN
8585-004-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TOTAL FEES 43.95 ISSUED 0 S 0
06/11/03 JK 12/08/03
OWN L. N I AL BY: CODE:
CHONG YAT CHUN;CHEUNG YUK SAU (626) 350-4980-
10257 RANDWICK DR
TEMP 917803352 DESCRIPTION OF WOR
WATER HEATER C/O
APPLICANT: TEL. 0:
ACTION CONTRACTORS (310) 515-1311-
17111 S BROADWAY ST SPECIAL CONDITIONS:
GARDENA 90248
CONTRACTOR: TEL. NO: APPROVALS DATE I SPECTO SIG ATURE
ACTION CONTRACTORS (310) 515-1311-
17111 SOUTH BROADWAY LIC. NO UNDER SLAB WORK
GARDENA CA 90248 B/L 27953
TER SERVICE
ARCHITECT
0
P
G NE R: 0: LASTIC Y/N METAL Y/N
G 8 G
LIC. NO:
S VENT
OT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
S TEST
UTILITY COMPANY NOTIFIE
u
SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508