HomeMy Public PortalAbout10667 SPARKLETT ST_Plumbing__ 76A667 (C -417)-8-71 �'��/
APPLICATION FOR PLUMBIl PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 10667 Sparklett
LOCAUTYTemple City
FOR APPLICANT TO FILL IN (PRINT OR TV PEI NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM 0 FEE
3 d MAIL
OWNER
WATER CLOSET 1 76 MAIL
BATH TUB 1 75 .i ADDRESS 202 Bella Vista Dmv1e'/'C
/ SHOWER 1 75 CITY Arcadia TEL NO yµ/772
LAVATORY 1 75 0 CONTRACTOR Owen Bros.Plumbang Inc.
SINK 1 75 ADDRESS 6 North Baldwin Ave.
DISHWASHER 1 76 CITY F1 Mnri+,p TEL NO 1,43
CLOTHES WASHER 1 75
STATE
NSE No 231741 CLASS C36
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1 76 0 1
WATER HEATER 1 7S / ' INDUE APPROVAL WASTO
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD u
OUTLETS OVER
5 PER SYSTEM 30 z
O
U
W
d
N
7.
Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE a �"� APPROVALS D i I CTOR ATURE
Plan Check applicant UNDER SLAB WORK �Q
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
HEREBY ACKNOWLEDGE
ASO THAT HAVE READ THIS APPLICATION
AND ]TATO THAT THE ABOVE 15 CONK ECT AND ACRCE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND ]THTC LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED A! REQUIRED BY LOS ANGELES COUNTY ANO STATE OF
CAI.I FORNIA OR THAT I AM THC LEGAL OWNER Or AND INTEND TO
RES JOE Ix THE ABOVE O C BED RESIDE NI L PROPERTY FINAL 3j
SIGNATURE
OF PERMITTEE PERMIT VALIDATION (0 , - . CASH
PLAN CHECK VALIDATION cN M o CASH
Li►oC, 06S;3 2225 Q
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1108170028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID I FEES PAID I BUILDING ADDRESS
BK 40 PG 34 PC 5 10667 SPARRLL= ST
FEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804136
IASSESSOR INFOAMATION N M I NEAREST CROSS STREET
16585-029-036 01 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, C
107 BATHTUBS/SHOWERS 1 00 FIX 16 30
TENANT 125 LAVATORIES/SINKS 2 00 FIX 32 50 ISSUED ON PROCESSED BY PLAN BY
145 WATER CLOSET/URINAL 1 00 FIX 16 30 108/17/11 SR
TOTAL FEES 92 90 1 1
RI
TEL -NO i ATE 11 PIfAL BX CODE
TERRI
iOWNQUEZ GAUDENCIO S,MARTHA, ®WAR (626) 454-4895- _JALA
1066'1 SPARKLETT ST
TEMP 917804136 1DVSCRIPTION OF YORK
I PLUM ING FOA A KITCHEN AND BArmPoom REMODEL I
APPLICANT TEL NO
SAME AS OWNER
[SPECIAL CONDITIONS
1 1
[CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE
iSAME AS OWNER - 1
LIC NO I [UNDER SLAB WORK I [
—I
—
WATER SERVICE I
I
(ARCHITECT OR ENGINEER TEL NO [PLASTIC YIN METAL YIN
TROUGH PLUMING
LIC NO 1_
(GAS PIPING
(GAS VENT
(HOT WATER HEATER [ [
[ [PLUMING FIXTURES 1 [
I I
Illi iLAWN SPRINKLERS
[GAS TEST
I
(UTILITY COMPANY NOTIFIED(
I
CWV
[GRAY WATER SYSTEM
Akow1 I I I I I
I I I
1 I [ I I I
I I i
1
i (REPORT ID OPR263 ROUTE TO 850508 I I I I