HomeMy Public PortalAbout9805 VAL ST_Plumbing__ TeAe:
CE 6A a T eAPPLICATION FOR PLUMBING PERMIT 1
S,
BMLDING AND SAFETY DIVISION
Department ofTC_ounty Sngmesr
County of Angeles ABUILDING
DDRESS 6O E. Val St.
JOHN A LAMBIE,CouNn ENGINEER
CASSATTD GRIFFIN,Sup TOFBUIWINO LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
M.
CROSS ST
OWNER EarlM. Clark DISTRICT NO G4QLIl ///Z...O���NE AMOY/OR IRSfECTION
MAIL / /F'/
ADDRESS ' /
CITY TEL
,i T!L NO WASTE APPROVAL
PLUMBER BelVedere/�Plumbing Co. INSPECTION RECORD
ADDRESS 11900 E. GarvO AVe.
CITY El Monte TEL NG GI 89636 /.ffm &8L - /lryl✓
LICENSE NO 54932 0
NUMaRR TYPR OF FIXTURE OR RCN PER
2 WATER CLOSET (TOILET) @ $1 00 2
BATH TUB al 00 1.00 70, rydT Pormz c
1 SHOWER ® $100 1.00 Jl FAAI.P -�✓ 'f/"/A F
LAVATORY (WASH BASIN) @ $100
KITCHEN BINK Q $1 00
DISHWASHER $100 Ik-/i -t7j QT&k-IZFPA/PCa—
LAUNDRY TUB OR TRAY $100 I �
1 CLOTHES WASHER $1 00 1 OO
1 WATER HEATER ® $1 00 1
GAS SYSTEM @ $1 00
APPROVALS
FLLiok DATE INSPECTOR 5SIGNATURE
UNDER B WORKOWhV)�110�1
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 11 OC GAB VIN.
HEREBY STATE ACKNOWLEDGE T I HAVE READ THIS A
THAT THE SCORRECT AND AGREE ICATION
ANDCOMPLY HOT WATER HEATER
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY BEOIBTEREO AND/OR pA8 TEST
LICENSED AS REOUIRED BY LOS ANGELES COUNT. AND STATE OF
CALIFORNIA OR THAT I AM THE LEGA WNER 0 THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT] PROPERTY
SIGNATURE ,I
OF PERMITTEE FINAL '+-�tfS i
ROBERTA WOOD,
JOHN LAMBIE COUNTY ENGINEERALIDATION SUPERVISING MECHANICAL ENG RUI
u ■ o ueR
1 Z3505In OCT 18 2 11.00 2
I57
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1102090004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID FEES PAIDI BUILDING ADDRESS
ON FILB
9805 VAL ST
FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801442
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5383-025-020 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY, CI
1zENnNT 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30
TOTAL FEES 44 10 11SSUED ON PROCESSED BY PLAN BY
102/09/11 SR
IOWNER TEL NO I IFINAL DATE FINAL BY CODE
GREINE3i OERALDINE I I1
19805 VAL 9T I I
(TEMP 917801442 IDESCRAIO OF WORK 1
GAS LINE EXTENSION ABOUT 10' 1
(APPLICANT TEL NO I
BERRY KEVIN J (626) 357-5311- I
SPECIAL CONDITIONS
I
I
1CONTRAOTOTEL NO APPROVALS DATE INSPECTOR SIGNATURE
(AIR TRO INC (626) 357-5311- 1
11630 S MYRTLE AVE LIC NO 1 UNDER SLAB WORK
IMONROVIA CA 91016 258228C20 • 1 I
WATER SERVICE
IPIASTIC YIN METAL YIN
ARCHITECT OR ENGINEER TEL NO
- IROUGF PLUMBING I I
LIC NO
GAS PIPING
I I
GAS VENT
I
I I HOT NATER HEATER
I
PLUFIDING PIXTURE3
I
I LAWN SPRINKLERS I I
GAS TEST
II I
1UTILITY COMPANY NOTIFIED
IC
I I
(GRAY WATER SYSTEM
I I I I I I
I I I I I
I. ADDITIONAL DATA ON FILE
I
I 1REPORT ID OPR263 ROUTE TO BS 0508 I I
I I