HomeMy Public PortalAbout10925 WILDFLOWER RD_Plumbing__ T6A06T .
CE 8I7 B-5R APPLICATION FOR PLUMBING PERMIT
1
r� BUIMING AND SAFETY DIVISION '' 1
Department of County Engineer
County of LOS Angeles BUILDING
JOHN A.LAMBIE.COUNTY ENGINEER ADDRESS (/
CASSATT 0.GRIFFIN4 SUPT OF BUILDING �!""'.•°• �.
LOCALITY
FOR APPUCANT T FILL IN NEAREST
dipCROSS ST. �
OWNER "DISTRICT O. I GROUP I ZONE READY FOR INSPECTION
MAIL ��
ADDRESS '
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER alley- Plumbing Cd. INSPECTION RECORD
ADDRESS 442 W. Fleetwood P10
CITY Glendora TEL.NO. Ed 5"12 ,
LICENSE NO. 6084 - -
NUMBER TYPE OF FIXTURE OR ITEM ..FEE
WATER CLOSET (TOILET) @ $1.00
BATHTUB @ $1.00
SHOWER @ $1..00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ 51.00
LAUNDRY TUB OR TRAY @ S 1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 /
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER"SLAH WORK
ROUGH PLUMBING b 'x4,� w
PERMIT $ 1 ,00
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH APPLICATION HOT WATER HEATER ' v��'!/ �'
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY / y10
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. r PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST z
LICENSED AS REQUIRED BY LCIP ANGELES COUNTY AND STATE OF o
CALIFORNIA OR THAT I A E LEGAL OWNER OF..THE ABOVE UTILITY CO.NOTIFIED /• O ,+ M�1i
DESCRIBED RESIDEN AL P ERTY.
SIGNATURE
OF PERM! �T 5 wl-
' ROBERT A.WOOD.
JOHN A.LAMBIE. UNTY ENGINEER IDATION SUPERVISING MECHANICAL ENG'R
.0. CASH
�� 3 5 1 2:L.-,- OCT 18 3' 1 .0.0 0 9
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1201170027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 23949 LT: 5 1 I 10925 WILDFLOWER RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803512
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18573-034-005 101 PERMIT ISSUANCE FEE 27.80 I' THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1.00 WTH 16.30 1 1
(TENANT: I TOTAL FEES 44.10 I.ISSUED ON: PROCESSED BY: PLAN BY:
II ] 101/17/12 SR 1
(OWNER: TEL. NO: I IF /
NAL(l DATE FIN CODE:
IWILLSON DIANE L (703) 964-6191- I 1
110925 WILDFLOWER RD
ITEMP 917803512 1 ID SCRIPTION OF WORK
I�INSTALL TANKLESS WATER HTR (OUTSIDE) I
(APPLICANT: TEL. NO: I I I
IBIRDSALL PLUMBING (909) 944-6886-
1263 S. FIRST AVE. I ISPECIAL CONDITIONS: 1
(UPLAND CA 91786 I
I _I
[CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
JBIRDSALL PLUMBING (909) 994-6886- 1 I. I
1263 S. FIRST AVENUE LIC. NO I [UNDER SLAB WORK I I I
(UPLAND, CA 91786 915624 C36 I I I I
(WATER SERVICE 1 1
I _I ;PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: I 6
(ROUGH PLUMBING I I I
1 LIC. NO: 1 I I I
GAS PIPING
I
I 13AS VENT I I I
� I I I
I I 1H0T WATER HEATER
IPLUMBING FIXTURES I I 1
1 ]LAWN SPRINKLERS I I
1 GAS TEST I I I
I I I
I 1 1UTILITY COMPANY NOTIFIEDI I 1
ICWV
BRAY WATER SYSTEM I I I
I I I I I I
I I ] I I I
I
I I I
I 1REPORT ZD: DPR263 ROUTE To: BS0508 I ] I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1202070017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 23949 IT: 5 I I 10925 WILDFLOWER RD 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803512 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18573-034-005 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 1 I
TENANT: I TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: 1
I 1 102/07/12 SR
1OWNER: TEL. NO: 1 IFINAL DATE FI Y: CODE: 1
110925 N DIANE L (703) 964-6191- I 1��
110925 WILDFLOWER RD
ITEMP 917803512 1 1 SCRIPTION OF WORK 1
I I I NSTALL GAS LINE FOR NEW A/C-HEAT SYSTEM
1APPLICANT: TEL. NO: 1 1
[CONTRERAS, CARRA (626) 286-3157- 1 I
4931 N. ENCINITA AVE 1 ISPECIAL CONDITIONS: 1
TEMPLE CITY CA 91780
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ICONNOR AIR CONDITIONING AND REFRIG. (626) 286-3157- 1 1 I
14931 NORTH ENCINITA AVENUE LIC. NO I 1UNDER SLAB WORK I I 1
ITEMPLE CITY, CA 91780 403735-C20 •1 1 1 I 1
I I IWATER SERVICE I I 1
1 I IPLASTIC Y/N METAL Y/N I I 1
1ARCHITECT OR ENGINEER: TEL. NO: I I 1 I 1
I - I IROUGH PLUMBING 1 I I
1 LIC. Nos I I I I I
1 (GAS PIPING
I 1GAS VENT 1 I
I I IHOT WATER HEATER
I I
I I IPLUMBING FIXTURES I I I
I I ILAWN SPRINKLERS 1 I I
(GAS TEST I I I
I I JUT LITY COMPANY NOTIFIED(
J I 1CWV I I I
I I I I I I
I I IGRAY WATER SYSTEM I I 1
I I I I I I
I I I I I I
I I I I I I
I I I I 1 I
I I I I I I
I 1• ADDITIONAL DATA ON FILE I I I I
I I I I I
I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I 1
I J I I I