HomeMy Public PortalAbout4916 MCCLINTOCK AVE_Plumbing__ 76A667 Des 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
ZONE 7—MM
FOR APPLICANT,,TOfFILL IN DISTRGROLI IT NU.
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PLUMBER 1� � R OEIVED BY READY FOR ' Dppp���E ISSUED
„u ��y�� FIRST INSPECTION
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BUILDING C d \
CITY TEL.ND- ADDREBB
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COUNTY LOCALITY i`•
LICENSE NO. EXPIRES
NEAREST,
PERMIT FEES CROSS BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 B ADDRESS 1 '
e �
BATH TUB Q 0.50 CIT-X TEL
SHOWER @ 0.50 1 HERE Y ACKNCWL19GE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
j LAUNDRY TUB OR TRAY 0.50 ANBELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
/
13A9 SYSTEM OUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED•ABOVE.
SIGNATURE
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK O.SD ,p
FLOOR DRAIN 0.50 Uri
DISHWASHER ® O.SO
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
HOUSE SEWER 0.50 Z_
MISCELLANEOUS IS
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APPROVALS
DATE INBPEC_TOR'S NAME
ROUGH PLUMBING , �� 2' -OY
GAS PIPING
GAS VENT
CESSPOOL @ 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK �1 '-1 S J'l I' TQM
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMITI I.0d GAB TEST
• UTILITY CO.NOTIFIED
TOTAL FEE � 4�P iL4 '
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9812210013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
EGA ID: FEES PAID BUILDING ADDRESS:
TR: 4902 LT: 7 BL: D 4916 MCCLINTOCK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804103
ASSESSOR I FORMATIO R: NEAREST CROSS STREET:
8574-023-010 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
EN 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: P OCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 12/21/98 UT 12/21/99
TOTAL FEES 76.35
OWNER: TEL. NO: FI AL DTE AL BY: CODE:
NAKAMOTO HATSUYE (626) 448-2808- G q
4916 MCCLINTOCK AV 5 1 1
TEMP 917804103 DESCRIPTION OF WOltK
HOUSING'REHAB-CHANGE 0& 0 3 FIXTURES
APPLICANT: EL. 0-
AMPB GENERAL CONSTRUCTION (626) 284-3260-
1699 ORANGE ST. SPECIAL CONDITIONS:
ALHAMBRA, CA 91803
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CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
AMPB GENERAL CONSTRUCTION (818) 284-3260- fir® �,��
1600 ORANGE STREET LIC. NO �\ ER SLAB WORK
ALHAMBRA, CA 549061B
WATER SERVICE
PLASTIC Y/N METAL Y/N
A CHI C OR ENGINEER: 0: '� '� �'ti
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LIC. N0: ROUGH PLUMBING
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ID1�'' I�lJ�-'J �u` 3 Fp GHOT WTER AS A T HEATER
-"---" -- -- PLUMBING FIXTURES
LAWN SPRINKLERS
I� GAS TES
UTILITY COMPANY 0
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-� GRAY WATER SYSTEM
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REPORT ID: DPR263 ROUTE TO: BS0508