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HomeMy Public PortalAbout4932 MCCLINTOCK AVE_Plumbing__ 76 A 667-CE 817 7-69 e b • APPLICATION FOR."PLUMBING PER T COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY. ENGINEER BUILDING AND SAFETY DIVISION FMCROSSST.. c JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING FOR APPLICANT TO:FILL IN PR NT OR TYPE) NUMBER FIXTURE OR ITEM• EACH FEE _ OWNER WATER CLOSET 1.50 d SIL BATH TUB 1.50 ADDRESS C SHOWER 1.5.0 CITY TEL.NO. LAVATORY 1.50j(j CONTRACTOINO SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL.NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 ZQNA SSE�D BY LAWN SPRINICLER SYSTEM 2..00 WATER HEATER 1.50 INDIISTRIAL WASTE.APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTI �I RECORD OUTLETS OVER 30 .y 5 PER SYSTEM Y 1117 Au fA Z. Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City: Tel. No, HOT WATER HEATER 1' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL, COUNTY ORDINANCES AND :STATE LAWS REGULATING LASTEST ,PLUMBING. I HEREBY CERTIFY THAT' I PROPERLY RE ISTERED AND/OR UTILITY_ CO.NOTIFIED LICENSED AS REQUIRED BY S ANGELES COU A STATE OF ��:. CALIFORNIA OR TH HE LEGAL O NE F, ND RESIDE IN.THE A RISED RES RO FINAL SIGNATURE .TACK R. ALLEN, SUPERVISIN HANICAL EN'G'R. OF PERMITT . PERMIT VALIDATION c,K:. M.O. CASH. PLAN CIIECK VALIDATION CK. M.O. CASH 7 3' 092 OC126- 0 4.00-- 9 i 4 7 E#8.17 10-87 a I APPLICATION FOR PLUM INC_ PER1�iT COUNTYy OF LOS ANGELES DEPAR?9TT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUMDIN JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCpLITYIT • L G. FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE / I OWNER WATER CLOSET 1.50 /� BATH TUB 1.50 AD REBS - G.�NrBcK SHOWER 1.50 CI. TEL. NO:1111Q-3-7 � LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL.NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. CROUP C S�6 ZONE PROD BY LAWN SPRINKLER SYSTEM 2.000 d :.111771J��C�/Ci/ O R. 1.5 INDUSTRIAL v -� WASTE APPROVAL OGAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V OTLETS OVER 30 d 5 ER SYSTEM O Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name �Iv/ ltd CoL��-�` ROUGH PLUMBING Address`>4/ 92 G �LJ'V-t0 GAS PIPING City e. Tel. o. GAS VENT —315. H_ OT WATER HEATER I HEREBY ACKPIOWLF13GE THAT HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL, COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. - - I HEREBY CERTIFY THAT I A PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED 1.ddf 7 LICENSED AS REQUIRED BY L ANGELES C LINTY AND STATE OF CALIFORNIA OR THAT 1 AM E LEGAL OW R AN INTEND TO - M RESIDE IN,THE ADO V ES IBED RESIDENT L FINAL G /A,, SIGNATURE JACK R. ALLEN, SUPFAVISIOr—O. ANICAL EN'G'R. OF PERMITTEE PERMIT VALIDATION CASH PLAN CHECK VALIDATION CK. M.O. CASH LAGo.7 1. 5 512 NOV 6 .5 D 35- 0 76 A 667—CE 817 8/68 7r;�7 is APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ' BUILDING AND SAFETY DIVISION gU1LDINGADDRssS JOHN A. LAMBIE, COUNTY ENGINEER C COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �7 FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST 1 CROSS ST. NUMBER FIXTURE OR ITEM EA4H EE / WNER C D S' WATER CLOSET 1. 0 MAIL BATH TUB 1. 0 REQ SHOWER 1. 0 CITY / �� TEL. NO. / ONTRACTOR / LAVATORY 1. 0 Vim!! �i �i! j�Cl�T/• /j(i SINK — 110 J ADDRESS d Vii 6�ah DISHWASHER 1.40 CITY )azc1/11p NO.06 r ZQ v y LIC CLOTHES WASHER 1. STATE LICENSE NO. Q� CLASS a--3 SWIMMING POOL RECEPTOR 1.5 DISTRICT NC. GRO PR BY LAWN SPRINKLER SYSTEM 2.0 a dt- U i 71 WATER HEATER 1.5 MVIUSTRIAL WASTE APPROVAL v GAS SYSTEM OUTLETS 1.5 INSPECTION RECORD OUTLETS OVER Dy 5 PER SYSTEM z, P .9 _ -, _ Plan check fee 25% of above. See rever e. PLTiMBING PERMIT ISSUING FEE S 00 TOTAL FEEI APPROVALS DATE I PECTOR'S SIGNA,:u&-fE Plan check applicant I D UNDER SLAB WORK q y ! YrIN Name I ROUGH PLUMBING ., Address GAS PIPING S GAS VENT City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE. READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES 1I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY T I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED '✓ LICENSED AS REOUIR B LOS AN S COUNTY AND STATE OF CALIFORNIA O/AE 1 A THE AL W. O AND INTEND TO RESIDE IN,THE DE RIBS ESIQ NT L P PERrY. FINAL t / a LGNATURE JACK R. ALLEN, SUPERVISI N. HA -AL; F PERM I-. PERMIT VALIDATION CK. M.0. AS PLAN CHE VALIDATION CK. M.O. CASH 6'x.:: .. 1: 15 13 ON 76 A;r,667—CE B17 8/68 1` APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS , COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Gt FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER ; WATER CLOSET 1.50 � BATH TUB 1.50 ADMADIL RESS SHOWER 1.50 CITY TEL.NO. LAVATORY1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. ^��©/ CLOTHES WASHER 1.50 STATELIC LICENSE NO. O� CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONEV'PjtVESSED BY It LAWN SPRINKLER SYSTEM 2.00 I V WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL v GAS SYSTEM OUTLETS 1.50 J O INSPECTION RECORD 4J OUTLETS OVER 30 5 PER SYSTEM Cn Z 0 Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 �. TOTAL FEE 1 S JOE) APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Nam&C2d4/z ROUGH PLUMBING Addres .S GAS PIPING a 1`�A GAS VENT CityS; Tel. N 6/i.� HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES PLIUMBNGL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST ��/ �7/I , Kt� ,J ALA CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS .REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,ANO INTItND TO _ _e•� RESIDE IN. •D RESIDENTIAL PROPERTY. FINAL 1 SIGNATU JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R. OF PER ITTE PERMIT VALIDATIONi(M) M;o. CASH PLAN CHECK VALI ION CK. M.O. CASH 0 5 5 .9 C-----' IiRY2 8 5 D 5.00 70A8eq,-cggf,91E 4.64 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DMSION ADDRESDRESS C JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST EARCROSCR S TT. NUMBER. FIXTURE OR ITEM EACH FEE OWNER ]BY - WATER WATER CLOSET 01.25RAIN TIIR 1.25DDRESSSHOWER 1.25CITY TEL. NO. LS-LAVATORY1,25 CONTRACTORSINS 1.25 ADDRESS DISHWASHER 1.25 CITY TEL.NO. LAUNDRY TIIB 1,� CONTRACTOR'S STATEREGISTRATION NO. COUNTYCLOTHES WASHER 1.25 DISTRICT'NO. GROU NE P CESSED HEATER 1.50 GAS SYSTEM OUTLETS 1'� INDUSTRIAL a WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V - O U. z 0- O J I� APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT 5 `.2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVB IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. - I HEREBY CERTIFY THAT I AIII PROPERLY RE4jisTERED AND/OR PLUMBING FIXTURES p LICENSED AS RelABM ANGELES COU Y AND STATE OF GAS TEST g CALIFORNIA OR LEGAL OW E F.A 1 D TO RESIDE IN,THE RESIDEN RO UTILITY CO.NOTIFIED SIGNATUREOF PERMITTFINAL - - VALIPATION ROBERT A.WOOD 6K. .O. CASH SUPERVISING MECHANICAL ENG'R Lj{L;o 6 1 2 7,G r,ov 2 3 5 0 5.0 0- 76A667-CE.#'817 2-62� TEMPLE, CITY • ,APPLICATION FOR PLUMBING PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FINEARUT JOHN A.LAM'BIE, COUNTY ENGINEER y 29 WILLIAM A.JENSEN,SUPT OF BUILDING FOR APPLICANT TO FILL IN . NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 51.25 OWNER `�,/ BATH TUB 1.75 ADDRESS 53 (/V G ` Vl'SHOWER 1.25 CITY TEL. NOP/-- LAVATORY OPLLAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1:25 CITY TEL.NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑ REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GRC,UP- ONE CESSED BY WATER HEATER 1.50 JL �1INDUgTAL GAS SYSTEM OUTLETS 1.50 WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD 4 A � u 02nn���rL 5�-.-- (.t�l�-EI�� �e(_�►,Ie«ren a�`�- ��f'm 1. '��Y�`.« a2hl{n,r44.R.P`�.1 J{x+1.c.A►r V' APPROVALS DATE INSPECTOR'S SIGNATURE Jo PERMIT $ 2 00 UNDER SLAB WORK ' ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLjeNTY EGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY L ANGELES AND STATE OFGAS TESTCALIFORNIA OR THAT 1 AM;RS LEGAL OWOF ND I ND TRESIDE IN,THE ASOV ES RIBED•RESIDEN Y UTILITY CO.NOTIFIED r SIGNATURE OF PERM ITTE FINAL ? Jra �fl VALIDATION ROBERT A.WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R 1 L.AL,o 4 :5" '7 7 2 3 ;SAY 1 5 5 D 5567-CE917 .12/59 APPLICATION FOR PLU INC PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERa> s B.�o�n�aG ND coENTY,rRNNi�EON WILLIAM A.JENSEN,SUPIT of BUIL MNG Lo FOR APPLICANT TO FILL IN InaiOSS ST. NUMBER. FIXTURE OR ITEM r OWNER �' -� WATER CLOSET �- DATE TUB ADDRESS CITY P-ip'v TEL NO. ( �f� SHOWER CONTRACTOR LAVATORY - SINS ADDRESS DISHWASHER _ CITY. TEL NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRIgr NOSGROUP ZONE PR CESSED BY WATER HEATER o PQY GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD v w �..� rl APPROVALS DATE INSPECTOR'S.SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK. HTOTALFEE I ROUGH PLUMBINGSI/� �� GAS PIPING r 'v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND. STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT AM PROPE Y REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED LOS ANCOUNTY AND STATE OF GAS TEST CALIFORNIA OR,THAT 1 M THE LE 0 R H ABOVE DESCRIBED REBID I PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMI pp //-.�yy_ FINP�L /P - VALIDATION ROBERT A.WOOD, Cs. X.o. QRST[ SUPERVISING MECHANICAL ENG'R U►Co 4 2 0 4 E JUL 2 8 50 3.0 0 T 76A667 (CE-817)-8-71 /� /e/ C., APPLICATIO FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS1 Z ' � N LOCALITY 7/ WATER PPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. FIXTURE OR ITEM @ FEE OWNER 1f CLOSET 1.75MAILiH TUB 1.75 ADDRESS 1-1 + a SHOWER 1 75 CITYT! TEL. NO. e 2-- 3%7S LAVATORY 1 75 C NTRACTOR �bf� SINK 1.75 ADDRESS 7e) �/, �• _ vE DISHWASHER 1.75 CITY TEL. NO. CLOTHES WASHER 1.75 STATE _ LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. Q (O CLASS(j LO DISTR�C�.NO. GROUPJTNEJ R ESSED 'Y LAWN SPRINKLER SYSTEM 1.75 a, U f.� `+ f• s WATER HEATER 1.75 INDUSTRIAL d WASTE APPROVAL o GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V OUTLETS OVER .30 Z 5 PER SYSTEM �,,17 r - S`s;(7 1st f l ('l�p�l 1)6I� O C_�'1 ca'A".J,01, v tel'- !_ F , V r N Z Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND INTEND TO RESIDE IN THE ABOVE DES BED RESIDENTIAL PROPERTY. FINAL SIGNATURE -O.ASH OF PERMITTEEPERMIT VALIDATION CK. M.O. PLAN CHECK VALIDATION CK. M.O. CASH . 7 8 1 JUN 16 5 8.2 5 A98 c ' r 76 A 6.67 SCE X817 $/68 O� L y // Ile APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERFDDRE 2 BUILDING AND SAFETY DIVISION BUILDING RDING JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING r FOR APPLICANT TO FILL IN PR NT OR TYPE) NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER 4—iSS IL IgBATH TUB 1.50 ADDRESS SHOWER I.50 CITY- TEL. NO.�f�f,2-39� LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL.NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. G Uq ;FEP ESSED BY LAWN SPRINKLER SYSTEM 2.00 ( 1 a CD WATER HEATER 1.50 INDUSTRIAL C7 WASTE APPROVAL Z GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 0� OUTLETS OVER V 5 PER SYSTEM .30 �c i a U N Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE ,60 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name. ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTIkND TO I 'fly RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE JACK R. A.LLE.N, SU Rv151 CHANICAL ENG-R. OF PERMITTEE PERMIT VALIDATION -c_ M.O.. CASH PLAN CHECK VALIDATION CK. M.O. CASH 76 A 6.6�y CE 817 8/68 ' far-•' ., - AAPLICATION FOR PLUMBING P.ERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUn DR IN �7 G �C ir JOHN A. LAMBIE. COUNTY ENGINEER . COLEMAN W.-JENKINS. SUPT. OF BUILDING LOCALITY nap& FOR APPLICANT TO-FILL L IN'(PR NT OR TYPE)' NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLQSET 1..50 i`I OWNER a �' ` L�S v/ KAM BATH TUB 1.50 ADDRESS GLc/ 2 c3 SHOWER1.50 CITY TEL.NO. LAVATORY 1.50 1 ,5",71 CONTRACTOR `T a SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 "STATE LIC' x LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GR�lIP ZONE PRO ES BY r LAWN SPRINKLER SYSTEM 2.00 ° 2 WATER HEATER 1.50 © INDUSTRIAL: WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD y OUTLETS OVER 30Cn ^ 5 PER SYSTEM �' --S— % 7 d �/ Plan check fee 25% of above. See reverse. PLUMBING'PERMIT ISSUING FEE 8 1 2 100 TOTAL FEE I cr I DO APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING ,� rf n 1 Address GAS PIPING GAS VENT P City Tel. No. HOT WATER HEATER d I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST / PLUMBING. - "ter L CERTIFY THAT .1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED ,*5'';+• "* �' `� AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF OR THAT. 1 A THE LEGAL OW R OF,AND INTEND TO L. HE ABOV D CRIBED RESIDEN L P. RT, FI.N'AL .TACK R. ALLEN, SUPERVISING MECHANICATTE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1308010025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 4902 IT: 5 BL: D I I 4932 MCCLINTOCK AV I I 11FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917804103 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18574-023-008 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 [ ]TENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: ] I 125 LAVATORIES/SINKS 2.00 FIX 32.40 (08/01/13 SR I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 [OWNER: TEL. NO: TOTAL FEES 108.80 ]FINAL DATE FINAL Y: CODE: LII, XIAOLI 4932 MCCLINTOCK AV l - I ITEMP 917804103 1 IDE PTIO OF WORK ]BATHTUB/SHOWER, DISHWASHER, LAVATORIE, SINK AND WATER CLOSET APPLICANT: TEL. NO: ] [ (WANG, ORVILLE (626) 945-8355- ] ] [ 12640 SO MYRTLE AVE ] ]SPECIAL CONDITIONS: [ IMOROVIA CA 91016 I ] I (CONTRACTOR: TEL. NO: ] ]APPROVALS DATE INSPECTOR SIGNATURE ICASTLINK CONTRUCTION CORP (626) 945-8355- 1 ] 12640 SO MYRTLE AVENUE A4 LIC. NO I (UNDER SLAB WORK [ ]MONROVIA CA 91016 977911 1 ] [ ] IWATER SERVICE ] [ [ ] IPLASTIC Y/N METAL Y/N I I [ ]ARCHITECT OR ENGINEER: TEL. N0: I I - I TROUGH PLUMBING [ LIC. NO: ] [ (GAS PIPING IGAS VENT I I ] ] (HOT WATER HEATER I I I I (PLUMBING FIXTURES [ 1 [ I I I I I I [ I ILAWN SPRINKLERS I 1 ] [ [ IGAS TEST I 1 ] I I 1 1-1 I TUT_LITY COMPANY NOTIFIEDI I I [ ICWV [ [ I IGRAY WATER SYSTEM I [ ] [ I I I I I I I I I I I I I I I 1 I 1 1 I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 [ 1 1 [ I I I I I I