HomeMy Public PortalAbout5029 MCCLINTOCK AVE_Plumbing__ B7
OBS-1S.17 10-SS
: APPLICATION FOR PLUMBING PERMIT .1
DMSION OF BUILDING AND SAFETY
r Deportment of County Engineer
County of Los Angeles BUILDING '
JOHN A.LAMBIE..COUNTY ENGINEER' ADDRESS 1A
CASSATT D.GRIFFIN,SUPT OF BUILDING rf
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNERA44- DISTRICT NO. GROUP CN
MAIL READY FOR INSPECTION
G I �dl
ADDRESS ,�,�.�
la-
INDUSTRIAL
CITY �i' �i Jl.�/ TEL.NO. WASTE APPROVAL
PLUMBER RECORD -
ADDRESS lLJ 9/�J+/U, y,. /Xt G.G L . / [7 J •H�/
CITY TEL.NO. ���/ /�'P�
LICENSE NO. 31 '/`�; /-% %tM�^Z
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ 60
BATH TUB
@ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @. $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
• s
LAUNDRY TUB OR TRAY @ .$1,.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 to
APPROVALS
DATE INSPECTOR'S SIG TURE
UNDER SLAB WORK
PERMIT $ 1' 00 ROUGH PLUMBING
GAS PIPING ► D //p"/,00,TOTAL FEE ®D GAS VENT i
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WpTER.HEATER
WITH ALL COUNTY .ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.,NOTIFIED
bESCRIBED RESIDENTIAL PROPERTY. YD
SIGNATURE
OF PERMITTEE I.It:`! .d i •- q FINAL CI�I � /Ji�/�• a•� .tom i�
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CH. M.0. CASH
LK06635D; APR 1 3 5.0 0
• COUNT7F bF LOS -ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0611290009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13384 LT: 29 5029 MCCLINTOCK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803555
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GRAND
8574-004-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 3.00 FIX 48.60
TENANT: 25 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED ON: PROCESSED HY: PLAN BY: BRPIRES ON:
45 WATER CLOSET/URINAL 3.00 FIX 48.60 12/08/06 JK 06/06/07
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
OWNER: TEL. NO: TOTAL FEES 189.75 FINAL DAT3r:
CODE:
HE, PEARL (626) 818-1286-
5029 MCCLINTOCK AV
TEMP 917803555 /� ESCRIPTIO OF WORK
PLUMBING FOR BATHROOMS
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE •4 '7 Y (/`�
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
LIC. NO: ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
43
o� r
REPORT ID: DPR263 ROUTE TO: BS0508