HomeMy Public PortalAbout5104 MCCLINTOCK AVE_Plumbing__ 7§A667-CEX817 6-55•
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APPLICATION FOR PLUMB G PER
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 7e-tj"
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
"CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER y .
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS ��
SHOWER 1.25 CITY t TELNO.
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LAVATORY 1.25 CONTRACTOR
SINK 1.25.
ADDRESS w$"2
DISHWASHER 1.25 CITYC�✓ TEL. N0STATE 4 7-3
LAUNDRY TUB 1.25' LICENSE NO. � CLASS too-
CLOTHES WASHER 1.25 DISTRICTN OUP 7ir
PR S Y
WATER HEATER 1.50 (�
GAS SYSTEM OUTLETS 1.50 ,INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .20 INSPECTION RECORD U
Arm n
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Of r YZ-f aA -�
If APPROVALS ATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AN STATE THAT THE: ABOVE IS CORRECT AND AGREE TO COMPLY
LRESIDE
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
BING.
EREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
SED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
ORNIA OR THAT 1 AM THE LEGAL OWNER:OF,AND INTEND TO
IN,THE ABOVE DESCRIB D RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
ATURElPERMITTEE FINAL
imATION
CK.
M.0. CASH
(ko 1 5 9 7 APR 2 8 5 D 5,Q Q Iq
7OM57-CES17&SO
APPLICATION OR PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGII�TEER
BUMDING�AND SAFETY DIVISION BUILDING
JOHN A. MBIE.COUNTY ENGINEER ADDRESS O TrA
WILLIAM A.JENSEN.SUPT of Buumsma
LOCALITY 062
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. ova
NUMBER' FIXTURE OR ITEM
l OWNER
/ WATER CLOSET MAIL
RATE TOB X ADDRESS
SHOWER CITY TEL NO.
LAVATORY CONTRACTOR
y I
Sm ADDRM..r7 3 e
DISHWASHER CITY / 6�TEL. NO. �j / - d
CO CT S STATE
LAUNDRY TUB REGISTRATI N NO. G COUNTY
WASHER D[STRI �pNO GROUP ZONE P SED BY
WATER HEATER o
GAS WSTENI INDUSTRIAL
WASTE APPROVAL
INSMTION RECORD
/moi l - o
$1.00 PER ITEM
OS FDLTQRB $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 00 UNDER SLAB WORK A A y
TOTAL FEE -- ROUGH PLUMBING /Go/rap, � .. 1►
GAS PIPING / N
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES . /f-fit
LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI P P RTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
MJF VALIDATION ROBERT A.WOOD,
SUPERVISING MECHANICAL ENGB
XAM7-CEBI7
APPLICATION' FOR PLU ING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING JpHNJ :M�ountyEngineerADDRESS /a N C C1, lock
CI D. of
LOCALITY / G /E ( L
FOR APPLICANT TO FILL IN NEAREST G11CROSS ST.
NUMBER FIXTURE OR ITEM
t~
WATER CLOSET OWNER MAIL
SATS TUB ADDRESS
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR.
Sig ADDRESS Ale,6,1,
DISHWASHER CITY C TEL.NO. `j/
CONTRACTOR' 7 STATE
LAUNDRY TUB REGISTRATION NO. / 2 COUNTY ❑
CLOTHES WASHER DIST NO GROUP ZO E P CES BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
ER I== DATE.s I a C/U
DATE. INSPECTOR'S SIGNATURE
UNDER SLAB WORK.
PERMIT S 00 ROUGH PLUMBING-H
TOTAL FEE a Q GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES f /
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED.
DESCRIBED RESIDENTIA PROP TY.
SIGNATUREFINAL
OF PERM(TTE "
ROBERT A.WOOD.
®p ATION SUPERVISING MECHANICAL ENG'R
CK. M:C. CASE
�,'�' 2 7 6 1 SEP 'I. t3 5 D 4.r,-) 0 "
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0303270013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES FA-10 I -qUrLDTWG--ADDRESS:
TR: 13384 LT: 6 5104 MCCLINTOCK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803556
ASSESSORNEAREST CROSS STREET: FREER
8574-005-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 3.00 FIX 48.60 S
45 WATER CLOSET/URINAL 2.00 FIX 32.40 03/27/03 JK 09/23/03 .
TOTAL FEES 124.95
OWNER: TEL. NO: FINAL DATE D CODE:
FENG ZHENG (626) 673-6141-
5104 MCCLINTOCK AV fl
TEMPLE CITY 91780 +q
C/O FIXTURES IN KITCHEN AND BATHS
APPLICANT: TE 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS ATINSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINER: TEL. NO:
- ROUGH ING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FUTURE-
LAWN S
R SL P S
S TEST
COMPANYUTILITY
SYSTEMCw
GRAY WATER
1
REPORT ID: DPR263 ROUTE TO: BSO508
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