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HomeMy Public PortalAbout5202 MCCLINTOCK AVE_Plumbing__ r � tiY COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0010260032 BUILDING AND SAFETY / 6AND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILD G DDR SS: TR: 13384 LT: 11 5202 MCCLINTOCK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803558 ASSESSOR- INFORMATIONNUMBER: NEAREST CROSS STREET: FREER 8574-005-013 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 21 HOSE BIBB(S) 3.00 FIX 48.60 ISSUED ON: PROCESSED B : PLA BY: EXPIRES ON: 25 LAVATORIES/SINKS 1.00 FIX 16.20 10/26/00 UT 04/25/01 45 WATER CLOSET/URINAL 1.00 FIX 16.20 OWNER: TEL. NO: TOTAL FEES 124.95 FINAL ?TV� FIN L BY: CODE: CEJA;DAVID (626) 444-2927-5202 MC CLINTOCK AVETEMPLE CITY, CA D SCRI TIO ORK PLUMBING FOR BATHR00 ADDITION APPLICANT: TEL. 0: SAME AS OWNER - SPECIAL CONDITIONS: S c® CONTRACTOR: TEL. NO: �OcJ �/�J�.� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER PLASTICEY/NCEMETAL Y/N ARCHITECT OR ENGINEER: E 0: ROUGH PLUMBING LIC. N0. 1111111 GAS PIPING \ GAS EN C J p �n�O IC-DI KS HOT WATER EATER PLUMBING FIXTURES ( O D 0 �I� LAWN SPRINKLERS O ❑ *•, _ ��� GAS TEST A El © ®5 UTILITY COMPANY NOTIFIED 4b''c c v Service That�ot GRAY WATER S STEM 5 7 2 vc REPORT ID: DPR263 ROUTE TO: BS0508 6468 (CE-627) - 1/75 L ir4 -I' -T r c Tq APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO:. ADDRESS 6-_20MQ\ 'f ki TOC1.0 HARVEY T. BRANDT, COUNTY ENGINEER m j� LOCALITY / PPLICANT TO FILL IN (PRINT OR TYPE) NEARESTCROSS ST. K- [7FOR FIXTURE OR ITEM I- FEE OWNERER CLOSET 2.00 MAI L TUB. 2.00 ADDRESSWER 2.00 CITY / TEL. NO. LAVATORY 2.00 CONTRACTOR lI _Q i-. G (C � SINK 2.00 ADDRESS ao • �A� DISHWASHER 2.00 CITY rE p r TEL. NO.q�-�90-7Q CLOTHES WASHER 2.00 STATE G(7 p LIC LICENSE NO. O"( O CLASS SWIMMING POOL RECEPTOR 2.00 DI RICT NO.GROUP ZONE PRO ESSE BY LAWN SPRINKLER SYSTEM 2.00 1051 O 5 �'_ WATER HEATER 2.00INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD o OUTLETS OVER ,30 v 5 PER SYSTEM O V W a y _ Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 0 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 Al. 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 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS RECIUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND.IN'rENb TO !/ RESIDE IN THE ABOVE OESCRI�IDEN fA PAOPERTY. .� FINALys— SIGNATU RE OF PERMITTEE PERMIT VALIDATION (CK. M.D: CASH PLAN-CHECK VALIDATION CK. M.O. CASH 2 U IRR! 1 cJ cJ 7I , .r, ,. .. -70-0 7.�'�