HomeMy Public PortalAbout5211 MCCLINTOCK AVE_Plumbing__ 76A667-CE#817 2-62 TEMPLE CITY i
APPLICATION FOR PLUMBING PERMIT "
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Q w A
WILLIAM A.JENSEN, SUPT OF BUILDING
LOCALITY ---
FOR APPLICANT TO FILL IN NEAST. F'
NUMBER FIXTURE OR ITEM EACH FEE ICH SS
WATER CLOSET. $1.25 OWNER
• � MAIL
BATH TUB 1,25 ADDRESS
.iMMMINWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 1 DISTRICT NO. GROUP ZONE EBBED BY
WATER,HEATER 1.50 1 "�~ J
GAS SYSTEMOUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECT;ON RECORD }
t! 0
APPROVALS PATe INSPECTPR'S SIGNATTU REQ
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 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 1 AM PROPERLY REGISTERED AND'IOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL -
l
/"VALIDATION ROBERT A.WOOD
CK. M.O. /CASH SUPERVISING MECHANICAL ENG'R
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LI 4U� l V J 1� JUL 5 5 9.( 5 r,
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9701080003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL D• FEES I IBUILDING-ADDRESS:
TR: 13384 LT: 21 5211--MCCLINTOCK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803559
ASSESSOR R ON R: NEAREST CROSS STREET: FREER
8574-004-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TOTAL FEES 44.10 ISSUED 0PROCESSED : PLAN E P ES 0 :
01/08/97 TC 01/08
OWNER: TEL. NO: FINAL DATE FINAL BY CODE:
CHO BYUNG H;IN KI (818) 575-8260-
5211 MCCLINTOCK AV
TEMP 917803559 DESCRIPTION OF WORK
NEW GAS LINE FOR WALL HEATER
TEL.-NO: �'�, 1 APPLICANT: 4I°
CAMINO REAL BUILDERS (818) 447-0715- SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CAMINO REAL BUILDERS (818) 447-0715- / �•
600 S. OLD RANCH RD LIC. NO UNDER SLAB WORK
ARCADIA CA 91007 240278 B -- -- -- -
- WATER SERVICE
ARCHITECT 0 ENGINEER: p; PLASTIC Y/N METAL Y/N
- - - - ROUGH PLUMBING
LIC. NO:
GAS PIPING
S VENTi yb
f^ HO AER ER
PLUMBING FIXTUR S
LAWN SPRINKLERS
GAS TEST
UTILITY COP OIF D
CW
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508