HomeMy Public PortalAbout5515 MCCLINTOCK AVE_Plumbing__ 7SK sR RPPLICATION FOR PLUMBING PERMIT 1
BUILDMG AND SAFETY DIVISION
Deportment of County Engineer
County of Los Angeles, BUILDING ,p
JOHN A.L.AMBIE.COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDINe
LOCALITY ( GAJ
FOR APPLICANT TO FILL IN NEARESTy,�` '
p
CROSS ST. u I A I1 .
OWNER t L DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL ESS LJ e! I
rq+j� /
ADDRfZ
INDUSTRIAL
CITY EL.N0. , O , r� WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS.
CITY TEL.NO.
c LICENSE NO.
i NUMBER Z TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ +�+
BATH TUB @ $1.00
SHOWER @ $1.00 v
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK. @ SI.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM. @ $'1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING /
TOTAL FEE .46
GAS VENT
I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
c WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED. AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN THE LEGAL OWNE OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA PRPERTY.
SIGNATURE ) //
OF PERMITTEE FINAL 'U e✓v/ -'Gi fr•'� �!,Jc e
ROBERT A.WOOD,
JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION - roUPERVISING MECHANICAL ENG'R
CB. 2.O. 59
LAC03802t-n OCT 2 8 3 4.0 0 8
76AW'CEB17-:848
APPLICATION FOR PLUMBING_ PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETYDIVISION _ BffiLDMG ' c�
TORN A. LAM DL Corm Enfw ADDBESS S6-1, . �-- � o t'd t/
CASSATT D.GEM=,Siet C', uilzg LocALIT�r
FOR APPLICANT TO FILL IN NEAREST q�
CROSS ST.' �`.. EJ 4.
NUMBER FIXTURE OR ITEM �i�
WATER CLOSET KAM
owmm /�' /f R Lc(bt?At f ate
BATH TUB ADDRESSS6
6/�
SBown CITY TEL NO.
LAVATORY CONTRACTOR
SII�iB ADDRESS
DISSWASFIER CITY TEG NO..
LAUNDRY TUB CONTRACTOR'S STATE ❑
REGISTRATION Nd COUNTY ❑
CLOTS WASHER DISTRICT NO. GROUPNE CESSED BY
WATER BEATER
GAS SYSTEM ILWUST= !
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
S F REQ S
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 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 HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST Imo,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE A'-���ee e � FINAL /d /q j � +'I Fe—--
OF PERMITTEE
ROBERT A.WI'OOb.
OF VALIDATION- SUPERVISING MECHANICAL ENG'R
CK. m.0, jEasx)'
[jiCO 7 8 7 7. Ju'A 12 5 A 3.00
ow
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1305020002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 13613 LT: 104 I I 5515 MCCULLOCH AV I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802940 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18573-008-003 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI
1 163 WATER PIPING BR/FIX 5.00 FIX 34.00 (—
TENANT: TOTAL FEES 61.80 11SSUED ON: PROCESSED BY: PLAN BY:
105/02/13 SR
]OWNER: TEL. NO: 1 I FiAL Y: CODE:
NY
]GRAN, KEN (626) 241-4911- 1
15515 MCCULLOCH AV 1
TEMP 917802940 1 IDESCRIPTION OP WORK ]
[ [ IRE-PIPE 5 PLUMBING FIXTURES INSIDE THE HOUSE ]
(APPLICANT: TEL. NO: 1 1 I
ISAME AS OWNER - I I I
I I [SPECIAL CONDITIONS: I
I I I 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I I
I LIC. NO I 1UNDEF. SLAB WORK I I I
IWATER SERVICE ] 1
I I IPLASTIC Y/N METAL Y/N ] I ]
(ARCHITECT OR ENGINEER: TEL. NO: I I—. ] I I
1 - I IROUGH PLUMBING
LIC. NO: I 1 ]
1 (GAS PIPING I I
' GAS VENT
I I ] I I I
I I ]HOT WATER HEATER I ] I
I IPLUMBING FIXTURES I I I
1 1 ILAWN SPRINKLERS 1 I I
I I I I I ]
I I IGAS TEST 1 I I
I I IUTILITY COMPANY NOTIFIED( I I
I ICWV I I I
IGRAY WATER SYSTEM ] I I
I 1 I I ] 1
I i I I I
I ] I I
I ! ] I I I
I I I I I I
] I I I I 1
I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I ]
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1304290010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: I
ITR: 13613 IT: 104 I 5515 MCCULLOCH AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802940 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSSSTREET: I
18573-008-003 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI
1 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 1 [
TENANT: I TOTAL FEES 44.00 11SSUED ON: PROCESSED BY: PLAN BY:
I 104/29/13 SR
[OWNER: TEL. NO: FiENAL DATE FI CODE: 1
ICHAN, KENNY (626) 241-4911- I � � I
15515 MCCULLOCH AV 1
ITEMP 917802940 1 1 S PTION OF WORK I
I I [REPLACE WATER MAIN FROM THE WATER METER OUTSIDE OF MY HOUSE
[APPLICANT: TEL. NO: I I
ISAME AS OWNER
I I ISPECIAL CONDITIONS: 1
I I I I
[CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I
SAME AS OWNER - I I I
LIC. NO I [UNDER SLAB WORK I I I
I I [WATER SERVI 0-j�7 PLASTIC Y/ METAL /NARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUD VVV
LIC. NO: I I I I I
(GAS PIPING
IGAS VENT I 1 1
1 I IHOT WATER HEATER [ I [
IPLUMBING FIXTURES I I 1
I I I 1 I 1
1 1 [LAWN SPRINKLERS 1 [
[ 1 IGAS TEST 1 1 1
1 ( (UTILITY COMPANY NOTIFIED( 1
�CWV 1 1 [
[ I [GRAY WATER SYSTEM [ I [
I I I I I I
I I I I I I
I I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508
I I I I [ I