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Home My Public Portal About5345 MCCULLOCH AVE_Plumbing__ 7 4667 AE-617)„8-71 d .1 � APPLICATION FOR PLUMBING P RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING //& ADDRESS (� LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE Q �— OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 71- CITY TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS 4 f G DISHWASHER 1.75 CI TEL. NO. n . CLOTHES WASHER 1.75 STAT LIC SWIMMING POOL RECEPTOR 1.75 LICENSE N0. CLASS DISTRICT NO. GRO KO E E Y LAWN SPRINKLER SYSTEM 1.75 iry Q WATER HEATER 1.75 INDUSTRI(A/L WASTE APPROVAL GAS SYSTEM OUTLETS 1.750 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM 30' V W O. y z Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 00 TOTAL FEE � APPROVALS DATE IN ECTOR' SIGNATURE Plan check applicant UNDER SLAB WORK 7-/7z. IkX JJ- Name ROUGH PLUMBING Q Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I AVE EAD THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS RREC AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND ATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT 1 A PR PERLY REGI ED AN D UTILITY CO. NOTIFIED LICENSED AS R D A ELES COUNT D STA CALIFORNIATHAT I AM L WNER IN NO O RESIDE IN E ABOVE DE RI R SID Y FINAL SIGNAT E lei OF FE MIT-rwgr PERMIT VALIDA I N CK. M.O. CASH PLAN CH K VA ATION CK. M.O. CASH moL c,f _ff co -7 !Sep-7 5 8,3-S 7GA667A 1 CE 617(REV.6/78) ®S APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY d FOR APPLICANT TO FILL IN(PRINT OR TYPE! BUILDING ADDRESS NUMBER FIXTURE OR ITEM FEE WATER CLOSET LOCALIT NEAREST BATH TUB CROSS ST. hJ SHOWER OWNER LAVATORY MAIL /1!EN p�GADDRESS l- V 54 SINK CI#Y�� c DISHWASHER CONTRACTOR ;CLOTHES WASHER ADDRESS ZSWIMMING POOL RECEPTOR Glj6•� LAWN SPRINKLER SYSTEM LICSTATE LIC. 2 WATER HEATER LICENSE NO. � ..� CLASS S3 / GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING Q GAS VENT V HOT WATER HEATER PLUMBING FIXTURES GAS TEST .3 q2-317-7 Gl^ w Plan check fee UTILITY CO.NOTIFIED z PLUMBING PERMIT ISSUING FEE$ TOTAL FEE ' d INAL Plan check applicant CK VAJ4DATI N Name ' C n -72-7,j 5 C7 Address City Tel.No. L o S. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE :26 6 3 A THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION # O O O O 0 5 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY OS ANGELES COD STTE OF-9_AORNIA OR THAT I AM THE LEGAL OWNERLOF.AND 1 TENDUNTY SIDE INA ATHE ABOLIFDESCRIBED RESIDENTIAL ` 0 0 1 3 0 0 PROPERTY. DD - 13005 SIGNATURE f OFPERMITTEE 0 9. 13'-7 9 DISTRICT0 R ESSED E, INDUSTRIAL WASTE APPROVAL 76 A 667-CE 817 4468 _. APPLICATION FOR PLUMBIN PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fADDRESS ILDING BUILDING AND SAFETY DMSION MeC llo JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING CALgg TfY Temple Clty� CaliforniaFOR APPLICANT TO FILL IN PR NT OR TYPE) AREST OSS ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 MAIL OWNER D.Van Dine BATH TUB 1.50 DRESS 5345 McCollock SHOWER 1.50 CITY emple City TEL. NO. 444- LAVATORY 1.50 CONTRACTOR Pacific Installers, Inc. 1 SINK 1.50 115n ADDRESS 10923 E. Grand Avenm DISHWASHER 1.50 CITY TEL.NO. -442-7070 CLOTHES WASHER 1.50 STATELIC LICENSE NO. 211898 CLASS C 20 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROSIP ZONE PROCES •D BY ply LAWN SPRINKLER SYSTEM 2.00 , Qf� 7 WATER HEATER 1.50 INDUIAL WAAgTE APPROVAL TJ GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD r� OUTLETS OVER �+ 5 PER SYSTEM 30 l 50 /�i3 G� /U 7 r 6 ��`e� i�/�y w,t c, z Plan check-fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE $ 1 2 100 TOTAL FEE 1 5100 _ APPROVALS DATE INSPECTOR'S SIGNATURE ' Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION PLUMBING FIXTURES AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGIS? NDIOR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES CO HTY AND T TE OF CALIFORNIA OR THAT 1 AM THE OW OF,AND END TO RESIDE IN,THE ABOVE DEG E PR Y. FINAL SIGNATURE JACK R. ALLEN, SUPERVISI CHANICAL EN'G'R. OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH, PLAN CHECK VALIDATION CK. M.O. CASH I AR,945 5!� APR 18 5 D 5.0 0�' -L ZS A 661yl—CE 817 B/68 APPLICATION FOR PLUMBI r4G PERMIT COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION RunDINcADDRESS J . , JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY CL FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER MAM BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL' NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY (� TEL. N . 7 --b --- -CLOTHES WASHER 1.50 STATELIC LICENSE N6. 2-/61`7 CLASS SWfMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED Y LAWN SPRINKLER SYSTEM 2.00 LD i49� � WATER HEATER 1.50 INDUSTRIAL WASTEAPPROVAL CD GAS SYSTEM OUTLETS INSPECTION RECORD W OUTLETS OVER- L CA- 30 CIO) PER SYSTEM Z Plan check fee 25% of above. See reverse. ' PLUMBING PERMIT ISSUING FEE E 00 TOTAL FEE 17 1 . APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant ., UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER Li BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES LL COUNTY ORDINANCES AND BTATE LAWS REGULATINGGAS TEST G.EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF NIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTdND TO N,THE ABOVE IB RESIDENTIALP Y. f FINAL 'r D,®v7URE JACK R. ALLEN, SUPERVISING ECHANICAL ENG'R. RMITTEE PERMIT VALIDATION c M.O. CASH PLAN CHECK VALIDATION CK. .O. CASH 7