HomeMy Public PortalAbout5428 MCCULLOCH AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1102230017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID I BUILDING ADDRESS: 1
ITR: 31886 UN: 14 I 1 5428 MCCULLOCH AV B [
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917803562 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: [
18573-014-039 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
I 147 WATER HEATER(S) 1.00 WTH 16.30 I I
ITENANT: I TOTAL FEES 44.10 [ISSUED ON: PROCESSED BY: PLAN BY:
102/23/11 SR
TOWNER: TEL. NO: [ (FINAL DATE FI AL BY: CODE:
ILEE, NANCY (626) 419-8760- [ 11
15428 MCCULLOCH AV [
ITEMP 917803562 I 19NOF WORK
IWATER HEATER CHANGE OUT [
[APPLICANT: TEL. NO: [
I
[SAME AS OWNER
I (SPECIAL CONDITIONS:
� I I
ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - 1
LIC. NO i (UNDER SLAB WORK
I I I
I WATER SERVICE I I
ARCHITECT OR ENGINEER: TEL. NO: IPLASTIC YIN METAL YIN
I - I IROUGH PLUMBING I [ I
LIC. NO:
IGAS PIPING
IGAS VENT I I I
IHOT WATER HEATER I I
I 1PLUMBING FIXTURES �I I
ILAWN SPRINKLERS I I [
IGAS TEST [ I I
[UTILITY COMPANY NOTIFIED 1
ICWV I I
IGRAY 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 I
REPORT ID: DPR263 ROUTE TO: BS0508
76A667 (CE-617)- 5/73
A '
APPLICATION F R PLUMBING- PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: F
LDING
DRESS McCulloch Ave®
HARVEY T. BRANDT, COUNTY ENGINEER ALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) REST
SS ST. Live Oak
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 ' 00OWNER
MAIL -
BATHTUB -1.75
ADDRESS 2246N-.' hake Ave,
SHOWER 1,75 3 S'b CITY Altadena TEL. NO. 798 9109
LAVATORY 1,75 / OD CONTRACTOR Reisdorf Plumbing Co., Inc,
SINK 1.75 3,S-0 ADDRESS 2119 Subtropic Dr.
DISHWASHER 1.75 3P CITY La Habra TEL. No. 697 1349
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. 274231 C ASS C.-36
SWIMMING POOL RECEPTOR 1.75
LAWN SPRINKLER SYSTEM 1.75
DIICT Iy0. GROUP I ZONE P ESSED BY
WATER HEATER 1,75 INDUSTRIAL
WASTE APPROVAL
OL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 a CD
Luv
ct.
N
Z
Plan check fee -See Reverse
PLUMBING PERMIT ISSUING FEE $ 3. 00
TOTAL FEE 154,19
APPROVALS DATE INS PECTO R'9 91GNATURE
Plan check applicant UNDER SLAB WORK
Namer
ROUGH PLUMBING
J
GAS PIPING v
Address --
City Tel. No. GAS VENT
i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST —•�•r
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ��•�ry r • 1�•N ��
LICENSED AS REQUIRED BY LOS ANGELES 'COUNTY AND STATE OF ..
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE D ED RESIDP41TI OPERTY.
15FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 .1 5 c ril1Y 2:2 5 0 42.40A_98