HomeMy Public PortalAbout5430 MCCULLOCH AVE_Plumbing__ 76A667 (CE-817).. - 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7
BUILDING AND SAFETY DIVISION
MAKE CHECKS'PAYABLE TO: BUILDING
ADDRESS 'McCulloch Ave.
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY 'Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST Live Oak
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1'75
OWNER Foothill Service ComeMAIL
l BATH TUB 1.
ADDRESS 2246 Na Lake Ave.
1 SHOWER 1. CITY Altadena TEL. NO. 8 10
jtj LAVATORY 1.754CONTRACTOR Raisdorf l ,n
SINK 1. ADDRESS 2119 Subtropic Dr.
DISHWASHER 1.75y7�,�� CITY , la Habra TEL. N0. 697 1319
CLOTHES WASHER .1.75 '11 STATELIC
LICENSE NO. 2741.n31 CLASS 0-36
SWIMMING POOL RECEPTOR 1.75
DIy4.TRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 Q� 2 I /
WATER HEATER 1.75 INDUSTRIAL
17WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 ,� INSPECTION RECORD CD
OUTLETS OVER .30 d o
l 5 PER SYSTEM
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
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Name ROUGH PLUMBING l.J�
n
Address GAS PIPING
City Tel. No. GAS VENT �{
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST ��f 12./���„J
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO..NOTIFIED �r,�1..s/4'�� G,�/J7 fir.,,,
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 DE ED RESIDENT IA OPERTY. FINAL �r'�,,.•'/e� F �..,i'F..Rs
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION cK. M.O. CASH
PLAN CHECK VALIDATION CK. M. CASH
1 1.O lIZZlYiAY 22 5 0 2 7.8 O A98