HomeMy Public PortalAbout5436 MCCULLOCH AVE_Plumbing_5/22/1974_ 76A667 (CE-817)- 5/73 Q�r4 cc-c�
< APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER G 3
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FBUILDING
DRESS I4CCll loChlAve,
HARVEY T. BRANDT, COUNTY ENGINEER ALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) REST �1Ve Oak
SS ST.
NUMBJR FIXTURE OR ITEM @ FEE
OWNER Foothill Service Co 0
WATER CLOSET 1,75 / 00 MAIL
BATH TUB 1.75 7 60 ADDRESS 2246 N-.- lake Ave.
SHOWER 1.75 7 i9e CITY Altadena TEL. NO. 798 9109
LAVATORY 1,75 /Ll a CONTRACTOR Reisdorf Pluiibirg Co. InC.
SINK 1,75 7 a ADDRESS 2119 Subtropic Dr.
DISHWASHER 1.75 7 d CITY
-y Tal.Habra TE N o. 697 iB49
CLOTHES WASHER 1.75 / d STATE LICENSE NO. 274231 CLIC
LASS C-36
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO. GROUP ZONEPR ESSED.BY
LAWN SPRINKLER SYSTEM 1,75
WATER HEATER 1.75 7 0 INDUSTRIAL WASTE APPROVAL p�
GAS SYSTEM /4 OUTLETS 1.75 / �'� INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM 30
-190 U Q a46 QW9 WAIFv
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE. 3
APPROVALS DATE INS PE CTOR'e SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING p A `%7. �► >�
Address GAS PIPING
City Tel. No. GAS VENT #I OKI c.;�
I HEREBY ACKNOWLEDGE THAT I HAVE READ TN15 APPLICATION HOT WATER HEATER jutCSF
0000,
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES lig Iy r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r �J7• /• YJ.vrJ
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESDE IN THE ABOVE DE D RESIDENTI OPERTY. FINAL
SIGNATU RE
lf���J. ��• �/�S'.`A'J� �,.�.,t�.�tlY
OF PERMITTEE
PERMIT VALIDATION K. M,O. CASH
PLAN CHECK VALIDATION CK. M.O. C SH
3 MAY .22 5 D 30 ASO
I �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0710020022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: II FEES PAID I I BUILDING ADDRESS: I
ITR: 31886 ON: 4 I 5438MCCULLOCH AV
D 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP 17803562
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK
18573-014-029 101 PERMIT ISSIIANCE FEE 27.75 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1.00 WTH 16.20 1 1
1TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 110/02/07 SR 03/30/08
I I I I
]OWNER: TEL. NO: IiH
NAL DATE FIN CODE: 1
1HAWKINS, DEBBIE (626) 444-1958- Is 1
15438 MCCULLOCH AVE I 1 I
]TEMPLE CITY CA 91780 ] lDESCkIPTf0N OF RK 1
140 GAL WATER HEATER CHANGE OUT SAME LOCATION
]APPLICANT: TEL. N0: 1 I
[BRUCE SMITH (310) 838-0408- 1 I
13801 LANAWEE AVE ] ISPECIAL CONDITIONS:
ICULVER CITY CA 90232 1
I I I 1
(CONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE I
IMIKE DIAMOND (310) 838-0408- 1 I
13801 LENAWEE AVE LIC. NO 1 (UNDER SLAB WORK I ] ]
1CULVER CITY CA 90232 399170 C20 I I 1 1
I I IWATER SERVICE
I I 1PLASTIC Y/N METAL YIN I I I
]ARCHITECT OR ENGINEER: TEL. NO: I I I I
I - I IROUGH PLUMBING
LIC. NO: I I I I I
IGAS PIPING 1 1
I 1 IGAS VENT
I
I I IHOT WATER HEATER I I I
I I I
I I IPLUMBING FIXTURES I I I
I � I
I I ILAWN SPRINKLERS ] I I
I I I
I GAS TEST I I I
I I1-1
I
I (UTILITY COMPANY NOTIFIEDI
I I ICWV I 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 1 I I I
(REPORT ID: DPR263 ROUTE TO: BS0508 I I I I