HomeMy Public PortalAbout5510 MCCULLOCH AVE_Plumbing_2/26/1976_ 79A667A
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS G H t, C U J�L b G)V
1 WATER CLOSET LOCALITY k& , G !
NEAREST
BATH TUB CROSS ST. y- Ii OAK
SHOWER OWNER ` O I
MAIL
LAVATORY -0 ADDRESS O C 1.BOG h
!. SINK Q A "3 CITY G TEL.NO.NW3 3ox 1 O
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK ' r'r• `T ✓�;pi ;�i
5 PER SYSTEM ROUGH PLUMBING
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GAS PIPING
GAS VENT V
IN
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST ul
Plan check fee UTILITY CO.NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant c 'PLAN CHECK VALIDATION
Name
Address
City Tel.No.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE r
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL 2. �� 1• �•
PROPERTY.
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SIGNATURE
OFPERMITTE C D O O C 0
DISTRICT NO. �97
D BY
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INDUSTRIAL`J UX �(p —r
WASTE APPROVAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0207300023
' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGAD
BK: 60 PG: 40 PC: 2 5510 MCCULLOCH AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802943
ASSESSOR 0 NEAREST CROSS STREET: LIVE OAK
8573-013-037 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
13 DISHWASHERS) 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED OWi--PROCESSED : PLAN B P ON:
TOTAL FEES 60.15 07/30/02 JK 01/26/03
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
GHALI;MOUNIR S -
5510 MCCULLOCH AVE ` �+d
TEMPLE CITY 91780 DESCRIPTION OF WORK
KITCHEN REMODEL
PP NO:
ADEL SALAMA (626) 533-2734-
5818 ROSEMEAD BLVD SPECIAL CONDITIONS:
TEMPLE CITY =_
CONTRACTOR: TEL. N0: ti,;:n ` APPROVALS DATE INSPECTOR SIGNATURE
SAN MICHALE GENERAL CONTRACTOR (626) 533-2734-
5818 ROSEMEAD BLVD. LIC. NO <n % • �`. UNDER SLAB WORK
TEMPLE CITY, CA 91780 777203 B ,% !-'' �'
NATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUM81NG
LIC. NO-' _-
GAS PIPING
- - - - GAS VENT
HOT WATER HEATER
P LU S G -FTX-raR-FS-
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY OT I D
CwV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508