HomeMy Public PortalAbout5522 MCCULLOCH AVE_Plumbing__ 76A667-CE#817 5169
APPLICATION FOR .PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 2- A r, t 6 op ezl,�.
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER C- COAe
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 r ADDRESS U
SHOWER 1.25 r CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR �f
SINS 1.25 f
ADDRESS
DISHWASHER 1.25 CITYW, 0,0 k- /va TEL. NO'.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE TY
$
•REGISTRATION NO. L7 C 16 COUN , ❑
CLOTHES WASHER 1.25 DIST CT NO GROUP I ;XNE
PR CES BM
WATER HEATER 1:50 O
GAS SYST m � OUTLETS 1'5d WASTE APPROVAL 916INDO
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
"3- Z 3-(95 cr. .� 0, O
CL
5 - �-
��.eA13
APPROVALS DXTV INSPECT,oR'S S_1G IA RE
PERMIT 5 2 00 UNDER SLAB WORKi ��
ROUGH PLUMBING
TOTAL FEE GAS•PIP ING ',t F1/'
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE MAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
1-17-64- rAdat-6011,;
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND To GAS TEST
P
RESIDE IN,THE ASOV SCRIBED RESIDENTIAL ROPERTY. UTILITY CO.NOTIFIED 3'CJ _
SIGNATURE
OF PERMITTE
FINAL
VALIDATION ROBERT A. WOOD '
CK:
m.0.. CASH SUPERVISING MECHANICAL ENG'R
LACO2 NOV'l3 5 A 15.00~
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9610240027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL D: FEES ID BUILDING ADDRESS:
ON FILE 5522 MCCULLOCH AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802943
ASSESSOR ORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8573-013-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
47 WATER HEATERS) 1.00 WTH 16.35
TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/24/96 TC 10/24/97
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
PARKER DEAN S;GWENDOLINE TRS - j'T2.
5522 MCCULLOCH AV
4 Z>
TEMP 917802943 DESCRIPTION OF WORK
va NEW WATER HEATER
APPLICANT: TEL. NO:
R.B.I. INC. (909) 594-3686-
3940 WALNUT/LCAY91789�#D SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
R.B.I. INC (909) 594-3606- ��' 1 �;,� ;a
3940 VALLEY BLVD., UNIT D LIC. NO rf�j "i „ N SLAB WORK
WALNUT, CA 91789 683107/C36 ?!----- - — - -- - '��
- _
�I--- ATER SERVICE
u I LASTIC Y/N M
ETAL Y/N
ARCHITECT OR E G ER: TEL. NO:
ROUGH PLUMBI G
LIC. NO: '' i,� ,`` f, ti' i i j = r '1
GAS PIPING
G S VENT
SOT WATER HEATER
��� •� /
PLUMBIN RES ��j
r-N^G� A SPRINKLERS
` i
b3-1
� GAS TEST
TILIT COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508