HomeMy Public PortalAbout5630 MCCULLOCH AVE_Plumbing__ 7BA667-FE 17 12/59 `
APPLICATION F R PLUM ING PERMIT,.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUYLDING T IEISAFETY DMSION BUILDING
JOHN A. BI COUNTY NGINEER- ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST'
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET NAIL
RATH TUR ADDRESS
SHOWER CITY TEL NO.
LAVATORY CONTRACTOR
$ ADDRESS -
DISHWASHER CTPY NO.
CO TOR'S STATE
LAUNDRY TUR REGISTRATION NO. 9 � COUNTY ❑
CLOTHES WASHERQ.i}ISTRICT NO. GROUP_ ZONE PRO SSED BY
WATER HEATER -
GAS SYSTEM INDUSTMAL
WASTE APPROVAL
INSPECTION RECORD y,J
a
d o c 0
w
If
a
C�►/ J CQ ha
W $1.00 PER ITEM �j �ic/ IIS c63 du
OR FDLTURE $ I / PROVALS DATE INSPECAOR'S SIGNATURE.
!! HPERMIT $ P. 00 UNDER SLAB WORK /
TOTAL FEE �— ROUGH PLUMBING ! /'Z G< � C'
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /
LICENSED AS REQUIRED BY LOS AHG ES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE WN7 OF THE ABOVE
DESCRIBED RESIDENT PR Y. op UTILITY CO.NOTIFIEDJr
SIGNATUT A i'drI
OF PERMUTE FINAL
Jr< MMATION ROBERT A.WOOD,
M.0. CASE SUPERVISING MECHANICAL ENG'R
�,`i oi 7 NOV L 0 5 D 1 1 .0 0 ;"
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76A667=CE817 6-60 -
APPLICATION OR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUII.DIIITG AND SAFETY DIVISION BUMD]NG
OEM. LAMBIE. COUNTY ENGINEER ADDRESS G C
WILLIAM A.JENSEN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. ,
NUMBER FIXTURE OR ITEM OWNER !
,
WATER CLOSET
ADDRESS . 3
SATE TUB
=r U
SHOWER
LAVATORY
CONTRACTOR
-
SIIiS ADDRESS
DISHiNASHSB CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO.
GROUP ZONE PROCESS=BY
WATER HEATER `.TN�`V z-- A,, ( ,
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a0..
0' '
0`•
RAF 0A $
l b'� APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE an ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
L
ING.
REBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
ED AS REQUIREDAY LOS ANGELE LINTY AND STATE OF GAS TEST.
RNIA OR THAT AM THE LEG NER 0 ABOVE
BED BESIDENli PROPERTY. UTILITY CO.NOTIFIED
TUREERMI FINAL Ave
®� VALIDATION ROBERT A.WOOD,
P& X.0. BsoR SuPERvisime MECHANIC4U.ENG'R;
p� �2093 zUb30 5 D 3.00
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0504010019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
SON FILE F 5630 MCCULLOCHBUILDING SAV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802941
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8573-013-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON-__P"0 ESSED BY: PLAN BY: EXPIRES-ON:
04/01/05 JK 09/28/05
OWNER: TEL. 0: FINAL DATE Y: CODE:
RAMIREZ, ALFONSO (626) 442-4181-
Eyp�R
5630 MCCULLOCH AV
TEMP 917802941 SCRIPTION OF WORK
GAS LINE FOR HEATING SYSTEM
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TE 0: APPROVALS DATE INSPECTOR'SIGNATURE
SAME AS OWNER -
LIC. NO UNDERS 8 WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT 0 GI N0:
ROUGH G
LIC. NO:
GAS PIPING
5 VENT
WATERHOT HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
S TEST
UTILITY-- PANY NOTIFIEU
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508