HomeMy Public PortalAbout5642 MCCULLOCH AVE_Plumbing__ 78A601A(CES17A) - 8/75 -
*
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY
7�
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
^ C -�
WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS 7j . Q
Cit He ck-
SHOWER CITY TEL:NO.
LAVATORY CONTRACTOR v
MC
SINK ADDRESS ff
DISHWASHER ) CITY, TEL. NOBB
Z.
CLOTHES WASHER STATE LIC
NO. CLASS LIC
pZ�
SWIMMING POOL RECEPTOR LICENSE
LAWN.SPRINKLER SYSTEM QUI .T 0. GROUP 'ZQN`E PR ESSE-D BY.
WATER HEATER INDUSTRIAL ,~.l
WASTE APPROVAL
GAS SYSTEM OUTLETS INSPECTION RECORD.
OUTLETS OVER
5 PER SYSTEM U
1^�
95,
fd
6Y
N
z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ -11
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
1 H ENE BY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND :AGREE TO COMPLY PLUMBING FIXTURES
LRESIOE
COUNTY ORDINANCES AND STATE LAWS REGULATING
GAS TEST ®/.�"
BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED -
AS RE.C(UIRED BY LOS ANGELES COUNTY AND STATE OF -
OR THAT 1 AM THE LEGAL OWNER OF ND INTEND TO /f
TNEAB ED R'S ENTIAL P P RTY. FINAL -17,76
RERMITTE
PERMIT VALIDATION J
M.O. CASH
PLAN CHECK VALIDATION CK. M.O. "CASH
6=2 4 �b6.12 5 D
7.5 () 69 .
7
DBS-17 8-SS APPLICATION'ION F®R PLUMBING PERMIT
Be-1
DIVISION OF BUILDING AND SAFETY
Department of County.Engineer
`Z68r1 County of Los Angeles
WM.J. FOX.COUNTY561+;-)
61
ADDRESS 70`
' h�ENGINEER BUILDING TTS McC'ullock
• _ N.
CASSATT D.GRIFFIN,'SUP'T OF BUILDING
LOCALITY Temle City
FOR AP LICANT FILL IN NEAREST
CROSS ST.
OWNER` DISTRC.O, _GROUP ZNE READY FOR INSPECTION'
MAIL U
.
ADDRESId
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER Earl (P
Ta
�t) StandleY Inc® INSPECTION RECORD
ADDRESS 201 -N® Hoyt P.O®4O8
CITY hit_ Morlte
n TEL NO GI 41559
LICENSE NO. 1+9236
NUMBER TYPE OF FIXTURE OR ITEM y FEE -
WATER CLOSET (TOILET) 51 00
BATH TUB
1.00
SHOWER
1 LAVATORY (WASH BASIN) oo
1 KITCHEN SINK W diS o5 l 1.100
DISHWASHER '
Z LAUNDRY TUB OR TRAY 1.00
CLOTHES WASHER"
.
TOTAL NO. ® 0.e0 APPROVALS
GAS SYSTEM OUTLETS @ 1.06. 1 1.00 DATE INSPECTOR'S SIGNATURE
WATER HEATER 1.00 1000 0 UNDER SLAB WORK , �•//, ,
PERMIT S i. 00
ROUGH PLUMBING `vp
GAS PIPING
TOTAL FEE $® O GAS VENT
1 HEREBY AC"OWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER f / fr+�.�•,,��i
AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. /
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST.
LICENSED.AS REQUIRED BY LOS ANGEL N
COUNTY' AND STATE<OF
CALIFORNIA OR THAT I AM T LE OWNER OF THE ABOVE UTILITY CO. OTIFIE ��
D
DESCRIBEDRESID L P P
SIGNATURE Iy r
OFPERMI FIN L
WILLIAM J. FOX.COUNTY ENGINEER VALIDATION R.A.WOOD.CHIEF PLBG.INSPECTOR
;.ACn 3 9 7 6 NOV 1 3: 8.0 0 M
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0201240021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: F55S PAID BUILDING ADDRESS:
TR: 12049 LT: 7 BL: .001 5642 MCCULLOCH AV
FEE DESCRIPTION: QUANTITY: I=: AMOUNT: TEMP CA 917802961
NUMBER:ASSESSOR INFORMATION
NEAREST CROSS STREET: LYNROSE
8573-013-039 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
63 WATER PIPING BR/FIX 8.00 FIX 54.00 - C S ON:
TOTAL FEES 97.95 01/24/02 JK 07/23/02
OWNER: TEL. 0: FINAL DATE FI AL CODE:
RANDY BROOK (626) 574-1317-
5642 MCCULLOCH AVE Z -
TEMPLE CITY 91780 DESCRIPTION OF WORK
COPPER REPIPE & C/O WATERHEATER
APPLICANT: E
14ASTERSERV (818) 957-8985-
2804 HONOLULU AVE SPECIAL CONDITIONS:
VERDUGO CITY 91046
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MASTERSERV (800) 806-7374-
2804 HONOLULU AVE LIC. NO UN09K SLAB WORK
P.O. BOX 483 C20/C10/B
VERDUGO CITY CA 91046 WATER SERVICE
ARCHITECT OR - NO: PLASTIC Y/N METAL Y/N
ROUGH P UMB.IN
LIC. NO:
S PIPING
GAS VENT
HOT WATERHEATER
FlafB-11-G-FnffR
SPRINKLERS
S TEST
UTILITY COMPANY0
WATERCWV
GUY SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID- DPR263 ROUTE TO: BS0508