HomeMy Public PortalAbout5664 MCCULLOCH AVE_Plumbing__ Bg" ''S1 APPLICATION FOR PERMIT
MENT OF BIIILDING AND SAFETY
CflV17CY-OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER'
FOR APPLICANT,TD-FILL IN DISIRI No. GROUP •O PERMIT/ .
PLUMBER ✓Zit/.' rf dn�a ifjpr�:1 R E ED BY READY FOR DATE ISSUED
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YM, / FIRST INSPECTION
ADDRESS
BUILDING y�
CITY L rf 1� i,7/1i; -- TEL.`No:Y,l .)U ADDRESS i*9 A
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LOUN E NO. r 6;�r (' A LOCALITY !",!.-xTt:'I `� 1 ;
r EXPIRES•
NEAREST r' Y
PERMIT FEESi CROSS ST.
NUMBER _ TYPE CF FIXTURE OR ITEM FEE
NUMBER --'.,OWNER
j7 MAIL r
'WATER CLOSET(TOILET) 0 0.50 S {f ADDRE88
BATH TUB 0 0:50 C 'CITY TEL NO.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASHBASIN) a 0.50AAPPLICATION AND STATE THAT THE ABDVE_18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
•' KITCHEN SINK 0 0,50 �d AND STATE L:AWB REGULATING PLUMBING.
�I CERTIFY THAT _1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY •0 13.50 ANGELES COUNTY LICENSE, OR I...AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY.DESCRIBED ABOVE.
✓ SAS SYSTEM _ ^UTLETB 0.50 :
VBIGNATURE OF slRj•t` ., F j?' .•:.' ; �u: c
WATER HEATER 0.50 Q PERMITTEE- r` r
SLOP SINK 0.50 .., SPECTION RE,C&D
FLOOR BINK 0.50 / I/ VD me.'s L /? 0zc'
FLOOR DRAIN'' Q O.SO am .
DISHWASHER Q O.'BO y�Z - c-,r0!^P-s--b--7--
DRINKING
DRINKING FOUNTAIN 0.50
URINAL Q 0,50 Q
HOUSE SEWER 0.50 -, Z_
f MISCELLANEOUS L7
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APPROVALS
DATES INBPECLORlE NAME
_ . ROUGH PLUMBING
�1 v
= BAB PIPING
GAB VENT ,
CESSPOOL 1,00 CESSPOOL
BEPTIC TANK., SEPTIC TANK
DRAIN ( ) PIT ( ) d 1.013 SEWER
PERMIT 1.00 GAR'TEST
UTILITY CO.NOTIFIED �s
TOTAL FEE
FINAL
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0605030021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12049 LT: 5 5664 MCCULLOCH AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802961
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8573-013-041 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIR 16.20 05/03/06 JK 10/30/06
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINA D E FINCODE:
SAM CHOI (626) 287-0364- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 6
8837 LONGDEN AVE TOTAL FEES 124.95
TEMP 917802961 DES 'PTION OF WORK
PLUMBING FOR NEW BATHROOM.
APPLICANT: TEL. NO:
SAM CHOI (626) 287-0364-
8837 LONGDEN AVE SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAM CHOI (626) 287-0364-
8837 LONGDEN AVENUE LIC. NO DNDEr SLAB WORK
TEMPLE CITY, CA 91780 NONE
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BSO508