HomeMy Public PortalAbout5910 MUSCATEL AVE_Plumbing__ 76 A,067 CE 817 8/68
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APPLICATION FOR PLUMBING PERMIT
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A. LAMBIE. COUNTY ENGINEER 0 Muscatel
COLEMAN W. JENKINS. SUPT. OF BUILDING lie
FOR APPLICANT TO FILL IN PR NT OR TYPE)
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST. a j-
WATER CLOSET 1.50 e) OWNER Harold J. Miller
BATH TUB 1.50 CS ADDRESS 431 Harvard Drive
SHOWER 1.50 1 CITY Arcadia TEL. No- 446-3377
LAVATORY 1.50 3 Cj CONTRACTOR Owen Bros. Plumbing, Inc.
SINK 1.50 C ADDRESS 4265 North Baldwin Avenue
DISHWASHER 1.50 CITY El Monte TEL. NO. 443-0078
CLOTHES WASHER 1.50 STATE LICENSE NO. 231 741 CLASS
LIC C 36
SWIMMING POOL RECEPTOR 1.50
DISTRIC JPO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 CJO
.J�' O
WATER HEATER 1.50 [ INDUSTRIAL v
,� WASTE APPROVAL o
GAS SYSTEM 4 OUTLETS 1.50 C INSPECTION RECORD
OUTLETS OVER ,y!'Y Iy
5 PER SYSTEM 30 7-ad*
All, �
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 / 00
TOTAL FEE C� 6.' APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant F
UNDER SLAB WORK �v C '
Name ROUGH PLUMBING 1�/G �_
Address GAS PIPING
City Tel. No. GAS VENT
- ,Gq
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER 221 i
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES /+
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST r �
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE NCR I ED ENTIAL PROPS FINAL 0 /
SIGNATURE
OF PERMITTEE — JACK R. ALLEN, SUPERVISI ANI CAL ENG-R.
PERMIT VALIDATION CK. M.O. CASH
-PLAN CHECK VALIDATION CK. M.O. CASH {11'tna
5 D 2�] 0.00- CQ
- R
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0204050028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LADDRESS:
BK: 20 PG: 48 PC: 2 i 5910 MUSCATEL AVN
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: SGAB CA 917752621
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA
5386-011-073 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED 0 PROCESSED : P S .
04/05/02 JK 10/02/02 .
OWNER: TEL. N0: FINA DISE FINAL CODE:
YANAGIHARA;MARIKO (626) 286-8436-
5910 MUSCATEL AV
SGAB 917752621 D MCIIP 0 OF WORK
C/O WATER HEATER
APPLICANT: 0:
ACTION CONTRACTORS (310) 515-1311-
17111 S BROADWAY SPECIAL CONDITIONS:
GARDENA 90248
GE ES CO
CONTRACTONTRACTORS EL0)N515-1311- ��� U�Ay APPROVALS DATE INSPECTOR SIGNATURE
ACTION C17111 S. BROADWAY LIC. NO UNDER SLAB0
GARDENA CA 90248 B/L 27953
ATER SERVICE
ARCHITECT OR ENGINEER:
PLASTIC Y/N METAL Y/N
E N0:
ROUGH L BI G
LIC. N0: 1111111 S IP NG
F 9 L C WAY G�LJ V
HOT ATER EA
G _
PLUMBING S
I ❑ �iII.�I' LAWN SaRINKLERS
j GAS TEST,
- 6s UTILITY C 0 I
Serve Tha��� CWV
GRAY WATER SYS
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* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
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