HomeMy Public PortalAbout5948 MUSCATEL AVE_Plumbing__ -.7 V
78A867A
CE 8-07(REV.6/78)
��6 2 as APPLICA ON. OR P�. BING PEF2� IT
COUNTY OF LOS ANGELES i BUILDING AND SAFETY
I
FOR APPLICANT TO FILL IN(PRINT OR TYPE) rt BIJILDING } �
NUMBER FIXTURE OR ITEM ® FEE DRESS
AQ
LOCALITY g r
WATER CLOSET NEAREST
BATH TUB CROSS ST. �I`
SHOWER OWNER '-'i M&
LAVATORY MAIL ADDRESS ADDRESS
SINK city' l ! TEL.NO.
DISHWASHER CONTRACTOR IV,
CLOTHES WASHER ADDRESS !�' A� V v
SWIMMING POOL RECEPTOR
CITYtA, TEL.N0.96Ta`IT6
LAWN SPRINKLERSYSTEM STATEQ a. LIC.
WATER HEATER
LICENSE NO. ! 5 -7Q CLASS
GAS SYSTEM S OUTLETS i APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK I
5 PER SYSTEM ROUGH PLUMBING ,V//6/7 P .. .";
GAS PIPING
GAS VENT
@S
HOT WATER HEATER
PLUMBING FIXTURES
GAS TESTub
Plan check fee UTILITY CO:NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 7FINAL42
fJ�f -J
Plan check applicant PLAN CHECK VALIDATION
Name `�f Q�-� f' C' p
Address a j vv'
City y� Tel.No.?6d?—/$b t j
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. I PERMIT VALIDATION
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS I 29-0621. A
REQUIRED BY LOS'ANGELES COUNTY STAT F CALIFO RIA OR THAT I AM THE'
LEGAL OWNER OF.AND INTEND TOME-SIDE I H ABOV DESCRIBED RESIDENTIAL O O O C 015
PROPERTY. q y 0.
SIGNATURE a o L O O 1`a O O
CIF'PERMITTE '� '_�("�'—��J
DISTRICT NO. / ROCESSED BY o 0 0 , ol Q Q m
G04-78
INDUSTRIAL
WASTE APPROVAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0712170002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS: 1
[TR: 5904 IT: 108 ON: .002 5948 MUSCATEL AV N 1
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752621 1
ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: HERMOSA
15386-011-042 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
1 121 HOSE BIBB(S) 1.00 FIX 16.20
TENANT: TOTAL FEES 43.95 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
112/17/07 SR 06/14/08 [
(OWNER: TEL. NO: 1 1FIN DAT FIZ CODE: [
1NEW DAVID R (626) 374-3570- 1 1
15948 MUSCATEL AV 1 1 1
1SGAB 917752621 1 ID29CRIPTIUN 0£ WORK [
1 1
1
1 HOSE BIBB [
(APPLICANT: TEL. NO: 1 1 1
1NEW (626) 374-3570- 1 1 1
15948 MUSCATEL AVE. 1 1SPECIAL CONDITIONS: 1
(SAN GABRIEL CA 91775
1CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
1DAVID R. NEW (626) 374-3570- [ 1 A 41
15948 MUSCATEL AVE.. LIC. NO 1 (UNDER SLAB WORK 1 1
1SAN GABRIEL, CA 91775 NONE 1 1 1 1
I I WATER SERVICE
1 1 PLASTIC YIN METAL YIN 1 1 1
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
1 - 1 1ROUGH PLUMBING
1 LIC. NO:
I
1 1 1
[GAS PIPING 1
I I I
1 1 [GAS VENT 1 1 [
I I
I I [HOT WATER HEATER I I
I I I
1 1 [PLUMBING FIXTURES 1 1
1 1 [LAWN SPRINKLERS 1 1 1
1 [ [GAS TEST I I I
I [ [UTILITY COMPANY NOTIFIED( [
jCWV
[ 1 1GRAY WATER SYSTEM I [ I
I I 1 I I [
I I [ I 1 I
I i I I I
I I I I I I
1 1REPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 1
I I