HomeMy Public PortalAbout5116 PAL MAL AVE_Plumbing__ 76A667-CE617 12/59
APPLICATION FOR P MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDIlVG &gEpAFETY DIVISION BUILDnvG
JOHN A. LAMBI COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN. SUPT OF BUILDING
e a • LOCALITR ,fin
FOR APPLICANT TO FILL IN CROsTT.
NUMBER FIXTURE OR ITEM
OWNER i
WATER CLOSED MAIL
BATH TUB ADDRESS ,
CITY TEL.NO. �I
SHOWER
LAVATORY oll
CONTRACTO
snu gqjll ADDRESS
cl
DISHWASHER CITY NO. I SII,
CONTRACTOR'S rf+ T TE
LAUNDRY TUB REGISTRATION NO. ` COUNTY ❑
CLOTHES WASHER + DISTRIC N GRO Z NE PR D B
WATER HEATER A i a
GAS SYSTEM WASTEINDUSTAPP
'� WASTE APPROVAL
INSPECTION RECORD
:. 0
x
0
E
U
W
a
o. y
0 U1.0 PER ITEM
OR FDCTQHE $ I APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2100 UNDER SLAB WORK
TOTAL FEE 3 e U ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORD114ANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ._ PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF GAS TEST
CALIFORNIA OR THAT I AM T LE N F THE BOVE
DESCRIBED RESIDENTIA PR UTILITY CO.NOTIFIED
SIGNATURE B _
OF PERMITTE FINAL
9e $ALIDATION ROBERT A.WOOD.
Z.0. CASH SUPERVISING MECHANICAL ENG'R
:7 `
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1105240006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
1 TR: 12205 LT: 26 I 1 5116 PAL MAL AV 1
[A33ESSOR INFORMATION NUMBER: IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT-.1 TEMP CA 917803433 I
I I NEAREST CROSS STREET: ARROWOOD
I8585-030-031 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 T I
1TENANT: I TOTAL FEES 44.10 TISSUED ON: PROCESSED BY: PLAN BY: [
I
105/24/11 SR 1
TOWNER: TEL. NO: I IFI TE FI Y: CODE:
I
TSANDOVAL RACHEL (626) 443-8098-
15116 PAL MAL AV
ITEMP 917803433 I I SCRIPTION OF WORK [
1 1 IGAS LINE FOR FIREPLACE 1
[APPLICANT: TEL. NO: T
ISAME AS OWNER I I I
ISPECIAL CONDITIONS: T
I I I I
(CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE [
[SAME AS OWNER -
1 LIC. NO 1 (UNDER SLAB WORK
I I
I [ IWATER SERVICE I I
I [ IPLASTIC Y/N METAL YIN I I I
[ARCHITECT OR ENGINEER: TEL. NO: I
I - I IROUGH PLIINIDING I [ I
LIC. NO:
1 1 1GAS PIPING
I I I
1 1 IGAS VENT I I I
1 1 IHOT WATER HEATER I I [
1 1 1PLUMBING FIXTURES I I
1 1 ILAWN SPRINKLERS I [ I
1 1 IGAS TEST [ I I
1 1 1UTILITY COMPANY NOTIFIED[ I 1
T ICWV I I
I I 1GRAY WATER SYSTEM 1 [ I
I I I I [ I
I 1 I [ I I
I I
I I
I I I
I [REPORT ID: DPR263 ROUTE To: BS0508
I I I I I I