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Home My Public Portal About5125 PAL MAL AVE_Plumbing__ isnss�-css1�-ass. APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES + DEPARTIaNT OF COUNTY ENGINEER BUMDING AND SAFETY DMSION BUILDING TrORN A. LUDIE. CountF eer ADDRESS , CASBATT D.GRUTIN,Supt wilding LOCALITY a FOR APPLICANT TO FM IN NEAREST ST. � � 5 NUMBER FIXTURE OR ITEM WATER CLOSET OWNER mm RATH TOR ADDRESS I S . SHOWER CITY Q he. TEL.NO LAVATORY CONTRACTOR am ADDRESS DISHWASHER CITY • %po TEL.NO. :� LAUNDRY TOB CO CTOR'S STATE iff BEGMTRATION NO.. I COUNTY CLOTHES WASHER DISTRICT NO. UP ZONE P OCESSED Y WATER HEATER T A— GAS SYSTEM INDUSTRLAL WASTE APPROVAL 6 nVSPECTION RECORD 25 S- O APPROVALS gg Da PER g S I goo DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK IPERMIT S 2 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY. HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY.CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OFPERMITTE FINALROBERT A.WOW. ®p VALIDATION SUPERVISING MECHANICAL E'NG'R CK. M.0. CASA L&3874% r-�R23 5 A 4.00 X D.S.S.17 23N sere 1:.44 APPLICATION FOR .PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM.J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO.' GROUP ZONE PERMIT NO. ROUGH FIXTURES 1-1 COMPLETE f ex R EIVBD BY READY FOR DATE ISSUED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION G r�� C GAS MISCELLANEOUS }� �Q APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY �J r K NAME f A.�. rOrA' ( tpLy a s Lf 3 Q jrODREBB �0 ADDRESS a4�!/' �✓ :, IJ�' LOCALITY D � c e NEAREST 0. CITY:.Ag, ( " £-� C'1. Cy TEL.NO.S0 o� °el aSl! CROSS ST. G CERCOUT.NOd _ M f® ®�'R� I IRR IR M- a 6� NAMEle � I"� �4�� C? f�i LOCATION OF SEPTIC TANH, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. 1-17 1 AM THE LEGAL 80R OF T B' LOS ANGELES COUNTY C FI BOF AL b N. nueeBsle 1 AM THE LEGAL OWNER OF TNB PROPBRTY DESCRIBED ABOVE. OWNSR CORRECTIONS SOUTH 4 J DESCRIPTION OF WORK 0 ATH TUB FURNACE O J/ —SHOWER DISHWASHER �L _L.AVATORY DEFRIGERATOR ITCHEN SINK WATER SOFTENER Q1-OOR SINK SAND TRAP LWA P BINK FLOOR DRAIN H TRAY URINAL APPROVALS ER CLOGET DRINKING FOUNTAIN DATE INsreeTgy�e NAwQ ER HEATER DENTAL LAVATORY ROUGH PLUMBIN® I i BD sA8 DODA FOUNTAIN i^+ - OUTL GAS PIPING GAS VENT I I v CESSPOOLALNUMBER OF FIXTURES SEPTIC TANK SPOOI- IC TANK SEWER I UTILITY CO.NOTIFIED I TOTAL FEE _ FINAL � � D.B.S.47.25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING, 1 WM.J. FOX.-CHIEF ENGINEER NATURE OF INSTALLATION 'DISTRICT NO': . GROUP ZONE PERMMIITJ No. -ROUGH FIXTURES COMPLETE HEATER.- CESSPOOL I�SEPTIC TANK R IVSD 13Y FIRST REAiNDSP6CTRION Y FODATE ISSUED �� r GAS MISCELLANEOUS �� pWG �a� /A�PPLpI/CANT FILL IN HEAVILY OUTLINED PORTION ONLY job a. NAME eV +G/C� sfi !! Ff��;�s�°F ADDRESS m _ ADDRESS �� ,r H LOCALITY \110w3z NEAREST ✓ 9 - ♦p, 'CITY AJ.1-1+.p:. •��':�� Q ��T,E�Itb. CROSSST. COUNTY Ala CERT.No. _ � � EXBIRES .N NAME �-._7'�-,'w��f ._ LOCATION OF SEPTIC TANK, OR-CESSPOOL Z MAIL ' 3 ADDRESS NORTH '0 CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. P PLurresR 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH , (DESCRIPTION OF WORK � ATH TUB FURNACE Gy SHOWER DISHWASHER 0 ._.LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR MINK . -AND TRAP L..ZESSPOOt- SINK , FLOOR DRAIN H TRAY URdNAL APPROVALS ER CLOSET DRINKING FOUNYAIN DATE INSPECTOR'S WAKE ER HEATER DENTAL LAVATORY ROUGH PLUMBING I I r+ GAS •SODA FOUNTAIN GAS,PIPING OUTL GAS VENT CESSPOOL L NUMBER OF FIXTURES � I v � SEPTIC TANK SEPTIC TANK SEWER I. 6 UTILITY CO.NOTIFIED I / TOTAL REE _ 1. FINAL 76AS67 17 E-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP__j ZONE PERMIT NO. PLUMBER .i.�y: RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS �Q. �b � _�L'y �- �J NO.Sn/15 J S n� BUILDING CITY / fn COUNTY v � LICENSE NO. EXPIRES6134 91ROSS 6CALITY T. REST PERMIT FEES NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 1-.04 MAIL WATER CLOSET (TOILET) @ 0.50 S ADDRESS _ BATH TUB Q 0.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT i POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL OPERTY D SCRIBED ABOVE. GAS SYSTEM OUTLETS 0 0.50 SIGNATURE 0 PERMI'ITE WATER HEATER @ 0.50 C SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 01 FLOOR DRAIN ® 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 HOUSESEWER ® 0.50 a z MISCELLANEOUS _ U� APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL ® 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT . 1.00 GAS TEST TOTAL FEE r� �' w I UTILITY CO. NOTIFIED FINAL /✓ GIL %']l%t. �r 9 r` 76A667 (CE-817)- 5/73 ✓ R APPLICATION�A� PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS 12 N Pal' 1 Ave HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY Temple City FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST / NUMBER FIXTURE OR ITEM @ FEE CROSS ST. WATER CLOSET 1,79 OWNER , Robert Vernon AIL BATH TUB 1.75 ADDRESS 5125 N Palmal AVE SHOWER 1.75 CITY Temple City TEL. NO. 8 2825 LAVATORY 1.75 CONTRACTOR Valley Heating Co. SINK 1.75 ADDRESS 305 E Valley. Blvd. DISHWASHER 1.75 CITY San Gabriel TEL. NO. '1 9 681`1 CLOTHES WASHER 1.75 STATELICENSE NO. 147899 CLIC LASS• C 20 SWIMMING POOL RECEPTOR 1.75 DISTRICT NO.► GROL/�P NE CESSE9 BY LAWN SPRINKLER SYSTEM 1.75 A WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL } GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CD OUTLETS OVER 30 C> 5 PER SYSTEM O 1-- U ' W GO rn Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING , 2P2;sl City Tel. NO. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS GULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY GISTERED A D/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY S ANGELES C NTY AND ST E OF CALIFORNIA OR THAT 1 THE LEGAL OW R OF, AND I END RESIDE IN THE ABOV RIBED RESIDE AL PROP R.TY. J F AL SIGNATURE X OF PERMITTE a� PERMIT VALIDATION CK. M.O. CASH PLAN CHECK/VALIDATION CK. M.O. CASH 4 5 2Z"-:nPR 1 5 0 -'? r 4.7 5 ,6=