HomeMy Public PortalAbout5222 PAL MAL AVE_Plumbing__ 76AG87 (CIM-817) - 1/79 ,
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. ' 'APPLICATION OR PLU ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
r yy,
MAKE CHECKS PAYABLE TO: % 42"23 s4 L m L 'z--
HARVEY T. BRANDT, COUNTY ENGINEER
FOR APPLICANT TO FILL IN (PRINT OR TYPE) .
NUMBER FIXTURE ORITEM @ FEE
WATER CLOSET 2.00 ,-'3 Cj OWNER
MAIL .2 2,
BATH TUB 2.00 ADDRESS
/ SHOWER 2.00 d CITY TEL. NO.
LAVATORY 2.00 O CONTRACTOR n
SINK 2.00 ADDRESS T
DISHWASHER 2.00 CITY " TEL. NO.
CLOTHES WASHER 2.00 STATE LIC
LICENSE N0. 8lp CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ONE CESS B
LAWN SPRINKLER SYSTEM 2,00 g. 0 1. u�
WATER HEATER 2.00 IND USTRR AL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00
INSPECTION RECORD
OUTLETS OVER ,30 C-1)5 PER SYSTEM CC
O
W
CL
to
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ L
TOTAL FEE 3
APPR4<UtS DATE INSPESTOR'S SIGNATURE
Plan check applicant UNDER S,1018 WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ TRIS APPLICATION HOT WATER HEATER
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
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 AM THE LEGAL OWNER OF, AND fRTENb TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN-CHECK VALIDATION CK. M.O. CAS
2 2 9 nrr 9 5 0 13.50 &Z
AA667A
CE 817(REV.11/78) ;�
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APPLICATI N ;®R PCU B G PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 1
ADDRESS
NUMBER FIXTURE OR ITEM @ FEE n
LOCALITY
WATER CLOSET
NEAREST
BATH TUB. CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY�1 TEL.N
DISHWASHERCONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR bb �
CIT TEL.NO.
LAWN SPRINKLER SYSTEM STATELIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER.SLAB WORK
5 PER SYSTEM. ROUGH PLUMBING
1 GAS PIPING V
GAS VENT a;
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL14r°'Ir TET -,--
Plan check applicant PLAN CHECK VALIDATION
Name 29830A
Address
- `# o o D o D 5
City Tel.No.* O
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE L D O 0
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES L /�
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 'O O Q 1 G 0.0 U
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED.AS 0.41 1 -80 80
REQUIRED BY LOS ANGELES,COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL:OWN OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESPDENTIAL ,
PROPERTY. -
SIGNATUR (.
OFPERMI E
DISTRICT /�/ R SSED
�d ay
INDUSTRIAL
WASTE APPROVAL
76AG67-CERS17 4-54 -
APPLICATION FOR PL/ MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DMSION AaaREN ,�
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCAL
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET Sl. MA
ZL
BATH TUR I, ADD
CI TE O. —
SHOWER 1:
LAVATORY I• CONTAAC ol
SINS I•
ADD
DISHWASHER 1.25 C TEL NO.
LAUNDRY TUB 1 REGINSI7 AT ON NO. COUNAIY TE TE p
CLOTHES WASHER 1• DISTRICT NO. G�11P Z E P oCEB�BY
WATER HEATER 1.50 �7 f .• 1/�
GAS SYSTEM—OUTLETS- INDUSTRIAL
AAOVAL o_
O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
c
O
F-
U
W
a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT N 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER•
PLUMBING. _
I HEREBY CERTIFY 1 AM PROPE LY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REG RED BY LOS ANGEL COUNTY' AND STATE OF GAS TEST
CALIFORNIA OR AT A THE LEGAL WNER OF AND INTEND TO
RESIDE IN,THaE OV QRIaED RESID HTIAL PROPERTY. UTILITY CO.NOTIFIED
S I GNATU E�
OF PE ST FINAL
LIDATION ROBERT A.WOOD
,�•, .I�GK/. J M.O. CASH SUPERVISING MECHANICAL ENG'R
z . o NOV 14 5 a 3.5 0—
o:es.17 seem arm i-ae APPLICATION FOR PS'$�IIT
(DEPARTMENT OF BUILDING AND•SAFETY, ;
COUNTY OF LOS ANGELES �L:
,- WM.J.FOX.CHIEF ENGINEER
NATURE OF INSTALLATION /DISTRICT O. � Z P 1
ROUGH. FIXTURES COMPLETE -c fi to
_ RECEi BY' READY POI( DATE ISBIJED
HEATER CESSPOOL SEPTIC TANK / FIRST INSPECTION (�
A M18CELCANEOUB_ ! °'�
L,
SENSE I
APPLICANT FILL IN HEAVILY OUTLINED PORTION.
ONLY
! -
E NAME o f m CIt I I �,�gu „rADoe,DRESS 4a 14 L H AL. •V a
Id
M
ADDRESS LOCALITY L�. ;e( -,.1
.j - NEAREST
L CITY TEL.No. : CROSS ST. e SLIM IX
COUNTY �y
CERT.No. EXPIRES m NAME , q ll{S
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3
NORTH ADDRESS A+\A t:T'
• O
CITY . TEL.No.
1 AM THE LEGAL POSSESSOR OF THS• ASOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLuidem
PW L� i AM THE LEGAL OWNER OF THE P OPERTY DESCRIBED
ABOVE. ��) . 1 60 N
�}
oWNBN
RRECTIONS "
SOUTH.
• J.
DESCRIPTION OF WORN q Z
eATH TUB. - FURNACBWvq Lt..
HOWE DISHWASHER p
--LAVATORY. REFRIGERATOR
ITCHEN SINK WATER SOFTENER i
ON SINK -----SAND TRAP
LOP SINK � FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN L( . DATE IN8P@CTOR'9 NANB
WATER HEATER DENTAL LAVATORY :. ROUGH PLUMBING f'� �g��i
ETEI �AS QODA FOUNTAIN GAB PIPING I
OUTL `
!-GAS VENT j1
+ CESSPOOL
,�(( TOTAL NUMBER OF FIXTURES SEPTIC TANK
�CE66POOL_____AEPTICTANK : SEWER
UTILITY CO.NOTIFIED. . I
TOTAL FEE
' �` FINAL'
e
r
• COUNTY OF LOS ANUELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211150033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
]LEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 12205 LT: 33 I 1 5222 PAL MAL AV I
I" IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917803435 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
8585-030-038 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I
ITENANT: 25 LAVATORIES/SINKS 4.00 FIX 64.80 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 108.80 111/15/12 SR
(OWNER: TEL. NO: I IFI§AL DATE FI BY: CODE:
IWANG, SHIH FANG -
15222 PAL MAL AV
ITEMP 917803435 I SCRIPTIO OF WORK
INI
STALL BATHTUB, 2 LAVATORIES, 1 KITCHEN SINK AND LAUNDRY ]
I I ISINK I
(APPLICANT: TEL. NO: I
IKAO, ANDY (626) 827-4567-
12532 EDWARDS AVE 6 I ISPECIAL CONDITIONS:
IS EL MONTE CA 91733 I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IBESTALL CONSTRUCTION (626) 827-4567- I 1 1
12582 EDWARDS AVE #6 LIC. NO I (UNDER SLAB WORK I I
IS EL MONTE CA 91733 953477
I I IWATER SERVICE I ]
(ARCHITECT OR ENGINEER: TEL. NO: I ]PLASTIC YIN METAL YIN
I I I
] - l IROUGH PLUMBING ] I 1
] LIC. NO: I I I 1
' ]GAS PIPING
GAS VENT
I I IHOT WATER HEATER I I I
] I IPLUMBING FIXTURES I I 1
1 ILAWN SPRINKLERS I I 1
I I IGAS TEST I I 1
I I (UTILITY COMPANY NOTIFIED] 1
I I ICWV I I I
I I IGRAY WATER SYSTEM ] I
I I I I I I
I
I i I I I
I I I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I 1
I I I I I I
COUNTY OF LOS ANG)3LES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1210260014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 12205 IT: 33 I 1 5222 PAL MAL AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803435
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-030-038 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
1 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 [
TENANT: 111 CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: I
145 WATER CLOSET/URINAL 2.00 FIX 32.40 110/26/12 SR
147 WATER HEATER(S) 1.00 WTH 16.20 1
(OWNER: TEL. NO: 163 WATER PIPING BR/FIX 1.00 FIX 6.80 1FINAL DATE FINAL BY: CODE:
IWANG, SHIH FANG - I TOTAL FEES 115.60 1 �Jj�f
15222 PAL MAL AV I I I
ITEMP 917803435 1 I SCRIPTION OF WORK
I
I I INTERIOR REMODEL FOR BATHROOM AND KITCHEN
(APPLICANT: TEL. NO: 1 1
IKAO, ANDY (626) 827-4567- 1 1 I
12532 EDWARDS AVE 6 1 ISPECIAL CONDITIONS: 1
IS EL MONTE CA 91733 I I
I I I
1CONTRACTOR: TEL. N0: 1 1APPROVALS DATE INSPECTOR SIGNATURE
IBESTALL CONSTRUCTION (626) 827-4567- 1 1 I
12582 EDWARDS AVE #6 LIC. NO 1 (UNDER SLAB WORK I I I
1S. EL MONTE, CA 91733 953477 B 1 I I I
I IWATER SERVICE
I IPLASTIC Y/N METAL Y/N I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
I 1ROUGH PLUMBING
I LIC. N0: i 1
IGAS PIPING
I [ IGAS VENT I I I
I I IHOT WATER HEATER
I � I
I I (PLUMBING FIXTURES I I I
I I [LAWN SPRINKLERS
I I I
1 I IGAS TEST I [ I
I I (UTILITY COMPANY NOTIFIED( I I
I I ICWv I I I
(GRAY WATER SYSTEM
I I I
I I I I I
I I I ► � I
fI
I IREPORT ID: DPR263 ROUTE TO: BS0508
I I I I I I