HomeMy Public PortalAbout5225 PAL MAL AVE_Plumbing__ D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY.!-
'7-
TY
AFETY.TY OF LOS-ANGELES PLU BI G' ' T
WM.X. FOX.CHIEF ENGINEER
NATURE,OF INSTALLATION = D18TR�IICT NO. GROUP ZONE PERMIIT� O.
ROUGH FIXTURES COMPLETE
.HEATER CESSPOOL -�SEPTIC TANK REECeEIVED BY READY FOR DATE ISSUED
rLt �r FIRST INSPECTION
n
GAB MISCELLANEOUS '
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
0. NAME -A poor/ •. a ADDRESS
■ ADDRESS' ,�^ ��, fiteVsw�T�d LOCALITY '/ o� e.it
R
Je NEAREST I
S CITY A, _ - TEL.No a� e CROSS ST. Arl
9I,
COUNTY / G ♦ EXPIRES "? 6' NAME
CERT.No. ra.✓ Id
LOCATION OF SEPTIC TANK, OR CESSPOOL -Z MAIL
NORTH O ADDRESS
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFIC TE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL•OWNER.OF THE PROPERTY DESCRIBED
ABOVE.
I• ; tl!- - OWNER
CORRECTIONS
SOUTH / xy
DESCRIPTION OF WORK ' v, �
ATH TUB FURNACE
---SHOWER ^ISHWASHER'
_. LAVATORY REFRIGERATOR -
_KITCHEN SINK WATER SOFTENER_ '
-FLOOR SINK: SAND TRAP
LOP SINK =LEER DRAIN
r_CESSPOOL______SEPTIC
ASH TRAY URINAL APPROVALS
r`
ATER CLOSET ^RINKING FOUNTAIN AS
r
- (DATE, INPECTOR'S NAME
ATER NEATER DENTAL LAVATORY
(p�� ROUGH P..LUMBINA• j
ETER?G CODA FOUNTAIN GAS PIPINGPUTL
GAS VENT
CESSPOOL
OTAL NUMBER OF FIXTURES B tSEPTIC TANK TANK SEWER
S.
TOTAL FEE of -UTILITY CO.NOTIFIED /3
I FINAL VV, / 111✓i¢i `'''��
76A667 FF817-6.57 r
a
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D.GRIFFIN. SUPT of BUILDING LOCALIT
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM CROSS ST. 6
WATER CLOSET OWN e
BATH TUB ADDRESS
,1 ' h! / E�i�' ✓f%
SHOWER C .„ TEL.NO. � `12
LAVATORY CONTRACT .R
SING .ADDRESS
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTRI T O. GROUP ONE READY FOR INSPECTION
WATER HEATER r r
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Lo p
APPROVALS
CM $1.00 PER ITEM $ DATE INSPECTOR'S SIGNATURE
OR FIXTURE
UNDER SLAB WORK
ERMIT 1 00
ROUGH PLUMBING
PS
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION : ,HOT WATER HEATER
AND STATE THAT THE ABOVE IS. CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
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 1 AM THE LEGA OWNER OF THE 'ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PROPERT
SIGNATURE Q / / INAL
OF PERMITTEE
es VALIDATION ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
CK. M.O. CASH
r
( p 2 8 2 1VON APR 1, 3 A 3,0 0 M
76A667-CE817-.8-W
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTN[ENT .OF COUNTY ENGIIVEEB
BUII DfNG AND SAFETY DMSION S�IRG
_1OHN A. LAMBIE. County Engineer ADDRESS X P19� �'' J.
C TT D.GRIFFIPi.Supt of uilding LOCALITY �!
FOR APPLICANT TO FILL Di
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET mmr
RATS TUB ADDRESS ]
SHOWERCITY a TEL.NO. 06 A
LAVATORY C014MCTOR
_ mg. ADDRESS q,
r DISHWASHER CITY ffl(9___"0c6TEL.NO.
CONTRACTOR'S STATE [ILAIINDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT GROTUP ZONE. P SSE"y
WATER HEATER
Li
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
ORO I �� DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING 7 �—
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS 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.
SIGNATUREFINAL
OFPERMITTEF 4OfD ROBERT A.W
Or VALIDATION SUPERVISING MECHANICAL ENG'R
CH: M.0. CAS
f_, C,,0 7 4 3 5 JUN 3 5 A 7.0 0 W '
D.13.8.-1725M SETS 12-46 APPLICATION FOR PERMIT
OF BUILDING. AND SAFETY
COUNTY OF LOS ANGELES / P` " BING
Wm.J.•FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP /ZONE �}PER�MJIT�NO.
ROUGH FIXTURES. COMPLETE I P'f ] ,_
R CEIVED BY READY FOR V DATE 18SUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN ,HEAVILY OUTLINED PORTION ONLY
I /d
K NAME ,� JADDREOBSS' /(
W
® ADDRESS LOCALITY r
R _
D � 72
� NEAREST
d CITY /(1 TEL.No. CROSS ST. ,s�
COUNTY
CERT.No. EXPIRES• CM NAME r.
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH. ADDRESS
0
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI E:OF QU. IFIC TION.
PLUMB<R
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p ABOVE.
1 OWNER
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK
ATH TUB FURNACE
SHOWERDISHWASHER - C
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET I DRINKING FOUNTAIN DATE INSPZCTOR'Ei NANZ
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
'TER-GASouTL SODA FOUNTAIN GAS PIPING I i
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
ESSPO01 SEPTIC TANK 4010 SEWER I I S
r,r-
I $ J p)� UTILITY CO.NOTIFIED IAl
TOTAL FEE
I / L� FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0504280020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12205 LT: 3 5225 PAL MAL AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803436
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-022-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
04/28/05 JK 10/25/05
OWNER: TEL. NO: FI AL DATE FIN BY:
MUNOZ VICENTE M (626) 401-1977-
5225 PAL MAL AV
TEMP 917803436 DESCRIPTION OF WORK
GAS LINE FOR HEATING SYSTEM
APPLICANT: TEL. NO:
GLENN HEATING & AIR (323) 726-2600-
1425 W. GERMAIN DR. SPECIAL CONDITIONS:
MONTEBELLO, CA 90640
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GLENN HEATING AND AIR (323) 726-2600-
1425 W. GER14AIN DRIVE LIC. NO UNDER SLAB WORK
MONTEBELLO, CA 90640 827367C20
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY J 0508 ' PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9910220011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EGA ID• FEES PAID BUILDING ADDRESS:
TR: 12205 LT: 3 5225 PAL MAL AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803436
ASSESSOR INFORMATIO BER: NEAREST CROSS STREET: LOWER AZUSA
8585-022-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
21 HOSE BIBB(S) 1.00 FIX 16.20
TENANT: 63 WATER PIPING BR/FIX 6.00 FIX 40.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 84.45 10/22/99 UT 04/19/00
14 1_dll
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
MUNOZ VICENTE M (818) 443-7508- �Z
5225 PAL MAL AV o
TEMP 917803436 DESCRIPTION OF WORM
COPPER REPIPE OF WATER SYSTEM
APPLICANT: TEL. NO:
CAL-COAST REPIPING, INC. (800) 649-7511-
1371 TITAN WAY SPECIAL CONDITIONS:
BREA, CA 92821
CONTRACTOR: TEL. �r�GEd.ES Co
CAL-COAST REPIPING (8OO)N649-7511- S vnl/,•y APPROVALS DATE INSPECTOR SIGNATURE
1371 TITAN WAY LIC. NO UNDER SLAB WOR
BREA, CA 636649 C36
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. 0:
- ROUGH.PLUMBING
LIC. N0 / 1111111 G PIPING
L
GAS T
G U D L � I�O OT WATER HEALra K ER
v� MORNING FIXTURES
c a o
1 0 ❑ '? `i,l� WN SPRINKLERS
19 11O ❑ ;�r+
, � .�i,IL__` GAS TES
A ❑ g UTILITY COMPAWYOTME
El 0 cWv
cervi �hs GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BSO5O8