HomeMy Public PortalAbout5241 PAL MAL AVE_Plumbing__ r 1
76A607-CEB17 10-60
APPLICATION FOR PLUMBING PEY I
COUNTY OF LOS ANGELES `J Zq/
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Fr"
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN CHOSSST ,EF
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSEMAIL
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LAVATORY CONTRACTOR
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DISHWASHER CITY ...$ fN EL. NO.
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CLOTHES WASHER OISTRI nNO GROUP Z NE PROCESS BY
WATER NEATER 4
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL }
INSPECTION RECORD °-
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B ITEM
OIR FIXTURE
APP OVALS p4TS` INSPECTOWSSIGNATURE
PERMIT j 2100 UNDER SLAB WORK
TOTAL FEE —U l+ ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIB AITLICATION
AND STATE THAT THE ABOVE IR CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING --
PLUMBING. HOT WATER HEATER -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANWOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE I
OF PERMITT FINAL 9I, _
VALIDATIOROBERT A. WOOD
CK. M.0. (=-/SUPERVISING MECHANICAL ENG'R
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER HDnDmc
BUILDING AND SAFETY DIVISION ADDRESS Sa /
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS T
NUMBER FIXTURE OR ITEM OWNEH
WATER ccossr
DRESS P /
HATH TUB CITY L. NO. 6 p 3 2 7 p
SHOWER
LAVATORY
CONTRACTOR SING N,
ADDRESS N
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE El
LAUNDRY TUB REGISTRATION N COUNTY
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CLOTHES WASHER DISTRICT NCO. GR/QL7- ZONE P ESSED BY
WATER HEATER l� l�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD a
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• 11.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE / ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER NEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESID TIAL PROPERTY, UTILITY CO.NOTIFIED
SIGNATUR
OF PERMIT w
FINAL
®. VALIDATION ROBERT A. WOOD.
u. ■.O. CASH SUPERVISING MECHANICAL ENG'R
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C.R.S.-t7 ]sM SETS ,ISL: APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF STALLATION DISTRICT NO. GROU O E PERMIT .
ROUGH FI)ETURES
HEATER MISCSEELLANEOUS [EPTICL ANK
REC61Vm EY READY FOR DATE HSUED
FIRST INSPECTION
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME / ADDRESS
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S ADDRESS I I O �:. LOCALITY
J t�� NIAR[ST r
y CITY TEL.NO. CROSS R. _ \ F R
COUNTY
CERT.No. EXPIRES E NAME
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LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAILE�3G
ADOR
NORTH O
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CITY � TEL.No. Ir
I AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUNSER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p ABOVE.
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OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
F1148ATH
TUS FURNACE C7
OW[R -DISHWASHER O
VATORY REFRIGERATOR
TCHEN [INK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S Nww6
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAB SODA FOUNTAIN GAS PIPING I I
OU7L
OAS VENT I
L7 CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
-CESSPOOL SEPTICTANK SEWER I
IUTILITY CO.No7m[D
TOTAL FEE SZ+
FINAL - 4 I
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p.B.fl.-Ib 25M EFTS nra APPLICATION FOR PERMIT
DEPARTMENT OFAN AND SAFETY PLUMBING
COUNTY OFF LOS LOS ANGELES
Wm. J. FOX, CHIEF ENGINEER
fQA9
ATURE OF INSTALLATION O. GROU O E .
i _
ROUGH
FIXTURE/ COMPLETE
READY FOR
CE86POOL SEPTIC TANK R m BY FIRST INSPECTION
DATE MUM
MISCELLANEOUSAPPLICANT FILL IN HEAVILYOUTLINEDPORTION ONLY
A4 CmspIi'lr ( UMIIINY JOB
ADORED/t.D/ Pamdon:, SCalifi,rn a LOCALITY
NEAREST TEL.Nos �- CROS/ST.
Y
o. EXPIRES E NAME
N OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS S
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLOMR[R
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p ABOVE.
W >
OWMER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
BATH TUB FURNACE V'
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK SANDTRAP
GLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTALLAVATORY
[ROUGH PLUNBINO
METER GAS SODA FOUNTAIN PIPINGOUTLENT
l
CESSPOOL
TOTAL NUMBER OF FIXTURES _ SEPTIC TANK
CESSPOO SEPTICTANK � /EWER
D UTILITY CO.NOTIFRO
TOTAL FEE FINA +' �/� R Dt
COUNTY OF LOS ANGELES TEMPLE CITY R 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1206040020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAIDI BUILDING ADDRESS
ITR 12205 LT 1 BL 001 UN 002 5241 PAL MAL AV I
IEEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803436 I
1ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET FREER I
18585-022-001 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, CI
1 113 DISHWDSHER(S) 1 00 FIX 16 20 I
(TENANT 125 LAVATORIES/SINKS TOTAL IEE OESO FIX 616 20 0 20 106/0/12N PROCESSED BY PLAN BY
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OWNER TEL NO FINAL QATV BY CODE 1
HERNANDEZ, GUSTAVO/AURELI (626) 279-1890-
15241 PAL MAL AV
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ITEMP 917803436 I 1DESCRIPTION OF WORK I
REPLACE DISHWASHER AND SINK FOR KITCHEN REMODELING I
1APPLICANT TEL NO I I
]SAME AS OWNER - I I
SPECIAL CONDITIONS
I I I 1
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ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
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I LIC NO IUNDEA SLAB WORK I
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i i IPLASTIC YIN METAL YIN I
(ARCHITECT OR ENGINEER TEL NO
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I 1REPORT ID DPR263 ROUTE TO 850508 I I I I
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