HomeMy Public PortalAbout5429 PAL MAL AVE_Plumbing__ 76 A 667-CE 817 46R rIT APPLICATION FOR PLUMBING PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVLSION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEERCOLEMAN W. JENKINS. SUPT. OF BuamNG LOCFOR APPLICANT TO FILL IN PR NT OR TYPE) CHOJLREffT
NUMBER FIXTUqE OR ITEM EACH FEE OW - IB
WATER CLOSET 1.50 MA6 �L..
46F-
BATH TUB 1.50 ADDRESS J ,4-,
SHOWER 1.50 CITY TEL. NO. *313 -77
LAVATORY 1.50 CONTRACTOR A"�—
SINK 1.50 ADDRESS
DISHWASHER 1.50 CRT TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
/ LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 / O DISTRICT NSI. GROU ZONE P O EBB D BY y
LAWN SPRINKLER SYSTEM 2.00 (/n Of7 JIIO
WATER HEATER 1.50 IN US U
A8 APPROVAL Z
GAS SYSTEM OUTLETS 1.50 / 7 qFSxxCTION RECO F0r
OUTLETS OVER .30 W
5 PER SYSTEM 44441111
6? 97
i
Plan check fee 25% of above. See reverse. IMF
6 3
PLUMBING PERMIT ISSUING FEE $ 1 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE NEAD THIS APPLICATION
AN STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST G
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMO/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PRO ERT FINAL s
SIGNATURE JACK R. ALLEN, SU ERVISIN CHANICAL ENG•R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
Af' 9 0 9 u APR 2 5 D 5 L O-
L-
TOAOOT -CENOI. 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER all
BUILDING AN, SAFETY DIVISION BOD.DuiV ]h��
JOHN A. LAM IE. COUNTY ENGINEER ADDHE88 .J
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEARESTCROSS ST. O
NUMBER FIXTURE OR ITEM EACH FEE OWNER
II WATER CLOSET Bias MAIL
RATH TUB 1.15 ADDRESS
SHOWER IAS CI TEL. NO.
LAVATORY 1,15 CONTRACTO
BINE I.1S ADDRESS
DISHWASHER 1.15 CITY TEL. No.7�. 7G g�L
LAUNDRY TUB 1,13 CONTRACTOR'S /� STATE
REGISTRATION NO. �.� COUNTY
CLOTHES WASHER IRS DISTRICT�NjO. GROUP ZONE P ERRED BY
WATER NEATER Im b -1---
/ 1.W INDUSTRIAL i
GAS SYSTEM OUTLETS WASTE APPROVAL 0OU7LET8 OVER S PER SYSTEM .SD INSPECTION RECORD V
619A�� '( esT 6 li m
O
o_
N
Z
APPROVALS PATF Ix ECTOR•S SIGN TUBE
PERMIT Z 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
HERE[Y ACKNOWL[ODE THAT I HAVE READ THIS APPLICATION GAS VENT S
ANO STAT[ THAT THE ABOVE IS CORRECT AND AOI![[ TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING NOT WATER NEATER
PLUMBING.
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES (X-AkASAA44— All
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABOVE a I[[D R[[mcNT1�,L,PRDPERTY. UTILITY CO.NOTIFIED
SIGNATURE F
OF PERMITTEE FINAL
T ROBERT A. WOOD
O
1K w D. CASH SUPERVISING MECHANICAL ENG'R
LAL02251 ,AIN 3 5 D 8.75-
Q
TSA..e (CS.-II]I - 1/7S
APPLICATION F9R PLUM NG PERMIT {�
COUNTY OF LOS ANGELES f
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS S LL
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Lg GD y�
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
CROSS T
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET 200 OWNER -HjC..K � �..0
MAIL �r
BATH TUB 2 DO ADDRESS J
SHOWER 200 CITY tc TEL NO A/ .3_Z
LAVATORY 200 CONTRACTOR Er NS
SINK 200 Q ADDRESS
DISHWASHER 200 CITY TEL NO
CLOTHES WASHER 200 STATE D>/ / n C
SWIMMING POOL RECEPTOR 200 LICENSE NO C
LASS
DISTRICT NO GROUP �ONE PR EBBE eV
LAWN SPRINKLER SYSTEM 200 U�jSS7Tpp10qq LB �
WATER HEATER 2 DO WASTE APPROVAL
d
GAS SYSTEM OUTLETS 200 (f INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM 30 O
1--
V
W
d
N
Z
Plan check fee Sa R.V.,..
PLUMBING PERMIT ISSUING FEE a
TOTAL FEE
APPOVALS DATE (NSP[ OR S SIGNATURE
Plan check applicant UNDER-ePWB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
HOT WATER HEATER
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE IB CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
MUNISING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR TI
UTILITY CO NOFIED
LICENSED AS REOUIRED BY LOS ANGELES COON TT AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINA
SIGNATURE:
OF PERMITTEE
IT VALIDATIONDK M CASH
PLAN CHECK VALIDATION CK M 0 CASH
a s $BSEP 24 5 0 105 0 A90
COUNTY OF LOS ANGELES TEMPLE CITf 4 0508 PLUMBING PERMIT
DE-ART14ENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0408110004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE PITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL 10: FEES FS_ BUILDING ADDRESS
TR- 7690 LT 16 5429 PAL MAL AV
FEE DESCRIPTION QUANTITY =1 AMOUNT TEMP CA 917802847
ASSESSOR INFOPMATION NUMBER NEAREST CROSS STREET DAINES
8586-029-027 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 00 FIX 16 20
11 CLOTHESWASHER(S) 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
25 LAVATORIES/SINKS 1 00 FIX 16 20 08/12/04 JK 02/08/05
45 WATER CLOSET/URINAL 1 00 FAX 16 20
OWNER —7F-L--N-(7— 47 WATER HEATERS) 1 DO WTH 16 20 MAT-ML
TONG TOM - 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20
5429 PAL MAL A4 TOTAL FEES 124 95 �S
TEMPLE CITY 91780
PLUMBING FOR SECOND UNIT
APPLICANT TEL NO
SAME AS OWNER -
SPECIAL UN
CONTRACTORlNo APPROVALS DATE INSPECTOR
SAME AS OWNER -
LIC NO CINDERSLAB WORK
L�
�>'NGIN PLASTIC Y/N METAL Y/N
CHOU, HUNG (626) 574-0101- ROUGH PLUABING271-
511 S '-T AV 9161 LIC NO
ARCADIA, CA 91006 C17559 GAS PiPING �7
Or-WiTSER HEATER
PLUIMH!i�G FIXTURES
GAS S
SYSTEMUTILITY COMPANY NOTIFM
cWV
GRAY WATER
REPORT ID DPR263 ROUTE TO BS0508