HomeMy Public PortalAbout5436 PAL MAL AVE_Plumbing__ l r
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APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES 5
DEPARTMENT OF COUNTY ENGINEERFADDRESS
BUMDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER / /4L "1 A L-
WILLIAM A. JENSEN. SUPT OF BUILDINGFOR APPLICANT SO PIIS IN NUMBER FIXTURE OR ITEM ��� /t.'� A/_�'WATER CLOSET BATH TDRTEL NO.
SHOWER
CONTRACTOR (/ CG''iv( O
LAVATORY /�
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ADDRESS I //C�
DISHWASHER CITY r� TEL. NO-Ar S
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LAUNDRY TOB REGISTRATION NO./ N / 2 T S COUNTY
CLOTHES WASHER DISTRICT NO. GROUP
ZONE P SBED BY
WATER HEATER /�}-� t4-�K� d
INDUSTRIAL
GAS WASTE APPROVAI. V
INSIRCTION SECOND 0
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S $1.00 PER STEM
OR FIXTURE x APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT E 2 00 ORDER-siB 8 WORK %� J
TOTAL FEE ROUGH PLUMBING
OAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALLCOUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 2
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAB TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER O T "OVE
DESCRIBED RESIDENTIAL OPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERM ITTE FINAL 7
VALIDATION ROBERT A. WOOD
CK. M.G. CASH SUPERVISING MECHANICAL ENG'R -
L&O 3 8 7th JA 18 5D 1125- V
76A807-CE817 16-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DrMION I'D RE 7a v
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS -1 Z
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALTI7
FOR APPLICANT TO FILA. IN NEST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
HATH TDB DRFBS ed ISTATE
CITY NO.SHOWER ItCONTRACTORLAVATORYADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'SLAUNDRY TUB REGISTRATION NO. -
CLOTHES WASHER DIST/RI�Q.'}NO. GROUP Z/O]ME PIrrSSED.By
WATER HEATER _,' (/
GAS SYSTEM INDUSTRW.
WASTE APPROVAL y
CTION SECOND O
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z
® OR ITEM
A FD5
3 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HERBST ACKNOWLEDGE THAT 1HAVE READ THIN APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. _
LIGECERTIFY THAT I AM PROPERLY REGISTERED ANWOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST R'
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
OE9CRIBEO RE91 OE TIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE FINAL .>
VALIDATION ROBERT A. WOOD
CK. M.0. cwsH SUPERVISING MECHANICAL ENG'R
L&O 3 1 2 A-� AUG 16 5 D rj.0 0" Q
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211050023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 7690 LT 80 BL 001 UN 004 1 5436 PAL MAL AV
I IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917802846
(ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET
I 1
18586-030-019 01 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, Cl
07 BATHTUBS/SHOWERS 1 00 FIX 16 20 I
TENANT 13 DISHWASHERS) 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY
25 LAVATORIES/SINKS 3 00 FIX 48 60 11/05/12 SR
145 WATER CLOSET/URINAL 1 00 FIX 16 20
(OWNER TEL NO 47 WATER HEATER(S) 1 00 WTH 16 20 1FINAL OATS FIL CODE
EHI, DING (626) 823-3360- 51 IOW PRS GAS 5 OUTLET 1 00 SYS 16 20 1 Jr Y
5436 PAL MAL AV TOTAL FEES 157 40 L(4;
TEMP 917802846 _ (DESCRIPTION OF WORK
BATHTUB/SHOWER LAVATORIE, KITCHEN SINK WATER CLOSET,
(WATER HEATER, GAS LINE AND DISH WASHER
(APPLICANT TEL NO
1ZHANG, JAMES (626) 383-0798- 1
1110 S SUNNY SLOPE I (SPECIAL CONDITIONS
PASADENA CA 91107
CONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE
SHI, JING (626) 823-3360-
15436 PAL MAL AVENUE LIC NO (UNDER SWAB WORK
TEMPLE CITY CA 91780 NONE
(WATER SERVICE
IPLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER TEL NO
(ROUGH PLUMBING I
LIC NO iGAS PIPING
IGAS
Vela I
I HOT WATER HEATER I I
PLUMBING FIXTURES
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