HomeMy Public PortalAbout5438 PAL MAL AVE_Plumbing__ 7 8/68
76 A 667—cE BIAPPLICATI XR PLU BING P MI
T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENG
BUILDING AND SAFETY DPIRSION FAD"DRUESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING ITY
FOR APPLICANT TO FILL IN PR NT OR TYPE M dTNUMBER FIXTURE OR ITEM EACH FEB
R
WATER CLOSET 150 BATH TUB 1 50 SS
SHOWER 1 50 TEL NO
LAVATORY 150 I
ACTOR
SINK 1 50 BR a
DISHWASHER 150 TRL No
CLOTHES WASHER 1 s0 LIC
SE NO CLASS
SWIMMING POOL RECEPTOR 150TRIR 6R ZONE ► [SS[D EY
LAWN SPRINKLER SYSTEM 7 00
WATER HEATER 1 50 }RmO
c APPROVAL
GAS SYSTEM OUTLETS 1 50 DBILCTION RECORD
OUTLETS OVER 30
5 PER SYSTEM
2
L
Plan check fee. 21% of above See reversr
PLUMBING PERMIT ISSUING MF 8 2 00
1 OT4L FF E
APPROVALS DATE INSPECTOR S{IGNATYME
Plan cherk applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
Cit) Tel Na HOT WATER HEATER
1 MR[RT ACK OWLS"GE THAT 1 HAVE P[AD THIS APPLICATION
AND STATE THAT THE ABOVE IS COPPER Awa AORIS TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND RATi LAWS REGULATING GAS TEST
PLUMPING
1 HEREBY
CERTIFY TNAT 1 AM mmmNLY IIEOIST[REO AMDIOII UTILITY CO NOTIFIEO
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND RATE OF
ULIIOIIMIA OR THAT 1 AY THE LEGAL 01 AND INTEND TO
MEDICS IN THIS ABOVE p[SC IOiwT WT FINAL
SIGNATURE JACK R ALLEN, SUPS VI IMG A
OF PERMITT[[ NICAL ENG R
ID
PERMIT VALATION N o CASH
PLAN CHECK VALIDATION CK M oI n 7 O 8 4R OCT 8 5 D 3.50- q
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING L
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CgORS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER LA�M N
WATER CLOSET 11.25 MAD.
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
1 LAVATORY 1,25 CONTRACTOR CDM 0 L,
am 1.25 ADDRESS / Jy U y- d 2
DISHWASHER 1.25 Cln QR/ TEL. �/
CONTRACTOR'S 1� (� STATE
LAUNDRY TUB 1.25 REGISTRATION HO. COUNTY
CLOTHES WASHER 1.25011011
DISTRICT NO. GROUP ZONE P S$ED BY
I WATER HEATER 1.58
OAS SYSTEM OUTLETS 1.50 WASTE AAPPROVAL
OUTLETS OVER 5 PER SYSTEM AD IAS CTION RECORD 0..
� � 0
O
u
d
rt
AtRKOWAks DATE INSPECTOR'S SI RE
PERMIT S 2 00 UNDER B9R{WORK 1.. 4;
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LIC[HIED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST /
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.ANO INTCND TO
RESIDE IN,THE ABOV ESCRIBED RESIDENTIAL PRO E UTILITY CO.NOTIFIED
r
SIGNATURE
OF PERM ITT FINAL
ALIDATION ROBERT A. WOOD
crc. M.D. CASH SUPERVISING MECHANICAL ENG'R
tltl,o 4 5 0 2:d SEP 19 5 D 1 1.2 5� a
�v� I�
• WORIQ S ODMPEF"TION DECLARATION n— 20-M DOW 4189 I'
1 hereby affirm that I have a certificate of consent to sell Influrd 7°. � APPLICATION FOR PLUMBING PERMIT LI
or a cenllicib of Worker a Compensation Insurance or a cer1111td
copy thereof(Sec 3800 Lab C)
Porky No Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV
❑ C.WW copy Is hereby furnished FOR APPI ICArfT TO FILL IN TRW OR TYPE)
❑ Certleed Dopy Is liked with the county building Inspection
depemnsnt NUMBER FORURE OR REM O FEE LOCALITY
Date Applicant WATER CLOSEr NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' ( �
COMPENSATION BAT/I TUB O
(TMe section need nW be campketed�H the wowork Involved by the SHOWER MAP // PAGE PARCEL.
permit Is 1"one hundred dollen(1100)or keit) LAVATORY OW� 1
I unify that In the performance of the work for which this permit
is issued I shall not employ any person In any manner so u to Sm
became subject to the Workers Compensation Laws MALI MAIL8
DISWASNER CRY C4-( TEL IO L
Data APpkm CLOTHES WASHER CONTRACTOR
NOTICE TO APPLICANT 11 after making this Certificate of
Exemption you should become sub(act to the Workers Compensation SWIMMING POOL RECEPTOR
provisions of the Lab"Code you must forthwith comply with such ADDRESS
PtovWons or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM
LICENSED CONTRACTORS DECLARATION WATER HEATER CRY TEL ND d
1 hereby affirm that I •m licensed under provisions of Chapter g STATE(comm withNm Section 7000)of Division 3 of the Business and OAS SYSTEM OUTLETS STATELICENSE LIC V1
Profeasns Code and my IlceMe Is In full force and effect � Q
as PER
O
License Number Lk Claes H
W
Contractor Data DATE �f�( VALIDATION Z
F1I am exempt under Sac BYFIN '(7)
B aP C 1"this eeeon
Dasa Plan check fee ,
Signature PLUMBING PERMIT ISSUING FEE$
❑ SINGLE TOTAL FEE O
LY Plan chlor applicant5
HOME OWNER BUILDER IDECLARATION Nems ACCT.:
I hereby affirm that I am exempt from the Contractor's License Law
lar the following reason(Semon 7031 a Business and Profession. Adams ? 50.50
Code)
E] car rel No 1 ITEIU
I as owner of the property do the work and the structure
is not Intended or offered for
ole(Section 7044 Businees TOTAL 50 . 50
and Professions Code) 100. C� LaVer�C�HK �0.50
gNE
CONSTRUCTLENDING AGENCY `4( .100
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is Moved ec Md(S3087
CIv C)
0000-0001 8/21/90
Londoes is: 2505 1 AM 9:12
Lender a Addrees
I certify that I have read this application and stab that the above 10.Informs ation correct I agree to comNm
ply all County ordinances
and State Hews regulating Plumbing and hereby authorize
representatives of this County to enter upon the above-mentioned
property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
WOthat I have a cNSATION DE<XAMTION 76A�`"enw APPLICATION FOR PLUMBING PERMIT
I hereby affirm that I here a certificate of consent to Gell Insure
or a certificate of Worker a Compensation Insurance or a certified
copy thereof(Sec 3800 Lab C)
PolicyCOUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV
❑ CBnXled copy b hmby hirrdshexi A A
FOR APPLICANT TO FILL IN(PRS OR TYPE) SSS S 3 �n - A H Vo-
E]
Cartmsd copy b IOed wird tis couumY brrOArrp krepecdon
deglarbnent NUMBER FIXTURE OR ITEM O FEET
LUCALffV
Dole // 2 Q App°c tet WATER CLOSET NEAREST
D �kfAIFs Ai/6
CERTI TE OF EXEMPTION FROM WORKERS BATH TUB
COMPENSATION INSURANCE
(This section need not be compteted N the work involved by the SHOWIER MAP BOOK ,/ PHARE / PARCEL
permit Is for one hundred dolten by($100)or ) LAVATORY OWNER �N /`- f--
- /AI /
I certify that In the performance of the work for which this permit q p
Is issued 1 shell not employ any person in any manner so as to SINK ADDRESS 6eL / /��
become subject to the Workers Compensation Laws I Q/
Date ' 4 Q Appppm YW
DISWABHER CITY 4 `I 7"' TEL wo _S 2
CLOTHES WASHER CONTRACTOR
NOT IC TOAPPLICANT If after making this Certificate of
Exemption you should became subject to the Workers Compensation SWIMMING POOL RECEPTOR
provisions of the Labor Code you must forthwith comply with ouch ADDRESS
provisions or this permit Mall be deemed revoked LAWN SPRINXLER SYSTEM
LICENSED CONTRACTORS DECLARATION CITY TEL 110 }
I hereby affirm that I am licensed under provisions of Chapter 8 WATER HEATER Cgi87•
(commencing with Seotlon 7000)of Division 3 of the Business and STATE
TA ENp LIC
Professions Code,and my license b in fun force and effect GAS SYSTEM OUTLETS
LICENSE CLASS
OUTLaETS PER OVER DISTRICT NO PROCESSED Br
License Number Lie CLM TEM 19 0
FINAL
VALIDATION
Data Connector Da
❑ 1 am exempt under Sec BFINA
B 8P C for this reason
Date Plan check fee ► YO �•
Signature PLUMBING PERMIT ISSUING FEE t Y 5
❑ TOTAL FEE Q ACC T.
SINGLE FAMILY Plan�l appfleam =�IJ7 214.TO
HOME OWNER-1WILDER DECLARATIDN Name 1 ITEMS
hereby affirm Net I am exempt trem the Contractor's License Law
for the following reason(Section 7031 S Business and Professions Address TOTAL 20 - 50
Code)
cur Tel No CHECK 2D.7t
1 m owner of the property will co the Werk and the structure
Is not Intended or offered for eels(Section 7044, Business t-HI 7E ,I I
and Professions Code) ,
CONSTRUCTION LENDING AGENCY Tfilnntenrr,, n
I hereby affirm that there is a canetruction lending agency for the uyUU-DOD1 11/27/9J
performance of the wash for which this permit Is Issued(Sec 30°7
CIV C) §1O2 1 AN E:47
Larder a Name
Larder a Address
I cerUty that I have read this appllutlon and slate that the above ,
Information is correct 1 agree to compry,with all County ordinances
and State laws regulating Plumbing and hereby authorize
represerrteliree of this County to enter upon the above-mentioned
property for Inspection purpmss SEP REVERSE FOR EXPLANATORY LANGUAGE
�'v c2 7 9O
• 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0209270006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ENT
LEGAL ID FEES PAio BUILDING ADDRESS:
TR: 7690 LT 17 IN 002 5438 PAL MAL AV
FEE DESCRIPTION- QUANTITY: UOI AMOUNT TEMP CA 917802846
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DAINES
SSM-030-020 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY. TEMPLE CITY
25 LAVATORIES/SINKS 1 00 FIX 16.20
TENANT TOTAL FEES 43 95
ISSUED ON PROCESSED BY PLAN BY EXMVEFUW-
09127102 JK 03/26/03
OWNER: TEL NO FINAL LIANG CHING C,NA T (626) 286-5225- �--1 r—�/(�
5438 PAL MAL AVE l VJ �l J U L-
TEMPLE CITY 91780 DESCRIPTION
C/O KITCHEN SINK
APPLI
SAME AS OWNER TEL NO -
SPECIAL CONDITIONS
CONTRACtm TEL APPROVALS DATr— INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO UNDER SLAB WORK
WATER SERVICE
r' PLASTIC Y/N METAL Y/M
ARCHITECT OR ENGINEER TEL. NO
ROUGH PLUMBING
LIC NO-
REPORT ID DPR263 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0304040020
_ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 ENT
LEGAL -
fttS PAID BUILDING AuuREss
TR: 7690LT 17 UN OD2 5438 PAL MAL AV
FEE DESCRIPTION QUANTITY' UOM AMOUNT TEMP CA 917802846
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DAINES
8566-030-020 01 PERMIT ISSUANCE FEE 27.75 THOUS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 00 FIX 16.20
TENANT 25 LAVATORIES/SINKS 1 00 FIX 16 20
issuED ON: moctssto oy PLAN ST EXPIRES ON-
TOTAL FEES 60.15 04/04/03 JK 10/01/03
OWNER- FI
5438LIANGPALIMALCHNGCAVENUE HA T <626) 444-5618- /. ( /
TEMPLE CITY 91780 utbGxlPTium OF
PLUMBING FOR ADDITION
APPLICANT. TEL NO
SAME AS OWNERCONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
-
SPECIAL CONDITIONS
SAME AS OWNER -
LIC NO UNDER SLAU WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL NO
LIC NO
GAS VENT
HOT WATER HEATER
CWV
GRAY WATER STSTER
REPORT 10 DPR263 ROUTE TO BS0508