HomeMy Public PortalAbout5516 PAL MAL AVE_Plumbing__ OBE.,,10-ES APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Depw hent of County Engineer
County of Los Angeles BUILDINGJ
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS Syl! rG / (7b NI
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER ✓ V DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION
MAIL /
ADDRESS
CITY cTEL. NO. INDUSTRIAL WASTEAPPROVAL
PwNiBER -�' - +�5, l� -•i _INSPECTION RECORD
ADDRESS _ / Yj �� yV���
LICENSE NO. //w 4/J /F•` ,A'N tv�L ���
NUMBER TYPE OF FIXTTURE OR ITEM FEE /
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00 Y
SHOWER @ $1.00 �p -
J G
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00 r
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 L- 22 '.7 6 /�[�(Ik FINRL �, (• - /GAGG:
CLOTHES WASHER @ $LOO
WATER HEATER @ $1.00-GA
S SYSTEM @ $1.00
APPROVALS`
'DATE INSPE OR'S SIG" TURE
UNDER SLAB WORK �[.•>
PERMIT $ 1 00 ROUGHPLUMBING H,.�7" .Gt-•� i'
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING, PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANNOR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL
SIGNAT4 RE
OF PERMITTEE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER LIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
CY. Y.0. CASH
4577' MAR?() 3 7.00 In
COUNTY uF LOS ANGELES TEMPLE CITY k 0508 PLli4,NG PERMIT
DEPARTMENT OF PURL'C WORKS 9701 LAS TUNAS PL 0"S 04CBW018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
IEGAL ID FEES PAID BUILDING
ON FILE 5516 PAL MAL A`y
FEE DESCRIPTION QUANTITY. UOM AMOUNT TEMP CA 917802843
ASe NEAREST CROSS S1kFET DAINES
8586-010-027 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY: TEMF-E CIT", C
25 LAVATORIES/SINKS 1.00 FIX 16 20
TENANT 51 IOW PRS GAS 5 OUTLET 1 00 SYS 16 20 ISSUtD ON PROCESSED By PLAN BY ExPTWU-M
IOTAS FEES 60 15 08/06/04 JK 02/02/05
c,+H —YEC�AbI T BY CODE
CE BRAD (626) 246.8080-
5516 PAL MAL
EkCVE SINK AND
REFMYE SINK AND GAS LINE
TOPLICANT
SAME AS OWNER
SP�.CIAL CONDITIONS
i
C(.N R -
SAME AS OWNER - 1
LIC NO I LfnST- SLAB
I ' PCTf�3"R47r:�
_ PLAS-IC YIN METAL YIN I
nOR ENGINEER TEL NO
LIC NO
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I 1711ffrrE MANY NOTIFT'Mi—
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uPAV WATER SYSTEM
REPORT ID DPR263 ROUTE TO BSO508