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Home My Public Portal About5528 PAL MAL AVE_Plumbing__ APPLICATION FOR PERMIT DEPARTMENT COUN OFF LOS AN AND SAFETY PLUMBING i COUNTY J. F LOS ANGELES WILLIAM J. FOX. aHlc► ENGINEER FOR APPLICANT TO FILL IN PWMSE / . S R[C BY rIRar iKwKOT1oN T[ 1BBUm ADDRESS - CITY ,` i CITY 7No wuowi� d� DouHTYLICENSE NIL V cxPIRK LDOALIrr f'4 -J NgARKST Pink. /ACROffFE -S NYM�R Trr[Or rIKTYR[OR REN ►[E OWNER ` MAIL WATER CLoarr(TOILET) a d50 is ADDRESS BATH TUB a ago CITY TEL No SHOWER O O.SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) a 050 APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK a 0.50 ANDSTAT[ LAWS REGULATING PLUMBIN0. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOU LAUNDRY TUB OR TRAY a 0150 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER Or THE RKSID[NTIAL PROPERTY DESCRIBED ABOVL GAS BYST[M MuTLETU a 0.00 010HATJRE Or WATER NEATER a 0.SO PERMI SLOP BINK a CLOD INSPECTION RECORD rLOOR BINK a 0.00 FLOOR DRAIN a 0.00 DISHWASHER a 0.50 DRINKING rOUNTAIN a 650 URINAL a d!G J HOUR[ U[W[R a 0.50 = MISCELLANEOUS 17 AM 0C APPROVALS DAT[ INIR.[O wll MAN[ ROUGH PLUMBING GAB PIPING OAS VENT CESSPOOL a 100 CESSPOOL SEPTIC TANKS SEPTIC TANK DRAIN ( I PIT I I a 100 B[W[R PERMIT I.DD owe TEST TOTAL•FEE • /.7 UTILITY CO.NOTIFIED nMAL �� V v .•7w.y.. 7"m APPLICATION FOR PERMIT MENT OF BUILDING AND SAFETY OUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTR ICT NO. GROUP I ZONE PERMIT NO. PLUMBER RECEIVED BY READY FOR DATEISSUED FIRST I NSPECTION ADDRESS _ BUILDING CITY _ TEL. NO. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CRO ST. NUMECR TYPE OF FIXTURE OR ITEM FEE OWNER 01411, (jk- MAIL WATER CLOSET (TOILET) 0.80 5 ADDRESS p/ n BATHTUB 0.80 Ci XIIIC�flL. NO. SHOWER @ 0.80 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY WASH BASIN) @ 0.80 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0,80 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.80 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM-OUTLETS @ 0.80 SIGNATURE OF - �+ WATER NEATER @ 0.80 PERMITT! IE SLOPSINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 J HOUSESEWER 0.801 Z MISCELLANEOUS 3 It I I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ I.Do CESSPOOL SEPTIC TANK_ : I SEPTIC TANK DRAIN 1 ) PIT I ) @ 1.00 SEWER PERMIT 1.00 GAS TEST -} UTILITY CO. NOTIFIED I TOTAL FEE En qj/ G FINAL D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1 COUNTY OF LOS ANGELES VIM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP /Z'O,NE PERMIT NO. ROUGH _ FIXTURES COMPLETEImoR I RE LVED BY: READY FOR DATA IBB ED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION GAB C /A9PPLIC1ANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB [ NAME Dray/�fi /�/I /�`� •' [& ADDRESS M ADDRESS : 2. 6 f"}j7/ /14e� LOCALITY p' � �� C, 14 J 2, /� /i1 NEAREST [ CITY / h7A yfEL.No. CROSS eT. COUNTY AA CERT.No. EXPIRES 6 NAME 1,4 Y W LOCATION OF SEPTIC TANK, OR CESSPOOL. = I MAIL } / NORTH 0 ADD REBS R /- !� CITY %�{��F cam. �4J TEL.NO. �TYI;t I AM THE LEGAL POSE! OR OF THE ABOVE LOB ANGELES COUNTY CERTIFICATE OF QUALIFICATION. F I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED p ABOVE. 1• OWN[11 CORRECTIONS SOUTH DESCRIPTION OF WORK BATH TUB FURNACE Vr r-r —__SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP SINK — FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'[NAM[ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAB SODA FOUNTAIN OUTL GAS PIPING GAB VENT CESSPOOL I TOTAL NUMBER OF FIXTURES SEPTIC TANK S'.1 Y- y I ^ 7i C E58POO, EPTI C TAN K SEWER IBI I UTILITY CO.NOTIFIED TOTAL FEE FINAL ��• D.S.S. IT 25M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT O. GR UP ZONE PERMIT . ROUGH FIXTURES COMPLETE HEATER CESSPOOL —I SEPTIC TANK READY FOR I_ R[6E{YEp FIRST INSPECTION ATi mC) GAS MISCELLANEOUS i �- APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY } ion B NAME ADDRESS M % B ADDRESS Ih LOCALITY Z EA ST L CITY TEL.No. 0 NROBB BY. COUNTY _ CERT.NO. EXPIRESL.� Y NAME LOCATION OF SEPTIC TANK, OR CESSPOOL ZMAIL t MAIL o CITY ts w.. .e TEL.NO.AT— IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF)qAp QUA IFIL TION. RYYER 1 AM THE LEGAL OWNER OF THE P OPERTY DESCRIBED wtovE. OWNER CORRECTIONS SOUTH . a DESCRIPTION OF WORK 1 ATN TUB FURNACE CJ HOWER DISHWASHER O AVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN _�WABN TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DAT! INSPIMTOR'S NAYS WATER HEATER DENTAL LAVATORY ROUGH PLUMBINS I RFRGAS SODA FOUNTAIN GAS PIPING I I oun OAS VENT CESSPOOL I TOTAL NUMBER OF FIXTURES �� SEPTIC TANK I CEBBPOO' SEPTICTANK SEWER S/, q UTILITY CO.NOTIFIED I I TOTAL FEE ./ >� I _ J i FINAL oeAneT n n-no CF? APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. . i '( RS{,)=1YED� READY FOR GATE 1 U D PLUMB E - FIRST INSPECTION BUILDING CITY TEL, NO, ADDRESS COUNTY — ---- LOCALITY / LICENSE NO. EXPIRES,.''.U. - 1 (� NEAREST PERMIT FEES CRose er. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER r/ MAIL WATER CLOSET (TOIL") @ 0.50 S ADDRESS 1 BATHTUB @ 0.50 CITY 1 .( 1 TEL. NO. SHOWER @ O.SO I HEREBY AtKNOWLEDgE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.SO APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.BO STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O.SO ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. OAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF i,fzv WATER HEATER @ 0.50I PERM+TT 1 SLOPSINK @ 0.50 INSPECTION RECORD , FLOOR SINK @ 0.60 FLOOR DRAIN @ O.BO DISHWASHER @ O.BOI DRINKING FOUNTAIN @ 0.30 URINAL @ 0.50 J HOUSESEWER @ 0.50 Z MISCELLANEOUS 13 0 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 1 SEWER PERMIT . 1.00 GAS TEST / TOTAL FEE 6 ' UTILITY CO. NOTIFIED FINAL ,Jt_ *WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT l hereby affirm that I have a certificate of consent to self 40-0046 DPW 6/87 iAure oro certificate of Workers Compen hon Irauronce 78AS67A � rtilssgpy 1r'1 (Sac 3800 Lob D COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS [P'o�r- o X� ' ��Company. Ib Cerllyad copy is hereby furnished ❑ FOR APPLICANT TO FILL IN(PRIM OR TYPE) BUILDING rl� rid•/ _ Certified copy is/sled with the county c- ADDRESS lion deparlment NUMBER FV"REORITEM LOCALITY FFE �J_7-�. � DateAppligont WATER CLOSET NEAREST t CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWEROW ER p ID (This sectian need net be completed If the work involved by the permit Is for one hundred dollars($100)or less ) LAVATORY MAIL ADDRESS I comfy that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner SINK 0 CITY TEL NO w as to become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR Date A plicont CLOTHES WASHER Oa i�/e� NOTICE TO APPLICANT If after making this Certificate of Exemption you should become subjecl to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code you must forth- CITY TEL NO with comply with such provisions or this perms LAWN SPRINKLER SYSTEM shall be STATE lIC �. deemed revoked WATER HEATER !7 LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION D ICT NO BY under I hereby affirm that I am licensed provisions of Chapter 9 GAS =� 1E75 (commencing with Section 7000)of Divitwn 3 of the Business OUTLETS OVER } and Profeawns Code, and .�m-yslicense is in full force and effect A 5 PER SYSTEM FINAL VALIDATION 4: License Number ��+� tic Class Q DATE Q _ _ FINAL U Dote BY � ❑ 1 am exempt under Sec B BPC for this'sown Plan check feeLci,6016— Z PLUMBING PERMIT ISSUING FEE S Signature— TOTAL FEE Plan check applicant SINGLE FAMILY 5 HOME OWNER-BUILDER DECLARATION Name AV I hereby affirm sat I g r exempt from the 31 5, Burin License 91JAddress sir Low /or the Following reason (Section 7031 S, Business and �rr tL Professions Code) City Tel No dJV7 7ae5rrW ❑ 1, as owner of the property, will do the work and the i ITEMS structure is not intended or offered for sole (Section , {� 46.5101 7041, Business and Professions Code) CONSTRUCTION LENDING AGENCY CHECK 46.50 1 hereby affirm that Ihere is a construction lending agency far r�Ls�Lss�T/aa the performance of the work for which this permit a issuedbsv0D (Sac 3097, Gv C ) 0000--mi Lender's Name y0rm i Pi/ 1/89 Lender's Address 4821 1 AM1112+ I certify that I hove read this application and state that the loop information a corracl I agree to comply with all County ordinances and Store jaws regulating Plumbing and hereby authorize reprelentotives of this County to enter upon the a enh ro try for impechon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f PermWee Dole COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL D5D8 0306170003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE- (626) 285-0488 EXT LEGAL ID; thhii PAID BUILDING ADDRESS ON FILE 5528 PAL MAL AV FEE DESCRIPTION QUANTITY I= AMOIAIT TEMP CA 917802848 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET. DAINES 8586-010-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 597 GRID- C3 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 TENJUIT TOTAL FEES 43 95 issuEu ON PROCESSED UT: PLAN BY EXPIRES ON 06/17/03 JK 12/14/03 OWNER: TEL NO FINAL DATE L BY: CODE 5RENKO 528 �ALNMAL AVDAWN (626) 279-2815- EYPI FD TEMPLE CITY 91780 11 GASLINE FOR HVAC SYSTEM APPLi um i TEL 110 SAME AS OWNERCONTRACTOR It:L NO APPROVALS DATE I ISFEETM—nup7mr- - SPECIAL CONDITIONS SAME AS OWNER - LIC NO LINDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO ROUrH PLUMBING LIC NO GAS PIPING GAS VENT HOT WATER HEATER PLUPSING FIXTURES LAWN SPRINKLERS GAS TEST CwV GRAY WATER SYSTEM 7//03 — it,«& q.a l ?ECT_ 71. REPORT ID: DPR263 ROUTE TO 850508 • - COUNTY OF LOS ANGELES TEMPLE CITY 0 D5D8 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0101180009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5528 PAL MAL AV FEE DESCRIPTION: QUANTITY LION AMOUNT TEMP CA 917802848 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DAINES 8586-010-025 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 597 GRID- C3 LOCALITY TEMPLE CITY 21 HOSE BIBB(S) 1.00 FIX 16 20 TENANT 25 LAVATORIES/SINKS 1.00 FIX 16 20 ISSUEDON: PROCESSED BY. PLAN BY. EXPIRES ON TOTAL FEES 60 15 01/18/01 UT 07/17/01 OWNER TEL No Fn7U � FlOk BY: CODE RENKO,DAM 5528 PAL MAL AV TEMP 917802848 OF WORK PLUMBING FOR A NEN RESIDENTIAL GARAGE-SINK AND HOSE BIBB APPLICANT No SAME AS OWNERCONTRACTOR: TEL NO APPROVALS DATE iwsnTTM7� - SPECIAL CONDITIONS SAME AS OWNER - LIC NO UNDER SLAB WORK WATER SERVICE ARCHITECT OR ENGIffnlF TEL NO PLASTIC Y/N METAL Y/N ROUGH PLUMBING LIC NO 1 C11 GAS VENT HOT WATER HEATER LAWN SPRINKLERS GAS TEST UTILITY COMPANY MOTT CwV GRAY WATER SYSTEM REPORT ID OPR263 ROUTE TO BS0508 1