HomeMy Public PortalAbout5544 PAL MAL AVE_Plumbing__ 7EACi (:-917 12;59 S ES'fdP .F. C0TV
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDINGD AFETY MSION BUILDING �+L
JOHN A. L MBI , COUNTY NGINEER ADDRESS ✓✓ L.
WILLIAM A. DENS EN. Sua'i of 6uROinG LOCK=
FOR APPLICANT TO FML IN CRN O� STT. U ir o,,t
NUMBER FIXTURE OR ITEM
OWNER aA.) r- QSrgrrs Nc
WATER CLOSET `
RATH TUB
SHOWER CITY a A10A,J 7C TEL. NO. G 76 l
LAVATORY
CONTRACTOR
SING ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO GP ;ONE PR CES BY
WATER HEATER /',j
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD N
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p $1.00 PER ITEM
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7a
OR IDCTURE $
APPROVALS DATE INSPECTOR'S SIGNATURE
- PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PRGPEjRTY.. 5 UTILITY CO.NOT]FI ED
SIGNATURE �/C
OF PERMITTE l r
FINAL
®r
pA,OVALIDATION ROBERT A. WOOD.
SUPERVISING MECHANICAL ENG'R
5 J 1. ._
76A657;712 12159
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APPLICATION FOR PLUMB11G ERMIT
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NUMBER FIXTURE OR ITEM OWI
ER
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OAS STBrEK INDUSTRIAL
WASTE APPROVAL
INSPECTIO RECORD
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a ORDDPa oa s 0 0
APPROVALS DATE INSPECTOR SSIGNATURE
PERMIT f Y DO UNDER SLAB WORK
TOTAL FEE OC) ROUGH PLUMBING
GAS PIPING k
1 HEREBY ACKNOWLEDGE THAT I RAVE BRAD THIS APPUCATION
AND STATE THAT THE ABOVE U CORRECT ARO AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STAIR LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFT THAT 1 AM PROPESLY BEGISTIUM ABHOR PLUMBING FIXTURES 1
LICENSED AS REQUIRED BY LOB AMGELO CO
UNIT AND STATE OF OAS•BBT
CALIFORNIA OR THAT 1 AM THE LEGAL OWHO OF THE AMOYE
DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED
SIGNATURE
OF PERMI
FINAL
I7•
/'-'VALIDATION ROBERT A WOOD.
CA// ■ 0 CAfN SUPERVISING MECHANICAL ENG R
,Co 6 2 6 9 2 SEP 12 5 D 1 1 .0 0
,BARB>. LCE i9�APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FORAPPLICANT TO FILL IN(PRINT OR TYPE) BUILDIIN55 4 N . Pal Mal
NUMBER FIXTURE OR ITEM • FEE —ADDRESS
WATER CLOSET LOCALITY Tem le. Cit
BATHTUB NEAREST
CROSS ST.
SHOWER OWNER Rona Ga-LIC,
LAVATORYMAIL 5544N . Pal Mal
ADDRESS
SINK CITY Temple City TEL.N0444-4 963
DISHWASHER CONTRACTOR Universal Pl
Luntling
CLOTHES WASHER ADDRESS 2 31 Lee Ave .
SWIMMING POOL RECEPTOR CITY SO. El Monte TEL N0575-346o
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO. 16018 CLAS 6
GAS SYSTEM OUTLETS DISTRICT NO, G UP E ROCE ED BY
` p s P Led
55 VER SYSTEM INDUSTRIAL V
WASTE APPROVAL C
INSPECTION RECORD
U
W
1
tMZ
Plan check fee
PLUMBING PERMIT ISSUING FEE E
TOTALFEE
Plan check applicant
AVALS D TE INSPECTOR'S SIGNAT E
Name
UNDER ORK
Address ROUGH PLUMBING
City Tel.No. GASPIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I A ROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
RECLINED BY LOS ANGELES COU AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST D 7
LEGAL OWNER OF.AND INTEND ESIOE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERM ITTEF FINAL
PLAN CHECK VALIDATION CK. M.D. CASH4 5 2 r AyERMITT VALI�TIDN 2CK5 FvM,q AST H
'
COUNTY OF IAS ANGELES TEMPLE CITY X 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS PL 0508 1001120018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
I ON FILE I 1 5544 PAL MAL AV 1
I IFEE DESCRIPTION QUANTITY DOM AMOUNT I TEMP CA 917802848
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LIVE OAK
18586-010-020 101 PERMIT ISSUANCE PEE 27 75 I THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1 00 WTH 16 20 I
(TENANT TOTAL FEES 43 95 (ISSUED ON PROCESSED BY PINI BY EXPIRES ON
101/12/10 SR 01/12/11
(OWNER TEL NO IF NAL DA �A PI CODE 1
15ALLO, RONALD
15549 PAL MAI. AV
(TEMP 917802848 1 ID�SS CRIPTION OF WORK VI
IREMOVE/REPLACE GAS WATER HEATER LOCATION OUTSIDE SHED 40 1
GALLONS ENERGY FACTOR- 62
(APPLICANT TEL NO
ILIZ BRIDGES (425) 636-7084- 1
112601 132ND AVE HE I ISPECIAL CONDITIONS 1
KIRKLAND WA 98034 I 1
I I
I I
ICONTRACIOR TEL NOI (APPROVALS DATE INSPECTOR SIGNATURE 1
(FAST WATER HEATER CO (800) 454-8955- 1 1
12601 132 AVE HE LIC NO 1 (UNDER SLAB WORK 1
KIRKIAND WA 98034 677489 C36 I I 1 1
I IWATER SERVICE I 1
IPLASTIC YIN METAL YIN I 1
IARCHITECI OR ENGINEER TEL NO
ROUGH PLUMBING
LIC NO
1 1 GAS PIPING
(GAS VENT 1 11
1 HOT WATER HEATER k
IIJ I
PLUIIDICKi FIXTURES
LAW4 SPRINKLERS I
1 (GAS TEST I I I
IfIFILITY COMPANY NOTIFIED 1
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1 I IGRAY WRITER SYSTEM I I
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