HomeMy Public PortalAbout5550 PAL MAL AVE_Plumbing__ "A[nC ICwnel •S/rS
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING
NUMBER FIXTURE OR ITEM FEE ADDRESS 5550 Pal Mal
WATER CLOSET LOCALITY Temple City
BATH TUB CROSS Life Oak
SHOWER OWNER Redeker
MAIL
LAVATORY ADDRESS 5554 Pal Mal
SINK CITY Temple City TEL No 448-9393
DISHWASHER CONTRACTORBen Walker Plumbing
CLOTHES WASHER ADDRESS 629 W. Hillcrest Blvd.
SWIMMING POOL RECEPTOR
CITY Monrovia TEL No 358-1969
LAWN SPRINKLER SYSTEM
- STATE LIC
1 WATER HEATER 3 0 LICENSE NO 182665 CLASS C-36
DISTRICT NO GROUP ZONE R ESSED BY
GAS SYSTEM OUTLETSp
OUTLETS OVER %j OU /
5 PER SYSTEM IND�JSTRI%
WASTE APPROVAL y/
1
INSPECTION RECORD =
Plan check lee �-
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE A
Plan check applicant
Narne APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel NO GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AMD STAT[ THAT THE ABOVE ID CORRECT AND AGR[[ TO COMPLY
WITH ALL COUNTY ORDIMANCn AND STATE LAWS REGULATING HOT WATER HEATER
num 51110 • •
I HER CLNTIIY TNAT I AM PROPLRLY RL01 ST AHD/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT[ Of GAS TEST
CAL.IO ANIA ON THAT 1 AM THE LEGAL OWNER OI. AND INTEND TO
RESIDE .N THE ABOVE DESCRISED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATU RE dA -
72 1
OF PERMITTE FINAL s
PLAN CHECK VALIDATION( f PERMIT VALIDATION c% M 0 CASH
76416Q7 iT E-W APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLCCANTo- FILL IN DISTRICTjiO. GROUP ZONE PERMIT NO.
PLUMBER RECE`VED BY
READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
` ♦ BUILDING
CITY YL TEL. NO. Q / yJ ADDRESS
COUNTY LOCALITY
LICENSE NO. / EXPIRES
NEAREST
PERMIT FEES C1toBB ST. I�f
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Tf
MAIL
WATER CLOSET (TOILET) ® 0.60 8 ADDRESS
BATHTUB ® 0.80 CITY TEL. NO.
SHOWER 0.60 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.110 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAVNDRY TUB ZR TRAY ® 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL . WNER
OF THE RESIDENT_*L PROPERTY DESCRIBED ABOVE
GASSYSTEM OUTLETS ® O.SO
BIGNATU RE OF L,4,"
a+ ,��
WATER HEATER ® 0.50 PERMITTE
SLOPSINK ® 0.50 INSPECTION RECORD
FLOOR SINK 0.30I FLOOR DRAIN Q 0.60
V,p<L T6 •F J
DISHWASHER Q 0.60
DRINKING FOUNTAIN ® 0.50
URINAL ® 0.50 J
HOUSESEWER ® 0.50 Q
Z_
MISCELLANEOUS
Ir
O
I�
APPROVALS
DATE INBPECTOR'9 NAME
ROUGH PLUMBING
GAS PIPING
F'
GAS VENT �
CESSPOOL @ I.Do CESSPOOL
I SEPTIC TANK: I SEPTIC TANK
DRAIN ( PIT I ® 1.00 SEWER
PERMIT 1.00 GAS TEST
OO UTILITY CO. NOTIFIED
TOTAL FEE $
171
-� FINAL �."