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Home My Public Portal About5626 PAL MAL AVE_Plumbing__ i e 76A667 CE817 12/59 7ER PLM C97Y APPLICATION FOR PLUMBING PERMIT , COUNTY OF LOS ANGELES DEPARTA'IENT OF COUNTY ENGINEER BJIIING LBD�IE �OEUNTY VOUR6-v (P WILLIAM A JENSEN SUPT OF BUILDING LOCALITY FOE APPLICANT TO FILL IN NEARM CROSS BY NUMBER FIXTURE OR ITEM OWNER WATER CLOSETMm BATH TUB ADDRESS �Q / CITY w TEL NO BHOWER LAVATORY CONTRALTOO SINS ADDRESS DME[WASffi CITY TEL NO CONTRACTORS STATE Cl LAUNDRY TOB REGISTRATION NO COUNTY CLOTHES WAR® DiEjTRICTNQ GROUP 1 Z NE P OCES W Y WATER HEATER J 1 O SS GAS SYSTEM INDUSTRIAL WASTE APPROVAL INCTION RECORD / a 6_ SEE _ .0 , Ic / 0 I V O RI 80 PER ITEM (/ OR FEETURE S r APPROVALS DATE, INSPECTOR S SIGNATURE PERMIT S 2100 UNDER SLAB WORK TOTAL FEE �.-.) ROUGH PLUMBING C/ 1 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION OAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF OAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PRO ER UTILITY CO NOTIFIED SIGNATURE OF PERM ITTE FINAL ®r VALIDATION ROBERT A WOOD R ■ O cnSH SUPERVISING MECHANICAL ENO R � J0059 MAR 27 5 D 600 „� 76A687 17 25M SETS 7-4B APPLICATION FOR PERMIT DEPAERTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �L��'�� p Wm J FOX, CHIEF ENGINEER ` NATURE OINSTALLATION— NO �/ ROUGH FIXTURES COMPLETE D ` ./ /O 07 4/V HEATER CESSPOOL SEPfICTANK R[C[ Y READY FOR DAT[ ISSUES FIRST INSPECTION A MI CQL N[OUa -7- r- ,/:2 PPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY a' Oft L_aZ .Noe �/J NAME ✓ ��u/IJR LIZ ADOR['dB LCC 0 ADDRESS "LIED C. C/O//L.! 7.3C1�-�' LOCALITY ./ Z A U y CITU NO NEAREST Q' CRCB 87` COUNTY --// C/ LICENSE NO 93�1�I EXPIRES � —,?& —/v y NAME LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL ADDRESS NORTH 0 CITY TEL No 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION ►LUYBq I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWN" CORRECTIONS SOUTH J DESCRIPTION OF WORK _Z / ATH TUB FURNACE m C SHOWER DISHWASHER O LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER FLOOR BINK SANDTRAP LOP SINK FLOOR DRAIN I LTOTAL SH TRAY URINAL APPROVALS ATEt CLOSE► DRINKING FOUNTAINDAYS =TOR•NAY[ TER H✓EATE:R ^ENTAL LAVATORY ROUGH PLUMBING 7TER�GAS SODA FOUNTAIN GAB PIPING OVTLBAB VENT CESSPOOL TAL N UMBER OF PIXTU RES SEPTIC TANKSSPOOT REPTICTANK SEWER UTILITY CO NOTIFIEDEE 161667 IT 26M SETS 7+e APPLICATION FOR PERMIT iDEPARTMENT OF BUILDING AND SAFETY G ��p COUNTY OF LOS ANGELES PLUMBING " 1 �. WILLIAM J FOX, CHIEF ENGINEER DISTRICT IN FOR APPLICANT TO(� FILL IN NEI. 6 6 PLUMBER l --_' ~� RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION AGGRESS `(/ CITY TEL No Y JOB ADDRESS COUNTY LICENB NO EXPIRES LOCALITY ✓ 1 CERTIFY THAT I POSSEBB THE ABOVE VALID LOB NEAREST ANGELES COUNTY LICENSE CROSS ST W _ OWNERMAIL /, / ,. �• PLV MBER ADDRESS V 6 �- ` 02-'r-A PERMIT FEE IB B1 OO FOR THE FIRST FIXTURE OR CITY TEL No ITEM LISTED BELOW, PLUS SOC FOR EACH ADDITIONAL 1 AM THESAL OWNER OF THE RESIDENTIAL PROP- ITEM FOR EACH SEPTIC TANK AND PIT OR GRAINFIELD ERTY DEBCR ED ABOVE 1111 OO MINIMUM FEE FOR ANY PERMIT $100 EACH OAS SYSTEM IB A SEPARATE ITEM DWN[R NVM6CR TYP[ of FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN BINK LAUNDRY TUB OR TRAY GAB BYSTEM_OUTLETB WATER HEATER SLOP SINK Q FLOOR BINK = FLOOR DRAIN 0 DISHWASHER O DRINKING FOUNTAIN URINAL MISCELLANE13UB APPROVALS DATE INSPECTOR B NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL LIHHOUBE EPTIC TANK - OR IN ( ) PIT ( ) 8 SEPTIC TANK ESSPOOL B SEWER SEWER Ip3-6 OAS TEST TOTAL FEE UTILITY CO NOTIFIED . /✓ FINAL ��2 J L DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J FOX, COUNTY ENDINEER ADDRESS 'S L A, FOR APPLICANT TO FILL LIN (y///] LOCALITYUILDING G NEAREST ADDRESS SG 2 G /T G /O �l /'/ I CROSS 6T C[_ /\/�N _ A �M DISTRICTNOOROUPI NEI PERMIT NNSO� LOCALITY �,ffj�IL�r%I J L J NEAREST A // /� ��,�jr RECEIVED BY Randy for Inspealon DATE ISSUED CROSS ST Y/ f/ -� rs OWNER �i�/�/—/l�f�.ry►�'-X Tr_0l_ NO+/ MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY-7, w/7 10 a //-f TEL NO J), - 7 J k4; INSPECTION RECORD PLUMBER ADDRESS rn AJ CITY TELNO AdCT ❑STATE C ate//!c- .r L./�o ss'.✓n✓til// LICENSE NO fICOUNTY / PERMIT FEES p" `'� 0__< JUI .ER TYPE OF FIXTURE OR ITEM F[[ co WATER CLOSET(TOILET) e 0 eoi D: O BATH TUB ® 060 SHOWER Q 080 : # LAVATORY (WASH BASIN) Q 0 60 KITCHEN SINK Q 080 LAUNDRY TUB OR TRAY Q 080 SLOP SINK 0 0 60 FLOOR SINK Q 080 FLOOR DRAIN 0 060 DISHWASHER a 080 DRINKING FOUNTAIN Q 080 URINAL Q 080 GAS SYSTEM _OUTLETS 0 100 WATER HEATER Q 100 MISCELLANEOUS APPROVALS DATE INSPECTOR S SIGNATURE _ UNDER SLAB WORK PERMIT $ 1 DO HOUGH PLUMBING TOTAL FEE ' 1 CN GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REOISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AMD STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWN ER OF THE ABOVE DESCRIpppppp� R SIDENTIAL PROPERTY UTILITY GO NOTIFIED SIGNATURE OF PERMITTEE FINAL 76A867 DRS 17 1/58 12 76A667-CEA8I7 6 BS � � � � ` I .APPLICATION FOR PLUMBI G PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION F G JOHN A LAMBIE COUNTY ENGINEER S 6 6 Avenue COLEMAN W JENKINS SUPT OF BUILDING Y FOR APPLICANT TO FILL. IN T S7 NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET $1 25 Leon lajeunesse BATHTUB 125 a 626 Pal Mal Avenue SHOWER 125 CITY Te le City TEL NO SP 3-2210 LAVATORY 125 CONTRACTORAnthony Inc SINK 125 ADDRESS 5871 E. Firestone Blvd. DISHWASHER 125 CITY South Gate TEL NO SP 3-2210 LAUNDRY TUB 125 STATE LIC LICENSE NO _ CLASS CLOTHES WASHER 125 DISTRICT N OU r BY WATER HEATER 150 O GAS SYSTEM OUTLETS 150 INDUSTRIAL } WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM 20 INSPECTION R ORD O -Water piping 1150 '41S L6� d luhN ER Lta O V w a z Z IREGU"TIN PPROVALS DATE INSPECTOR S SIGNATURE PERMIT 2 O0 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE ,� O GAS PIPING I XC11[G YYACKNOWLEpO[ THAT 1 HAVE [[AO THISICATION GAS VENT ANO [TATE THAT THE A[OVC 1[ CORRECT ANO COMPLY WITH ALL COUNTY ORDINANCE[ AND STAT[ ULATINc HOT WATER HEATER PLV MGINGI He RE9Y CERTIFY THAT 1 AM PROMRLY RAND/OR PLUMBING FIXTURES LICENS[O AS R[OVIRCO BY LOS ANOCLCS COVAT[ OI GAS TESTCALIIORNIA OR THAT I A THE LEGAL. N TC NO TO[mCINTHC Apo CRIPED Re UTILITY CO NOTIFIED 61GNATU RE OF PERMI IV FINA LMATION CK M O CASH L&405 Its APR 3 5 0 3.50- 9 pApp.s,E^p"'' eAPPLICATION FOR PLUM ING PE IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION D17ILDING DRESS S IN -7777-7,8-777 � JOHN A LAMBIE COUNTY ENGINEER ADHE88 COLEMAN W JENKINS SUPT OF BUILDING LOCALITY TW / FOR APPLICANT TO FLU IN ARES ,¢ NUMBER FIXTURE OR ITEM EACH FEE OWNER J%GO WATER CLOSET 3125 MAIL BATH TUB 125 -621 ADDR= SHOWER 115 CITY e TEL NO A' LAVATORY 115 CONTRACTOR SINK 115 ADDRESS DISHWASHER 115 CITY TEL NO LAUNDRY TUB 125 STATE LIC LICENSE NO CLASS CLOTHES WASHER 115 NINE DISTRICT N OU ZONE P O B BY WATER HEATER 1 5o Y D" GAS SYSTEM OUTLETS 150 INDUSTRIAL WASTE APPROVAL V OUTLETS OVER 5 PER SYSTEM SD JSPECTION RECORD z ff O 1-- LL U Z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING OL— I neT¢er ACKNOWLEDGE ABOVE TNwT 1 IRECHAVANDREA GRE APPLICATION GAS VENT V t AND IT !TAT[ THAT THE AbV[ IE LAND S AND LOWS[ E COMPLY WITH ALL counTY opolNAHc¢t wno prwr¢ LAWS REGULATING HOT WATER HEATER PIV MBINO 1 N¢REBY C[RIIFY/THAT I AM PROPERLY R¢omT¢R¢o ANo/OR PLUMBING FIXTURES LICEN.ED A¢ REQUIRED BY LO[ ANG¢L¢p COUNTY AND !TATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND NW NO TO RESIDE IN THE Aeov[ DENCRle Nn Fn PEIRr UTILITY CO NOTIFIED SIGNATURE a— OF PERMITT FINAL ` �J VALIDATION JACK R ALLEN CK Al o SH SUPERVISING MECHANICAL ENG'R LA�o_4 0 4'7—� APR 3 5 D 5,00~ A J� .Te AeeL.CEEEf'l 12-64 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS vt'6a �'qL �1AL JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESTCROSS T ., NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 81 25 OWNER � MALL HATH TUB 1'25 ADDRESS srowER 125 CITY TEL NO471#&1, 7573 LAVATORY 125 CONTRACTOR ,y yDR O/V�C�C SPUR 115 ADDRESS //3 N/7,4 DISHWASHER 125 CTY(,� DU�7/..lf�� b ° L� .2-?9d LAUNDRY NH 125 CONTRACTOR SATE REGISTRATION NO o{!J��o CO TUNTY ❑ CLOTHES WASHER 125 DISTRICT N GRO P Z E P O BY WATER HEATER 150 GAS SYSTEM - OUTLETS I50 WASTE APPROVAL G. OUTLETS OVER 5 PER SYSTEM 30 O INSPECTION RECORD V C O r ZTv W C. N APPROVALS DATE INSPECTORS SIGNATURE PERMIT S 2 00 UNDER SLAB WORK .7 0 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 NCRCBY THAT ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT ANO STATE TNAT TryC ABOVE IC CORRECT AND AOREC E COMPLY WITH ALL COUNTY ORDINANCES AND (TATE LAWS REGULATING - FLUMeING NOT WATER HEATER I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENCED AS REQUIRED BY LOS ANGELGG COUNTY AND STATE OF (,.AS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN T BOVE DESCRIBED RESIDER RO i UTILITY CO NOTIFIED BIGNA OF P R FINAL LIDATION ROBERT A WOOD cR M D CASH SUPERVISING MECHANICAL ENG R t LIjLo 4 2 7 4� AP.R1 5 5 D 3.50" WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have ave a a certificate of consent to self m_ p 4/ 0076 DPW 90 sure,ala cemfimte of Workers Compensation Insurance,or a 76A667A certified cLpy thereof (Sec 3800, Lob C ) r�Ul Policy No Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS ❑ Certified copy is hereby furnished FORBUILDING F-] Certified APPLICANT TO FILL IN(PRINT OR TYPE) Ae Certified copy is filed with the county building inspection ADDRESS s�6 r L. department NUMBER FIXTURE OR ITEM ® FEE LOCALITY /a A /�� WATER CLOSET(TOILET) V-T Dote Appbcont NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST ''V LEY,mzn. COMPENSATION INSURANCE SHOWER OWNER .'yn , (This secion need not be completed If she work Involved by MAIL the permit is for one hundred dollars($100)or less ) LAVATORY ADDRESS E. I certify that in the performance of the work for which this per SINK CITU TEL NO p mit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR Data Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers ConiCITY TEL NO sation provisions of the Labor Code you must forthwith comp LAWN SPRINKLER SYSTEMS Iy with such provisions or this permit shall be deemed revok- STATE LIC ed WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION // O DISTRICT PROCESSED BY hereby affirm that I am licensed under provisions of Chapter GAS YS OUTLETS !O Ql�<C�� 9(commencing with Section 7000)of Division 3 of the Business ci OVER— and Professions Code and my license is in full force and of 5 PER SYSTEM FINAL VALIDATION fact . I HOSE BIB DATEa License Number Lic Class C FINAL e Contractor Date BY Q O I am exempt under Sec C~0 B BP C for this reason W .4 Plan check fee , r_ H Dote PLUMBING PERMIT ISSUING FEE b _ Signature i ACCT.i TOTAL FEE SINGLE FAMILY plan check applicant 3303 43.40 HOME OWNER-BUILDER DECLARATION1 ITEPIS 1 hereby affirm that I am exempt from the Contractor s License Name TOTAL jt-.� lr0 Law far the following reason (Section 7031 5 Business and Profe ons Code) Address ' CHECK 43.40 . I as owner of the property will do the work,ond the City - Tel Na structure is not intended ar offered for sole(Section 7044 CHANGE .00 Business and Professions Code) CONSTRUCTION LENDING AGENCY _ 00-0001 6/26/96 1 hereby affirm that there is a construction lending agency for It the performance of the work for which this permit is issued 7143 1 FM 5:31 (Sec 3097 Civ C ) f Lender s Name Lenders Address I certify that I have read this application and state that the , above information is correct I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby author¢ epresentottves of this County to enter upon the ./ �obo ntioned pr rty for inspection purposes yy0--�_9� SEE'REVERSE FOR EXPLANATORY LANGUAGE P Signature of Permittee Date r' WORKERS COMPENSATION DECLARATION s , ^ 200026 DPWn;B7 • APPLICATION FOR PLUMBING PERMIT 'I h�fe'by .farm that 1'have a cariif cote of consont to self in 76A667A W e or a certificate of Workers Compensotion Insurance or o CE 817(REV 8/86) 's , ri+ '', ,t+, _9 t icer 6ed+f}copy thereof bQ(Sec 38W Lab�'C�)rt,�.s� '�., r._ t a• - - Pob bt(rC9 oZODU� COUNTY OF LOS ANGELES' DEP.,T OF PUBLIC WORKS , ��{{{ry Company f,i DEP, 1 rIYCl l Certified copy is hereby furnished+ . " _ �� Certified co is filed with the count' buddin FOR'APPUCANT TO FILL IN (PRINT OR TYPE) BUILDING ti copy ,p y g pechon NUMBER FIXTURE OR ITEM' - FEE ADDRESS de rimant z r @ , -a -�-a sp r LOCALITY _ Date a gpphc t ti' -w WATER CLOSET (TOILET) ' t r NEARESTv •�,^ CERTIFICATE OFREXEMPTION FROM WORKERS BATHTUB • s CROSS ST H COMPENSATION INSURANCE' SHOWER - - OWNER - 1� (Thu sachon need not ba completed If the work Involved by MAIL the parmih is For one hundred dollen (f 100)!or leis )y " , ' �� LAVATORY "'• /. - ADDRESS t t + S 6�z6 certify that m erformath nce of e work for"which This per ,mit is issued shshL poll'not,em ploy any parson in anyrmanner so e SINK AT CITY c+T as to Become subject to the Workers Compensation Laws ' \ DISHWASHER CONTRACTOR / Dale° � " Apphcomr- ' '+ r CLOTHES WASHER 'NOTICE TO APPLICANT If after making this Cerhfrcate'of,Ex - ADDRESSZj SWIMMING POOL POOL RECEPTOR f 'amphOn you should become subject to the Workers,Compen - _ CIT r %'6I -TEL NO T sation provisions of Ihe,Labor C&de'you must forthwith comp LAWN SPRINKLER SYSTEM ., Cir t ly wrth such provisionsior this permit shall be deemed revok - S - STATE �! _ ' CCC ' ed' r4 r` - -, r s ' . ' • WATER HEATER _ LICENSE NO Z , LICENSED CONTRACTORS DECLARATION . DISTRICT NO , PROCESSED Y I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM ' ,OUTLETS /' 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER C and Professions Coda, and,my license Is in full farce and of 5 PER SYSTEM' FINAL s,a`^1 LIDATION • a fecl ' R r r j ,DATE �,-[/� ,License NUmbe�'��_fS ^ Llc Class r e r ! 'r'•' r �� Qry/7Q f r . 3 FINAL U Contract' OSte T ^ . v. 'i BY . ,y ^ ^ O r ° r } r q'< y X' •� 1 am exem t under Sec '� r. ' i W ILLi eI&P C'for this reason i Plan check fee - _ pop. z - - Date ' PLUMBING PERMIT,95UING FEE_ signature_ _ x ✓ _ AOTAL FEE - r • swGLE FAMILY. : - 1 3 7 3 A •"HOME OWNER BUILDER DECLARATION Plan check opphcant _ - s . , I i hereby affirm that Com exempt from the'Contractor s License Nome ' , ° i ! • • • •"Jr Law for the'followmg reason (Section 70.31 5 Business and / + , Professions Code) , y - ,. Address 356 elO , °A' k ' i( • i 1° ^ 650 I os owner of the property wJl do the work'and the City p Tel No �jr 5 3 _ . r Y • • i 1 6 5 Q♦v' .structure is not intended or offered for sole(Section'7044 , _ , _ 'a _ Business and Professions Code) t - ► ( 2,2t 8 8 � s det CONSTRUCTION LENDING AGENCY � 'A hereby,affirm that there is a conitruction lending agency for Ihe performance of the work'for which this perm It is issued• (Sec 3097 Gv-C ) Lender s Name Lender s Address ` 'a� ' s 1 T ' . .E - S . e v r . • .. ° r I certifyhthat I have',read this application and stole that the a above infer mation is correct I agree to comply with all County ordinances and State laws regulating Plumbi6g, and hereby e' ' ° ►- -~^p v author a representatry s af.nhis ounty to enter upon the ` ' a menhone r arty for in coon p poses SEE REVERSE FOR EXPLANATORY LANGUAGE �Ignatur Permittee 3 Date • COITNTY OF LOS ANGELES 1 _ TEMPLE CITY # 0509 _ PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0803030004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 205-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE '' 5626 PAL MAI. AV FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917802653 1ASSESSORINFORMATION NUMBERI ' NEAREST CROSS STREET 8586-009-020 T 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY Cl — 107 BATHTUBS/SHOWERS 2 00 FTX 32 40 ITENANT 17 FLOOR DRAINS) 1 00 FIX 16 20 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1 125 LAVATORIES/SINKS 3 00 FIX 48 60 103/03%08 SR 08/30/09. 45 WATER CLOSET/URINAL 3 00 FIX 48 60 IOWNER TEL NO 147 WATER HEATER(S) 1 00 WIH 16 20 FINAL DATE FINAL BY . , CODE ISDN SARA (626) 411-1122— 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 1 15626 PAL MAL AV TOTAL FEES 205 95 �yi-�`$` ITEMP 917802853 IDE CR PTION OF WORK r (PLUMBING FOR ADDITION AND REMODEL 1APPLICANT TEL NO SU (626) 376-1863— 1 19536 E NAOMI AVE (SPECIAL CONDITIONS ARCADIA CA-91007 1 CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE ' JING—YUAN XIE (626) 579-2807- 14279 N PENN MAR AVE LIC NO UNDER SLAB WORK i EL MONTE CA 91732 864105 B WATER SERVICE PLASTIC Y/N METAL Y/N I� ARCHITECT OR ENGINEER TEL NO PETER LEE ENEGINEERING (626) 280-9000— IRODGH PLUMBING IB746 E VALLEY BLVD LIC NO ROSEMEAD CA 91770 53948 (GAS PIPING GAS VENT IHOT WATER HEATER _ 1 111 - PLUMBING FIXTURES LAWN SPRINKLERS _ GAS TEST a UTILITY COMPANY NOTIFIED( CWV GRAY WATER SYSTEM ` REPORT ID DPR263 ROUTE TO BS0508 l