HomeMy Public PortalAbout5642 PAL MAL AVE_Plumbing__ Dee IJ 2[M if!! I2 a4 ,
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES P&UBIN�'
_ Wm J FOX CHIEF ENGINEER I1
NATURE OF INSTALLATION DISTRI cRo ZO PERMIT NO
ROUGH F �FIXTURES COMPLETE i,4-1'
•/(`/' r
HEATER CESSPOOL HHPi1C TANK RHC VED BY READY FOR DATE ISSUED
FIRST_ INSPECTION_ _�G^ U�
GAS MISCELLANEOUS / �•ef/
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
d, NAME ' ADDRESS A�?(a/
10 ADDREEE LOCALITY
` A (� L� NEAREST
y CITY L No a -CROSS ST •` �/`�
COUNTY " I G
CERT NO ' EXPIRES " E NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
_ ADDREe6� 3 J
NORTH O _ ,-
/ }' r CITY i.n TEL No
1 r �' ' 1` AM. THH LEGAL BDHEBOR OF THH ABOVE LOB
ANGELES COUNTY,CEFMFICATlIl OF QUALIFICATION
rLUYOQ
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
,. ABOVE
OWNQ //
CORRECTIONS
'
SOUTH '
.DESCRIPTION OF WORK
ATH TUB wURNACH '
SHOWER ^ISHWASHER, O
I•� I _ - -
VATORY � REFRIGERATOR
ITCHHN BINK WATER SOFTENER
FLOOR SINK ANOTRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL - ' T ,, APPROVALaS I,
'
'WATER CLOSET RINKING FOUNTAIN DATE INSPECTOR'[MAY[
WATER HEATER DENTAL LAVATORY4 '
.ROUGH PLVMBING �
METER GAS ' SODA FOUNTAIN GAS PIPING i .✓
OUTL
GAD VENT
L
TOTAL NUMBER OF FIXTURED 'SCPTIC TANK
CE38POOL SEPTIC TANK BEWHR
TOTAL FEE - J / QQ_ iFco NOTIFIED_
, I
IPINALINAL -�
"A"" D"?7 ''" APPLICATION FOR PERMIT
DF"A-4COU T OFF LOS AN AND SAFETY
`V1!!p•^-'COUNTY OF LOS ANGELEb-' ' -
WILLIAM J FOX, CHIEF ENDINEER
FOR APPLICANT TO FILL IN DISTRICTNO.
// 2q
PLUMBEqllnumm J. Halliday READY FOR
RECEI D BY FIRST INSPECTION DAT[ 8U[D
ADDRESS 5QQ3 N Camellia Ave 187T
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BUILDING
CITY Te=lp CityTEL No A 1754 ADDRESS 5642 N- Pal Mal AvA
COUNTY ND 32 EXPIRES 6/30/53 LOCALITY Temple Cit
NEAREST Live Oak
p FEES Cpaeeer
NYM[CC TY"OF II%TURC OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) a 050 S ADDRESS same
. BATH TUB @ 050 ,� D CITY TEL Na
SHOWER a 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH SARIN) ® 050 0 ABOVE 10 CORRECT
AMDLICATION AND STATE THAT TAGR[C TO COMPLY WITH ALL"COUNTY ORDINANCES
KITCHEN BINK ® U50 AND STAT[ LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 050 AND[LEB COUNTY LIOENBL OR I AM THE LEGAL OWNER
GAB SYSTEM OF THE RESIDENTIAL P GPERTY DESCRIBED ABOVE.
�•—OUTLETB ® O SO F
SIGNATURE OF
WATER HEATER a Can Q PERMITTQ
SLOP BINK a 050 INSp CTION RECORD
FLOOR SINK ® Dan
FLOOR DRAIN a DSD Aro
DISHWASHER a Dan
DRINKING FOUNTAIN a Dan
URINAL 0.50 J
Q
HOUSE NEWER ® O 60 __
MISCELLANEOUS 0
C
D
Rover
APPROVALS r
DATE INS OTOR'C "AMC
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL a IUD CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) lam SEWER
PERMIT "�1 DD GAB TEST 4
TOTAL FEE ® !L So UTILITY CO NOTIFIED
7 FINAL
U 6 n 25M VC a 12 49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
WN J FOX CHIS ENGINEER
NATURE OF INSTALLATION- DI Sf OR/yO— o E PERMIT
ROUGH FIXTURES ( COMPLETE
HEATER CESSPOOL �II B�TIO TANKRICH( BY READY POR DATE ISBU �
17/re
Y FIRS T NYPlCTION
(� i 7
ED
AS MIB RLANE U
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
roe
M1,
NAME ADDRESS
W
G ADDRESSLOCALITY E L�
7 m
CITY F,f Mrrn /C= TEL No Sy/B
NEAREST
Rp
COUNTY
_ �f
CIRTRT NNo EXPIRES M E NAM //
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDR SSS p
NORTH O
CITY TEL No
1 AM THk LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF 1 CAT ON
FLUMCa
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWN"
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK
z
ATM TUB FURNACE
K
SHOWER ^ISH WASH 6R D
VATORY —REFRIGERATOR
KI BINK WATER SOFTENER
FLOOR SINK SANDTRAP
kTOTAL
LOP SINK FLOOR DRAIN
ASH TRAY URINAL APPROVALS L
ATER CLOSET ^RINKIN6 FOUNTAIN
OATH INF CTOR M MAY[
ATER MEATIER ^ENTALLAVATORY ROUGH PLUMBING A it M I
OUTL
ETER GAS SODA FOUNTAIN GAB PIPING
GAS VENT
ClGBPOOL
OTAL NUMBER OF FIXTURES �_ SEPTIC TANK I
IBBPOOI SEPTICTANK SEWER
t �{ UTILITY CO NOTIFIED
FEE 6J sO FINAL ��-/Z, � �''
COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0211190003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ON FILE 5642 PAL MAL AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802853
ASSESSOR INFGR14ATION NUMBER NEAREST CROSS STREET LIVE OAK.
8586-009-017 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 00 FIX 16 20
25 LAVATORIES/SINKS 1 00 FIX 16 20 ISSUED ON PROCESSED HT PLAN IJT EXPIRES ON
45 WATER CLOSET/URINAL 1 00 FIX 16 20 11/19/02 JK 05/18/03
TOTAL FEES 76 35
OWNER TEL NO FINAL FINAL BY
LW HUETTE MAN (626) 582-8998- / /yf
564f PAL MAL AV - de 4
TEMP 917802853 Y P4CMBIN�, FOR NEW BATH
AFFLLL;ANI TEL -NO
SAME AS OWNER -
SPECIAL ON ,
CONTRACTOR TEL NO APPROVALS
SAME AS OWNER -
LIC NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL NO
ROWN PLUMBING
LIC NO GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIrM
CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508