HomeMy Public PortalAbout4327TEMPLE CITY BLVD_Plumbing 78 A 857—CE 817 8/88
A APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS ANGEIM
DEPARTMENT OF COUNTY ENGINEER ADDUSS `
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALTR �p
e
FOR APPLICANT TO FILL IN PRAT OR TYPE NZARIMT
CROSS BT VA ILLS,
NUMBER FIXTURE OR ITEM EACH FEE
OW76E G
WATER CLOSET _ 1 50
BATH TUB 1 50 ADD[/ESS
SHOWER 1 50 Qom/ /C �)m'/DO r'
LAVATORY 150 CONTRACTOR Wi
SINK 1 50 ADDRESS Al 0 t 1`lel e,17C.
DISHWASHER 1 50 CER / TCL NO3'k7-91j-1
CLOTHES WASHER 1 50 BI N LIC
10342'1 CLASS C^ 3L S C
STATE
NO
SWIMMING POOL RECEPTOR 150 DISTRICT NO GROUP ZONE P
LAWN SPRINKLER SYSTEM 2 00
115
U
WATER HEATER 1 50 INDUSTRIAL _
WASTE APPROVAL o
GAS SYSTEM d OUTLETS 150 ;U INSPECTION RECORD y�
OUTLETS OVER a
5 PER SYSTEM 30 ASSESSOR =
MAP BOOK
-PAGE PAR
1Beek Slow Pr,gul Ir tV 2
Plan check fee 29M of aboNe See rc%ersr
PL UMB1NG PERMIT ISSUING F LF S �2 OO
107 AL FFF LJ �VO
APPROVALS D E I REFECT,,•SIGNATURE
Plan check 9NPIIhIOI UNDER SLAB WORK
Nam,, ROUGH PLUMBING
Addres4 ' GAS PIPING
City 7e1 No GASVENT
HOT WATER HEATER
I HER[OY ACKNOWL[DO[ THAT 1 HAVE MAD THIS A IGTION
AND [TAT[ THAT THE IU IS COARCT AND AGNM TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY OHDINANC[[ AMD STATE LAW[ ROULATINO GAS TEST 1 d
PLUM[INO
I HERUY CERTIFY THAT I AN PIVOMMLY REGISTERED AND/OR UTILITY CO
LIC[NSm AS ROUIRD RY LOS ANO[L[S COUNTY AND STAT[ OF
GLIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTdmo TO
BEIDE IN TNN AAVV[D[SCRIS[D MAID[NTTIAL FROP[RTY FINAL
SIGNATURE // IF JACK R. ALLEN, SUPERVISING CHANICAL ENO R
OF PERMITTEE L•
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M o CASH
1 Co 3 8 5 89 FEB26 5 D 5 00"