HomeMy Public PortalAbout5313TEMPLE CITY BLVD_Plumbing APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUDDING SAFETY DIVISIOND» 513 Emv�E 6c
JO N A LA IE COUNTY ENGINEER
CONTRACTOR 8
WILLIAM A JENSEN SUP T of IU.LDINa LOcm= T Ern PL E C.i T
FOR APPLICANT TO FML IN r d V E
NUMBER FIXTURE OR ITEM EACH FEE
Ow1leE o b-c Ie r K. L a
wxtea closer Rl u
BATH TUE 145 � 313 Em t E CIT 6W
SHOWER 1u CITY TEm pL CIT TEL No &-4' 3
LAVATORY 145 C014MCTOR
am 1 u ADDRESS
DISHWASHER 145 CITY NO
LAUNDRY TUB lA3 REGISTRATION NO COUTATEH
NTY
CLOTHES WASHER 125 DI RTRI NO GROUT ZONE CEBSED BY
WATER HEATER 158 Y
-GAS SYSTEM OUTISTB O.
1 ss INDDUS APPeovu O
OUTLETS OVER 5 PER SYSTEM 50 u
INSPECTION RECORD
!r3 W H� 0
z
z
APPROVALS DATE INSPECTOR a SIGNATURE
PERMIT 3 2 00 UNDER SLAB WORK
ROUGH PLUMBING ��Q �,H
TOTAL FEE GAS PIPING
1 H[ROY ACKNOWLEDGE THAT I HAVE REAO TNI[ A IGTION GAS VENT
AND STATE THAT THE ABOVE IE CORRECT AND AOR[[ TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE uwe REOuuTIMD HOT WATER HEATER
FLU we IND
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICEMe[D AS RrOu1160 YT LOS w11G[L[e couNTT AND RATE oR 6A5 TEST
GLI FORMIA OR THAT 1 AM THE LEGAL OWNER OF AND INTRAD TO
BEEIOR IN THE ABOVE DESCRIBED RESIDENTIAL PROFERY UTILITY CO NOTIFIED
SIGNATURE I
OF PERMITTETi
FINAL
/VALIDATION ROBERT A WOOD
cK M O ICSH SUPERVISING MECHANICAL ENG R
i �,0 219 3a JUM19 5 -0 750- 9