HomeMy Public PortalAbout5801-5803-5805TEMPLE CITY BLVD_Plumbing 76 A 667-CE BI 44i--
APPLICATION
68 -APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT•OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 80 N Temle City V
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUP'T. OF BUILDING LOCALITY
Temple City, California
FOR APPLICANT TOFILL IN(PR NT OR TYPE NEAREST
CROSS ST.:
Workman
NUMBER FIXTURE OR ITEM EACH FEE
OWNER John Espinosa
WATER CLOSET 1.50MAM
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BATH TUB 1.50 DRESS -as above
SHOWER 1.50 CITY TEL.NO. 2 -(032
LAVATORY1.50 CONTRACTORGrahaM
SINK 1.50 ADDRESS 9127 E. Las Tunas Drive
DISHWASHER 1.50 arnr Temple City . TEL. NO986_9293
CLOTHES WASHER 1.50 STATE LI!C
LICENSE NO. 104.466 CLASS C- 6
SWIMMING POOL RECEPTOR .1.50 DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 r 6 1 C-Z
WATER HEATER 1.50 WDSAPPROVAL Az
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD O
OUTLETS OVER .30
5 PER SYSTEM
LY
6 shampoo bowls Lj2 e o
Plan.check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S. 2. 00--
TOTAL FEE. O O
APPROVALS IPAT.E1 ECTOR' SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER
I H
HEREBY ACKNOWLEDGE THAT i AVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DEBCRIBED ESIDENTIAL PROPERTY. FINAL
SIGNATURE JACK`R. ALLEN, SU ERVISIN CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. K.O. CASH
9 0 6.5 APR 1 5 D 1. 1.0 0- V