HomeMy Public PortalAbout5002 DALEVIEW AVE_Plumbing__ ]6A66] CE- I]1- 5/]3 City of Temple City
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 088690 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE cet cis PAYABLE ro: ADDRESS 5002 N Daleview Ave.
HARVEY T. BRANDT, COUNTY ENGINEER
LocAUTY Temple Cit
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
GROSS ST. O to Ave.
NUMBER FIXTURE OR ITEM @ FEE.
WATER CLOSET 1.75 OWNER John 0. Varnell
MAIL
BATH TUB 1.75 ADDRESS Same
SHOWER 1.75
CITY Same TEL. NO.
LAVATORY 1,75 CONTRACTOR GE NERAL INSTALLATION CO.
SINK 1.75 ADDRESS 6558 WEST BLVD.
DISHWASHER 1.75 CITY Los Angeles TEL. NO. PL 9_4541
CLOTHES WASHER 1. STATE LIC
75 LICENSE NO. C 96 151899 CLASS
SWIMMING POOL RECEPTOR 1.75
DIST. O � lCROUE
LAWN SPRINKLER SYSTEM 1,75 RICTVO. RY
1 /�
1 WATER HEATER 1,75 3 00 INDUSTRIAL
WASTE APPROVAL Y
GAS SYSTEM OUTLETS 1.75p
INSPECTION RECORD U
OUTLETS OVER -
5 PER SYSTEM .30 Ready for Inspection Now o
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WATER SOFTENER w
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Plan check fee See ReVers.
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE
APPROVALS DATE INSPECTOR S sIr.NAruflE
Plan check appl icant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CO
AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES
ANDAND STATE LAWS flEGULATIHG
PLUM BIH G. GAS TEST
IHEREBY CERTIFY THAT I 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
RES10E IN THE ABOVE DESCRIBED RESIDEEG/N/��yJAL PROPER T. FINAL -'
71
SIGNATURE G
OF PERMITTEEjfif��/•��y
PERMIT VALIDATIONcK. .o. cases
PLAN CHECK VALIDATION CK. M.O. CASH
8 6'4�JUN 7 5 D 7,5 0 ass
.)6A667-CE981] 4-6] V
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APPLICATION FOR PLBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMSIE. COUNTY EN NEER ADDRESS (�� �,d
COLEMAN W. JENKINS. SUPT. 01GIBUILDING LOCALITY e C
FOR APPLICANT TO FILL IN :NEAREST C
CEOSS ST. f
NUMBER FIXTURE OR ITEM (EACH FEE �R ni-e I 1
OWNER
WATER CLOSES 51.25 ..MAIL C ,n1
BATH TUB 1,25 ADDRESS 51t IYI'C
SHOWER 125 CITY 1 Q TEL. NO.L/ g 3
LAVATORY 1.251 CONTRACTOR T1 C A QS
SINK 1.25 ADDRESS
DISHWASHER 1.25 I CITY '� SEL. NO. 7070
LAUNDRY TUB 125 STATE LIC
LICENSE NO, p2 '/ CLASS
CLOTHES WASHER 1.25 DI[STRICT NO. GROUP ZONE P ESSE BY
WATER HEATER
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
O
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C
O
I I
w
I I
I I Z
I _
I
APPROVALS DATE INSPECTOR5 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 31 �—(o
GAS PIPING
HEREBY ACKNOWLEDGE THAT 1 HAVE REPO GRE APPLICATION GAS VENT
AND STATE THAT THE ABOVECE CORRECT AND AGREE E COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANOIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,ANO INTEND TO _
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE C �
OF PERMITTEE L % �
FINAL •�(� A dI'RO�Y/
/V{ALIDATION JACK R. ALLEN
M G. CASH SUPERVISING MECHANICAL ENG-R.
L{ 0 2 5'2:6�S'f'iNI1 0 5 D
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