HomeMy Public PortalAbout5102 DOREEN AVE_Plumbing__ ]�A 1,- =GE BI] 7.69 �L � '
APPLICATION FORPLUMBING ('PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION 13UlLDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 5102 Doreen Street
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER John Marshall
WATER CLOSET l,E
MAIL
PATH TUB 110 ADDRESS 1010 East Las Tunas
SHOWER 1. 0 CITY San Garie TEL. NO.
LAVATORY 1, 0 CONTRACTOR Owen Bros. Plumbing,INc.
SINK 1. 0 .ADDRESS 4265 No. Baldwin Ave.
DISHWASHER 1. 0 CITY El Monte 91731 TEL. NO- 443-0078
CLOTHES WASHER 1. 0 SSTATE LIC
' LICENSE NO. 231 741 CLASS C36—sc20
SWIMMING POOL RECEPTOR 1.
DIBTTR''I C��T>iN O. TGROUP yQyE PR E66ED BY
LAWN SPRINKLER SYSTEM 2. Sc
WATER HEATER 1.571 WASTE APPROVAL n'
STR
GAS SYSTEM OUTLETS 1.5 If 7 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30 Z
O
V
W
D.
N
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Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSIANG.FEE S 00
TOTAL FEE
APPROVALS DATE INSPECTOR
'S SIGNATURE
Plan check applicant UNDER SLAB W RKf,-,.Z7—?Il511,S171
,
Name ROU
Address GAS PIPIN
GAS VENT
cit) Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO 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 I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABO E IBEO ESIDENY!,AjLPROPERTY. FINAL
IIGNAT
ORE JACK R
RMITTEE . ALLEN, su PERVISIN ECH ANICAL EN G'R.
OF PE
PERMIT VALIDATION CK M.O. CASH
PLAN CHECK VAL DATION CK. M.D. CASH
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