HomeMy Public PortalAbout5025 FARAGO AVE_Plumbing__ 76A667 CE#617 10 67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILNG �. p
JOHN A LAMBIE COUNTY ENGINEER ADDREDISS S'D
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 150
MAIL
BATH TUB 1 50 ADDRESS
SHOWER 1 50 CITY �^ L NO
LAVATORY 1 50 CONTRACTO
SINK 1 50 ADDRESS
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER 1 50 SZ' STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT No GROUP yiONE PRP `SE -
LAWN SPRINKLER SYSTEM 2 00 i fz 0
V
WATER HEATER 1 50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50 5 00 INSPECTION RECORD U
OUTLETS OVERAy r��-, /�� W
5 PER SYSTEM 30 ���../
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
I OTAL FEE 60 APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
00
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE 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 I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DEYCRIBED RESIDENTIA ROPERTY FINAL 1
SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL R
OF PERMITTEE
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATIO CK M O CASH
Lpsuo 6 i 2 1 a SE?2 3 5 1D 5 0 Q r
76A667 CE817 12/59 TEMPLE CRTY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND.SAFETY DIVISION BUILDING
JOHN A LAMBI COUNTY ENGINEER ADDRESS I� i
WILLIAM A JENSEN SUPT OF BUILDING r
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM OWNER r
WATER CLOSET MAIL
DRESS 1d ,
BATH TUB
CITY L NO
SHOWER
LAVATORY CO TOR
SINK ADDRESS
DISHWASHER CITY
CONTRACTOR S STATE ❑
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICT NO)
GROUP ONE P SSED BY
5
WATER HEATER S //�y (J
GAS SYSEM J INDUSTRIAL
/ WASTE APPROVAL
INSPECTION RECORD
U
a f
/IrP^I� Al
Zrl le7/J Ill-e
J 0 v
5100 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE _�I� ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE r /
OF PERMITTE FINAL
®r c VALIDATIO ROBERT WOOD
cK m O ce SUPERVISING MECHANICAL ENG R
LG99571 DEC20 5 D 300
r�
✓� C a
76AJ6�CE817, 12/59
o ` APPLICATION FOR PL BIND PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND E,SAFETY DIVISION BUILDING
ADDRESS p�� 4 v'lC O
JOHN A LAM BI COUNTY ENGINEER
WILLIAM A JENSEN SUPT OP BUILDING LOCALITY (J_�
FOR APPLICANT TO FILL IN CROSS ST
NUMBER FIXTURE OR ITEM OWNER La
WATER CLOSET MAII,
ADDRESS
BATH TUB
CITY TEL NO
SHOWER
CONTRACTOR A p
LAVATORY
ADDRESS 1 'o Crens'-aw Blvd
SINS
DISHWASHER CITY Hawthorne TEL NO Os - 6 1
CONTRACTOR S STATE CK
LAUNDRY TUB REGISTRATION NO 1 9 3 617 C-3 6 COUNTY ❑
CLOTHES WASHER DISTRIIJCT NO GROUP ZONE PR ES B
WATER HEATER L' / Ci ��
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
O
U
to
0
v
w
P.
7N
.7
C�
$100 PER ITEM
OR FIXTURE $ / APPROVALS DATE / INSPEdTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK ltl Y1 A tam
TOTAL FEE 52
ROUGH PLUMBING !� e
GAS PIPINGr---,"- � p
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �f
LICENSED AS REQUIRED BY LOS ANGELS COUNTY AND STATE OF GAS TEST 67 �-�A--
CALIFORNIA OR THAT I AM THE EG OWNER OF THE ABOVE �a '^'""' "'T 7�;m
DESCRIBED RESIDENTIAL PROPER UTILITY CO NOTIFIED
SIGNATURE /
OF PERMITTEE
FINAL
OF VALIDATION ROBERT A WOOD
/acs m 0 CASH SUPERVISING MECHANICAL ENG R I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PC-0508-9704040009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL ID FEES PAID BUILDINGADDRESS
TR 11497 LT 13 BL A 5'025-FARAGO AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP-CA-917803526
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET FREER
8574 008 035 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 35
TENANT TOTAL FEES 44 10 ISSUED ON PROCESSEDS ON
04/04/97 TC 04/04/98
OWNER TEL NO FINAL DATE FINAL BYnCODE
SEIBERT MARY E (818) 579 3709 /,/�.f/L�
5025 FARAGO AV 5-2
TEMP 917803526 DE5t;Ri>spION OF WORK' I
GAS LINE FOR NEW HEAT/AIR COND SYSTEM
APPLICANT 0
AIR TRO INC (818) 357 5311
SPECIAL CONDITION
arccf---LE
CONTRACTOR TEL NO O� ^ APPROVALS DATE INSPECTOR SIGNATURE-
AIR TRO, INC (818) 357 5311 i�
1630 S MYRTLE AVE NO ("�JUNDER SLAB WORK
MONROVIA, CA 25828828 8C 20 *
OWATER SERVIC
ARCHITECT OR ENGINEER T E PLASTIC Y/N METAL Y/N
0
LIC NO ROUGL
UMBING
�I GAS PIPING
i
GAS VENT
I� P o LSC VV1 GLV HOT WATER HEATER
O
EilGAS TEST
VD0 a 2�
0/1UTILITY COMPANY-W=
CWVGRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID DPR263 ROUTE TO BS0508