HomeMy Public PortalAbout5026 FARAGO AVE_Plumbing__ 76A607 CE817 10 60
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS �D Fa oa- o
WILLIAM A JENSEN SUP T OF BUILDING �.
LOCALITY
FNUMBER
OR APPLICANT TO FILL IN CROSSNEAREST
FIXTURE OR ITEM OWNER //Q
WATER CLOSETJ, �!�
ADDRESS
BATH TUB
CITY TEL NO
SHOWER
LAVATORY CONTRACTOR i 4 w� /
ADDRESS 111117 /,1
SINS 7 c p
DISHWASHER CITY/3u/� TEL NOCONTRACT
TE
LAUNDRY TUB REGISTRATION NO /Z7 SSG COUNTY
CLOTHES WASHER DISTRICT NO GRQ}_JP ZONE P SED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL �.
INSMCTION RECORD
!�/ °-
Q, ��5 �?`i 0
@ $100 PER ITEM
OR P XTURE $ 75w
APPROVALS DATE n INSPECTOR S SI N TURE
PERMIT $ 2100 UNDER SLAB WORK 29/a � `-1.4
TOTAL FEE /3 S" ROUGH PLUMBING j/Z
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT yy /f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER H�f
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURElz� lit / w f /�
OF PERMITTE FINAL //9/4 z Axl�
ALWATION ROBERT A WOOD
cK M O CASH SUPERVISING MECHANICAL ENG R
1929- JUL20 15D 13.75- Q
16"ZG41-6'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0207020009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 11497 LT 13 BL B 5026 FARAGO AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803525
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GRAND AVE
8574-009 061 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY
47 WATER HEATER(S) 1 00 WTH 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES 0
07/02/02 JK 12/29/02
OWNERNAI DATE FINAL BY CODE
PE BENITO C,JANE S (626) 579 6452
5026 FARAGO AV Z ��
TEMP 917803525 DESCRIPTION OrV5RX__
C/O WATER HEATER
APPLICANT TEL NO—
ACTION CONTRACTORS (310) 515 1311
17111 S BROADWAY SPECtAL CONDITIONS
GARDENA 90248
i
CONTRACTOR TEL NO �� � ��� AQP O VALS DATE INSPECTOR SIGNATURE
ACTION CONTRACTORS (310) 515 1311 ���t �17��
17111 SOUTH BROADWAY LIC NO NSLAB
GARDENA CA 90248 B/L 27953
WATER S
PLASTICERVICE
METAL Y/N
ARCHITECT OR ENGINEER TEL NOI d / _
%! �1 �\ f� \� PLUMBING
LIC NO �
t I j i �Illl �
GAS PIPING
GAS VENT
— - - - - -
Prw
LAWN SPRINKLERS
GAS TEST
iUTILITY COMPAWTIOTTFM
CWV
GRAY WATER SYSTEM
Wv l/i
* ADDITIONAL DATA ON FILE
REPORT ID DPR263 ROUTE TO SS0508