HomeMy Public PortalAbout5027 FARAGO AVE_Plumbing__ 764667 CgE817 12/59
14
APPLICATION FOR PL 1V[BINC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING SAND E,SAFETYMSION BUILDING
JOHN A L MBI COUNTY NGINEER
WILLIAM A JENSEN SUP T OF BUILDING
-- LOCALITYAm �
FOR APPLICANT TO FILL IN NEAREST
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NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUADDRESS
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CITY TEL NO
SHOWER
LAVATORY CONTRACTOR Alert PlbF GSC Httz
SINK ADDRESS 13933 So Crenshaw Blvd
DISHWASHER CITY Fawthorne TEL No Os 9- 3691
CONTRACTOR S
LAUNDRY TUB REGISTRATION NO 1-0,3617 C-36 CO TUNTY ❑
CLOTHES WASHER DISRIfC�T NO GR/O1'dP Z NE ROPE B
WATER HEATER • ✓ �o//y Q�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
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W
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$1 W PER ITEM
OR FIXTURE $ APPROVALS DATE d INSPECTO SSIGNATURE
PERMIT $ 2100 UNDER SLAB WORK �0/.21� aG YQ/la
TOTAL FEE ROUGH PLUMBING
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GAS PIPING
AHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APLICATION GAS VENT
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
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I HEREBY CERTIFY THAT t AM PROPERLY REGISTERED AND/OR ��
PLUMBING FIXTURES 1 ,..p� •L•
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST r
CALIFORNIA OR THAT I AM THE LEGA OWNER OF THE ABOVE ff
DESCRIBED RESIDENTIAL PROPER UTILITY CO NOTIFIED ib 7A, _ „ps A .
SIGNATURE
OF PERMITTEE FINAL
OF ALIDATION ROBERT A WOOD
Ccs� eI O cAsx SUPERVISING MECHANICAL ENG R
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76A667 CE617 12/59 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AuND,$AFETY IVISION FNEAREST
DING
JOHN A LAMB[ COUNTY NGINEER RES3 ���
WILLIAM A JENSEN SUP T OF BUILDING
ALITY
FOR APPLICANT TO FILL IN SS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
D
BATH TUB ADDRESS
CITYT6 NO
SHOWER
LAVATORY CONTRA OR
SINK ADDRESS
DISHWASHER CITY NO
CONTRACTOR S STATE ❑
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP I ZONE I CESSED BY
WATER HEATER
GAS SY TEM INDUSTRIAL
WASTE APPROVAL
/D INSPECTION RECORD
0
v�CsF /4, / -ge.-AtOR FIXTURE a
�� U APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE-H ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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
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 I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTT14 PROPERTY UTILITY CO NOTIFIED
SIGNATURELAL& `
OF PERMITTE FINAL /
®r VALIDATIOBERT A WOOD
CK EI O WISH UPERVISING MECHANICAL ENG R
LACo9958 - CcC ?0 5 D 300
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1103170018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID
1 i BUILDING ADDRESS I
ITR 11497 UN 002 1 I 5027 FARAGO AV I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803526 I
(ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET
18574 008 026 101 PERMIT ISSUANCE FEE 27 80 !� THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY Cl
1 163 WATER PIPING BR/FIX 1 00 FIX 6 70
ITENANT I TOTAL FEES 34 50 (ISSUED ON PROCESSED BY PLAN BY 1
I 103/17/11 SR
I
1OWNER TEL NO I IFINAL DATE FI BY CODE 1
IHARPER CHRISTINA C (626) 448 8251 I 1
15027 FARAGO AV I I
ITEMP 917803526 I 1��IPTION OF WORK
IREROUTE 2 INCH KITCHEN DRAIN
I
(APPLICANT TEL NO I I
IMALOUMAIN VICKEN (626) 826 4000 1
17949 AJAY DR I SPECIAL CONDITIONS
ISUN VALLEY CA 91352 I I
ICONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
1EXPRESS PLUMBING AND ROOTER (818) 767 9808 1 1 1
17949 AJAY DRIVE #A LIC NO I 1UNDER SLAB WOR
ISUN VALLEY CA 91352 796478 C36 1 1����1 I 1
I IWATER SERVICE
I I 1PLASPIC Y/N METAL Y/N I I
1ARCHITECT OR ENGINEER TEL NO I
1 1 IROUGH PLUMBING I I
LIC NO
IGAS PIPING I
I I I
IGAS VENT -1-1
1
I ( I 1 I
IHOT RATER HEATER
I 1 I I
1 PLUMBING FIXTURES
1 ILAWN,SPRINKLERS 1
I I IGAS PEST I
I I I
(UTILITY COMPANY NOTIFIEDI
1CWV I I
IGRAY WATER SYSTEM 1 1
I I I I I I
I I I I I I
1 I I I I I
I I I I I I
I IREPORT ID DPR263 ROUTE TO BS0508
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