HomeMy Public PortalAbout5123 FARAGO AVE_Plumbing__ f
78A667 CEtt#S17 4 64
APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING t/ �� d / G
JOHN A LAMBIE COUNTY ENGINEER ADDRESS t7 I+
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
Te Al PLE cr 7-
FOR
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER '✓,V j
WATER CLOSET 31 25 AA p
BATH TUB 1 25 ADDRESS -4/t 60
SHOWER 1 25 CITY C L/ ke TEL NO '(-74?
LAVATORY 125 CONTRACTOR SL/ E'T Q o I
^1 Cj
SINS 125 ADDRESS O b E V 15 1`
'
DISHWASHER 1 25 CITY TEL NO 3 3/"Q 0fY/r,1
CONSTATE
LAUNDRY TUB 125 REGIIS AA ION NO �Z l i CCTOR 6om---f COUNTY
CLOTHES WASHER 1 25 DISTI IqT NO OUP ZONE ROCgOED BY
WATER HEATER 1 50 0
GAS SYSTEM OUTLETS 1 50 INDUSTRIALWASTE APPROVAL
OUTLETS OVER S PER SYSTEM 30 INSPECTION RECORD V
FRESH wq 1 0
TQC 2 .t �-�� I
� a
N
r
l ,
APPROVALS DATE INSPECTOij S SIGNATURE
PERMIT S 2 00 UNDER SLAB WOR fQti ep'7
ROUG4PLUMBING }
TOTAL FEE `� GAS PIPING j
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
D S / / I
AND THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER `
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE d r/
FINALi/�F� '�
/V�f{LIDATION ROBERT A WOOD
M O CASH SUPERVISING MECHANICAL ENG R
L,,W84061 FEB 9 5 D 325 a
76A667CE817 858 County of Temple City #452
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING arago
J!OHN A LAbIBIE CountF Eng�aeer ADDRESS
cASSATT D GRIFFIN Sup t of Bud&ng LOCALITY Temple City, Ca11 .
FOR APPLICANT TO FILL IN CNEAREST
ROSS ST
NUMBER FIXTURE OR ITEM
OWNER 6atLhelli
WATER CLOSET MBII.
1 BATH TUB ADDRESS
SHOWER CITY TEL NO
1 LAVATORY CONTRACTOR Fontana Plumbing Contr.
1
ADDRESS ESS 133$9 E. E c t o r
of Industry ED 7722
DISHWASHER CITY TEL NO
LAUNDRY TUB CONTRACTOR S STATE
REGMTRATION NO 96496 COUNTY
CLOTHES WASHER DIS7 NO 1G U � WE P ESSED BY/
1 WATER HEATER
1 GAS SYS INDUSTRIAL
WASTE APPROVAL
PECTION RECORD
APPROVALS
7 @ $1PFi71ER S I 7.00
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT (�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES rC e
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST J 2 '/�d*S j- -••-moi
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR iH T I AM THE LEGAL OWN R OF THE ABOVE UTILITY CO NOTIFIED I
DESCRIBED RESIDE AL P OPERTY
SIGNATUREFINAL ✓C-j��r---
OF PERM ITTE
ROBERT A WOOD
OF VALIDATION SUPERVISING MECHANICAL ENG R
CR M O CASH
r A 9.40
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1201250013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
(LEGAL ID I FEES PAID I BUILDING ADDRESS 1
ITR 11497 LT 8 SL A I 1 5123 FARAGO AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803547
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1
18574-008 019 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY Cl
1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30 1 1
ITENANT I TOTAL FEES 44 10 11SSUED ON PROCESSED BY PLAN BY 1
1 1 101/25/12 SR I
I I I I
1OWNER TEL NO 1 IFINAL ATE FINAL CODE I
ISOTER JANET B (626) 443 5974 1
15123 FARAGO AV 1 Iy -.-I z 1
(TEMP 917803547 I 1DESCRI TION OF WORK
I I 1GAS INE FOR INSTALLING NEW A/C-HEAT SYSTEM
I I I I
1APPLICANT TEL NO 1 1 I
ICONTRERAS CARRA (626) 286 3157 1 I 1
14931 N ENCINITA AVE 1 ISPECIAL CONDITIONS 1
ITEMPLE CITY CA 91780 1 I 1
I I I I
I I I I
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE I
ICONNOR AIR CONDITIONING AND REFRIG (626) 286-3157 1 1 1
14931 NORTH ENCINITA LIC NO (UNDER SLAB WORK 1 1 I
ITEMPLE CITY CA 91780 403735 C20 *1 I 1 1 1
I I _ IWATER SERVICE
I 1 1PLASfIC Y/N METAL Y/N 1 1 I
(ARCHITECT OR ENGINEER TEL NO 1 I 1 1 1
1 - I IROUGH PLUMBING 1 I 1
LIC NO I I I I I
IGAS PIPING
I I I
1 I IGAS VENT I I 1
I I I
1 I IHOT WATER HEATER 1 1 1
I I I
I 1 IPLUMBING FIXTURES I 1 1
I I I
1 1 (LAWN SPRINKLERS 1 1 1
I I I I I I
I IGAS TEST 1 1 1
I 1 (UTILITY COMPANY NOTIFIED( I 1
I ICWV I I
I (GRAY WATER SYSTEM
I I I
I I I I I I
I I I I I Ij
I I I I I I
I I I I I I
I ADDITIONAL DATA ON FILE 1 I I I
1 IREPORT ID DPR263 ROUTE TO BS0508 1 I I 1
I I I I I I