HomeMy Public PortalAbout5208 FARAGO AVE_Plumbing__ t�
76A667.CE �7 9583
� 41-
APPLICATION FICR PL` UMBINY' PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AMBIE SAFETY DIVOUNTY ISION ER ADDRESs (7
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN EARESTOSS T
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 31 25 ) MAIL
r/
3 BATH TUB 1 25 r TADDRESS.P6// 3v,
SHOWER 1 25 CI 9 TEL
31 LAVATORY 1 25 'r CONTRACTOR A l c:I' "?1 U m 1 n ?
3 SINE 125 ADDRESS 13933 So. Cren3haw Blvd.
DISHWASHER 125 CITY Iiaw th6rne TEL NO OS, 936914
CONTRACTORS 1936`17 C-36 STATE ❑
LAUNDRY fUB 1 25 REGISTRATION NO COUNTY ❑
`CLOTHES WASHER 1 25 �/ DISTRICT GRO P ZONE P OCESSED Y „
WATER HEATER 1 50 -' a ��/)
1 50 INDUSTRIAL CL
GASSYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
b .,..�.e� nW
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK I
�/ ROUGH PLUMBING�() Z�L- CA
TOTAL FEE '/ GAS PIPING to Z7_E� �` J
I HEREBY ACKNOWLCDGE THAT I HAVE READ THIS APP ICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS AN ELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG L OWNER OF AND INTEND TO GAS TEST G1
RESIDE IN THE ABOVE DESCRIBED IOENTIAL PROPERTY UTILITY CO NOTIFIED
1 �
SIGNATURE
OF PERMITTEE - -
FINAL
^ VALIDATION ROBERT A WOOD
cK M O 1 CASH SUPERVISING MECHANICAL ENG R
I
0 5 6 6�—a JUN2 6 5 0 2 9.75H
Y H
COUNTY OF LOS ANGELES TEMPLE CITY # 0506 PLUMBING PERMIT
,r DEEfARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1212190002
�- BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID BUILDING ADDRESS I
ITR 11497 LT 5 BL B I I 5208 5212 FARAGO AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803529 1
(ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET
18574-009-026 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY CAI
1 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20
ITENANT I TOTAL FEES 44 00 IISSJED ON PROCESSED BY PLAN BY
112/19/12 SR
(OWNER TEL NO I IFINAL DATE FIN Y CODE 1
IHOM KEVIN - 1
15011 HALIFAX RD 1
IIEMPLE CITY CA 91780 ON n WORK
I IREFLACE WATER MAIN LINE 1 1/4'
_I I
APPLICANT TEL NO
I I
PEREZ ABEL (323) 945-6519- I I
1340 S GERHART AVE #1 1 ISPECIAL CONDITIONS
ILOS ANGELES CA 90022 1 1
1 I
I _I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
IPEREZ PLUMBING & ELECTRIC (323) 263-4343 1 1--
1340 S GERHART AVENUE #1 LIC NO I 1UNLER SLAB WORK I
ILOS ANGELES CA 90022 910949 1 1
I I IWATER SERVICE
I _ IPL STIC YIN METAL YIN I
(ARCHITECT OR ENGINEER TEL NO I I- I I
- IROUGH PLUMBING 1
1 LIC NO I-
1GAIPIPING
t I I I
I IGA VENT I I
I I-4 I I
1I IHO1 WATER HEATER
I II I
IPLJMBING FIXTURES 1
I
I-
I ILARN SPRINKLERS I I
I- I
ICA, TEST
1 JUT LITY COMPANY NOTIFIEDI I
1I I ICW"'
GR-Y WATER SYSTEM
I I I I I I
I I I I I I
I it I_ I I I
I I I I i I
I I I I I I
IREPORT ID DPR263 ROUTE TO BS0508
I I I