HomeMy Public PortalAbout5232 FARAGO AVE_Plumbing__ -6A667 CE#e17 e17 2 62 TEMPLE LE CPTY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 2
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
R APPLICANT TO FILL IN NEAREST
CROSS ST
f7SHOWER
IXTURE OR ITEM EACH FEE
OWNER
CLOSET $125 MAIL
UB 1 25 ADDRESS 7.
125CITY L TEL NORY 125 CONTRACTO
SINK 125 s ADDRESS
DISHWASHER 125 CITY TEL NO
LAUNDRY fUB 1 25 CONTRACTOR S STATE ❑
REGISTRATION JW COUNTY ❑
CLOTHES WASHER 125 DISTRICT NO ROUPLx?
P SSED BY
WATER HEATER 1 50
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD O
o
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APPROVALS _PATER INSPECTORS SIGNoTR
PERMIT $ 2 00 UNDER SLAB WORK • �
ROUGH PLUMBING
TOTAL FEE GAS PIPING —
I0ACKNOWLEDGE THAT 1 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 HOT WATER HEATER
PLUMBING b }q� J -�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �T
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 • w/
OF PERMITTE
FINAL
C%L// M 0 ION ROBERT A W OD
cK j M J CASH SUPERVISING MECHANICAL ENG R
L i e 4 b 2 Aug 5 5 D 5.7 5-
_ COUNTY OF LpS ANGELES TEMPLE CITY # 0508 PLUMBING-PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS CPL-0508-9708060002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL ID - S PAID BUILDINGSS
TR 11497 LT 1 BL B 5232 FARAGO AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP-CA-917803529
ASSESSOR INFORMATION B NEAREST CROSS STREET
8574 009 062 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 00 FIX 16 35
TENANT11 CLOTHESWASHER(S) 1 00 FIX 16 35 ISSUED ON PROCESSED BY PLAN
25 LAVATORIES/SINKS 3 00 FIX 49 05 08/06/97 TC 08/06/98
45 WATER CLOSET/URINAL 1 00 FIX 16 35 -
OWNER TEL NO 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 35 FINAL D FINAL B CODE
BOONYANIT SANIT,CIRILA (626) 448 2506 63 WATER PIPING BR/FIX 4 00 FIX 27 00
5232 FARAGO AV TOTAL FEES 169 20 t
TEMP 917803529 DESCRIPRON OF WORK p
PLUMBING FOR ADDITION NO AL R I N
APPLICANT TEL NO
PERFECT HOME IMP (310) 360 9911
SPECIAL CONDITIONS
CONTRACTOR G�LES TEL NO go
� APPROVALS DATE INSPECTOR SIGNATURE
PERFECT HOME IMPROVEMENT (310) 360 9961 �
6228 FULTON AVE LIC NO a ER SLAB WORK
VAN NUYS CA 9140101 737736 B ((v/✓�/
WATER SERVICE
ARCH O PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC NO
NG
GAS VENT
HOT WATER HEATER
ES
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PR N LE S
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GAS TEST
r 1UTILITY COMPANY
GRAY WATER S79TEW--
CWVREPORT ID DPR263 ROUTE TO SS0508