HomeMy Public PortalAbout5323 FARAGO AVE_Plumbing__ 76A667 CES17 8 58 1
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS S
rrOHN A LAMBIE CountF Eng�neer
CA3SATT D GBIFFIN Sup f of Buil&ng LOCALITY r PG
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNERbULm
BATH TUB ADDRESS j" G
SHOWER
CITY G p ✓ TEL NO
LAVATORY CONTRACTOR Valley Plumbing Co.
/ SINS ADDRESS 442 W Fleetwood P1
DISHWASHER CITY Glendora TEL No Ed 5-1 :.
LAUNDRY TUBREGISTRATION NO 160847 STATE ❑
COUNTY El
CLOTHES WASHER DISTRICT ZONE/ ROCESSED BY n
WATER HEATER �f/� —) DF(/
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
R',
i
i7 1v
APPROVALS
9 @ $1 00 PER ITEM
OR PECITBE $ 6V ;r DATE INSPECTOR S SIGNATURE
�vV UNDER SL�CB'WORK
PERMIT 2 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
t '
I HEREBY ACKNOWLEDGE THAT 1 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST J r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED I r
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE FINAL N
OF PERMITTE
ffil ROBERT A WOOD
OF VALIDATION SUPERVISING MECHANICAL ENG R
CK m 0 CASH
L
E ACO 6 0 5 5 1 Irl'I 8 5 A
M
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76A667 (CE 817) B 71 �
APPLICATI �OR PLUMBINWPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ADDRESS
^ 3 C
ADDRESS cJ p( �
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST �l
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1 75 MAIL
BATH TUB 1 75 ADDRESS
r 7s
SHOWER 1 75 CI __.4& TE NO
LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS /0 A d
il
DISHWASHER 1 75 CITYEL NO o1 76?0
T
CLOTHES WASHER 1 75 STATE
NO ��� CILASS
SWIMMING POOL RECEPTOR 1 75 LICENSE
DISTRICT N} G P
ZONE P 0 ES BY
LAWN SPRINKLER SYSTEM 1 75 ./f r
J WATER HEATER 1 75 ` S INDUSTRIAL(/ ill"' �
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM 30 Z
O
U
Lu
I V1
a
Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 7-�
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
KITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 7
RESIDE IN THE ABOVE dCRIBED SIDENTIA�pROPERTYFINALSIGNATURE �'/�T/{/.�`A'/`7e
OF PERMITTEE
PERMIT VALIDATION CASH
PLAN CHECK VALIDATION CK M O CASH r
J 4 7 5 N
uto 7 8 �3 3—" JAN 7 4� D
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76 A 667 - CE 817 7-68 CITY OF TEMPLE CITY d
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES B50913
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGADDRESS 5323 Farago Ave.
+JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Temple Clty
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
ICROSS sr Freer & Santa Anita
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 50 OWNER Carl T Skowland
MAIL
BATH TUB 150 ADDRESS Same
I
SHOWER 1 50 CITY TEL NO
LAVATORY 1 50 CONTRACTOR General hstallationCo.
West t 1 1 50 ADDRESS 6668 est BlvcL
DISHWASHER 150 CITY Los Angeles TEL NO PL 3-2641
CLOTHES WASHER 1 50 L
SATELIC
LICENSE NO C-36 1b1838 CLASS
SWIMMING POOL RECEPTOR '1 50 DISTRICT NOGRO Z E P E� �BY
LAWN SPRINKLER SYSTEM 2 00 I(- ` 0�
WATER HEATER 150 INDUSTRIAL y
WASTE APPROVAL O
GAS SYSTEM OUTLETS 150 INSPECTION RECORD
55 PERETSSYSTTEMR 30 Ready for Inspection Now Z
II 0
WATER SOFTENER
1 Disposal 11 50
Z
x
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 3 2 00
TOTAL FEE 3 50
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address M GAS PIPING y
GAS VENT
City Tel NO HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATEI LAWS REGULATING GAS TEST
PLUMBING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RE PR RTY FINAL 0
SIGNATURE ` JACK R ALLEN SUPERVISING MECHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION M o is CASH
x E
PLAN CHECK VALIDATION CK M o CASH
/�
p
I Ar, OAC? Uc- � R30 5 0
350 r
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pit
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