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HomeMy Public PortalAbout5332 FARAGO AVE_Plumbing__ lul /YS( 76A667 CES 17 8 57 r. APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5332 Farago Ave JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM OWNER Larkwood Construction 2 WATER CLOSET MAIL BATH TUB ADDRESS 1 SHOWER CITY TEL NO � 3 72 r 2 LAVATORY CONTRACTOR p SINK ADDRESS S Central DISHWASHER CITY Chino TEL NO Na 8-4721 LAUNDRY TUB CONTRACTORS STATE El REGISTRATION NO 155-164 C.-36 COUNTY ❑ CLOTHES WASHER DISTRICT NO GROUP ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL t r-�-/ INSPECTION RECORD It 15� A cn. `tart al U.i"v // �?2 / A ✓� G// v r O .f ® •.� APPROVALS $100 PER ITEM DATE INSPECTOR S SIGNATURE 10 OR FIXTURE $ 0 10eV UNDER SLAB WORK ERMIT O ROUGH PLUMBING P $ GAS PIPING µ .� TOTAL FEE12 ,00 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE AB VE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PERTY SIGNATURE OF PERM ITTFINAL Li © VALIDATION ROBERT A WOOD SUPERVISING MECHANICAL ENG R CK M 0 CASH 5 5 9 6 U OCT g 5 A 1200 76A667 - CES17 5/70 CITY OF TEMPLE `CITY APPLICATION FOR PLUMBING PERMIT COUNTYLOS O F ANGELES B11912 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION fDDRESS 5332 Farago JOHN A. LAMBIE, COUNTY ENGINEER g COLEMAN W.JENKINS. SUPT. OF BUILDING OCALITYe le Ci7NUMBER PLICANT TO FILL IN(PR NT OR TYPE) EAREST CROSS ST. FIXTURE ORITEM EACH FEEOWNER Lo Vorhees ER CLOSET 1.50MAIL ATH TUB 1.50 ADDRESS Same SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR GENERAL INSTALLATION CO. SINK 1.50 ADDRESS 6558 WEST BLVD. DISHWASHER 1.50 CITY Los Angeles TEL. NO. PL 3-2541 CLOTHES WASHER 1.50 STATE LIC LICENSE NO. C, 36 151859 CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 II a 1 WATER HEATER 1.50 1 75 INDUSTRIAL ` WASTE APPROVAL 0 GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD u OUTLETS OVER 5 PER SYSTEM .30 Ready for Inspection Now i WATER SOFTENER r, L� Plan check fee 255% of above. See reverse. 3.00 PLUMBING PERMIT ISSUING FEE .$ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City. Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 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 RESIDE IN,THE ABOVE DESCRIBED RES/y/fp/ANTI L PRO RTV. FINAL SIGNATURE / _ ` JACK R. ALLEN, SUPERVI 1 G M Q ANICAL ENG'R. OF PERMITTEE- V PERMIT VALIDATION I M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH i&oo 3 2 4.z 0071 1 , 5 D 4.75x..