HomeMy Public PortalAbout4851 FIESTA AVE_Plumbing__ 78A667 CE#817 ,D 62 CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS `#8#5---'N. F i es to Cl
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY Cityof Temple City
FOR APPLICANT TO FILL IN CROSS ST Lower A ZU s a R d.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
l WATER CLOSET $125 S MAIL
1 BATH TUB 1 25 ADDRESS
SHOWER 125 CITY ` TEL NO
LAVATORY 1 25 CONTRACTOR J o s e S h C a d i l l i P l b .
SINK 125 ADDRESS7821 E . Garveyve
DISHWASHER 12S Cm6o. San Gabriel TEL NOQT-05349
LAUNDRY fUB 1 25 EGISNTRATRAT ON NO 134935036 COUNTY p
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE P O E E BY
WATER HEATER 1 50
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL
1b WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 V
� INSPECTION RECORD
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APPROVALS ,DATFi INSPECTOR SS T
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING d
TOTAL FEE "� GAS PIPINGv-
I HEREBY ACKNOWLEDGE THAT I 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES/ '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �--T - J AV,
OR THAT I AM THE LEGAL OWNER OF AND INYEND TO
RESIDE IN THE ABOVE DE IBED RESIDENTIAL ERTY UTILITY CO NOTIFIED �I
SIGNATURE 1
OF PERMITTEE
FINAL
VCKALIDATION ROBERT A WOOD
M O CASH SUPERVISING MECHANICAL ENG R
8 713 6Q AUG 9 5 D 1 0.0 0- V
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76A667 CE $817 2 62
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 4 g 51 Fiesta
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY Tem l e C I t
FOR APPLICANT TO FILL IN NEAREST
CROSS ST L ��✓
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Peters
WATER CLOSET $125 MAIL
BATH TUB 125 ADDRESS Same
SHOWER 125 CITY TEL NO
LAVATORY 1 25 CONTRACTOR Joseph C a d I l l I P l b g . Co.
SINK 125 ADDRESS 7821 E Garvey Ave.
DISHWASHER 125 CITY S San Gabriel TEL NO 28o-4201 ,,
LAUNDRY TUB 125 R GINS RATION NO 134935036 COUNSTATY ❑
CLOTHES WASHER 1 25 DISTRICT NO� GROUP ZONE PROCESSED BY
WATER HEATER 150 ��
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 SPECTION RECORD �.
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APPROVALS DATE INSPECTOR 5 SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK �,,.-�� ------'- ..._,�
U ROUGH PLUMBING ✓ 1
TOTAL FEE 3 � GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER i
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST I
FORNIA OR THAT M HE LEGAL OWNER OF AN
CALII AD INTEND TO
RESIDE IN THE ABOVE DES IBED RESIDENTIAL P R Y UTILITY CO NOTIFIED
SIGNATURE4ZAV
t_lA
OF PERMITT
FINAL
0.1
ALIDATION ROBERT A WOOD
M O CASH SUPERVISING MECHANICAL ENG R
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