HomeMy Public PortalAbout5332 PAL MAL AVE_Plumbing__ TSASS] CE.SI) 10 ST w W
1 . APPLICATION FOR PLUMBINd PERMIZ
COUNTY OF LOS'ANGELES
DEPARTMENT OF COUNTY ENGINEERf)LDMDRESS
r
BUII DING AND SAFETY DIVISION NUMBING
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDINGLOCALITY T
FOR APPLICANT TO FILL IN PR NT OR TYPE
NUMBER FIXTURE OR ITEM EACH PR
R 6, L✓ G
WATER CLOSET 150
BATH TUB 1 50ESS ��0 D
SHOWER 150 TEL NO +1 b
LAVATORY I50 RACTOR 4,.,'JIM
SINK 1 50 � O QA.
DISHWASHER 150 CITY TEL NO
CLOTHES WASHER 150 STATE LIC A
LICENSE NO CLASS aGJ
SMMMING POOL RECEPTOR 1 50 DISTRICT O GRgo P [SS D SY
LAWN SPRINKLER SYSTEM 2 00 �. Q
O
WATER HEATER 150 AS� LAP OVAL
GAS SYSTEM OUTLETS l 50 ENSPILION RECORD
OUTLETS OVER � I ,A yCJ
5 PER SYSTEM 00 i / U CgLY y
O F 2
Plan check fee 25,^, of above See relerse
PLUMBING PERMIT ISSUING FEE 8 2 00 _
TOTAL FEE O `
APPROVALS DATE I INSPECTOR B•IONATURE
Plan check applicant UNDER SLAB WORK
Netne ROUGH PLUMBING
Address OAS PIPING
GAS VENT
City lel NO
HOT WATER HEATER
I HKIR[Y ACKMOWL[00[ THAT I HAV[ READ THIS APPLICATION
AMD STAT[ THAT THE NOW9 IP COTTR EAND AGMS TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ONDIMANC[S AMD RAT[ LAWS WGULATIMO GAS TEST 0
PLUMM.0
I MiROY CERTIFY THAT 1 AM PROPERLY R[OISTCR[D AND/OR UTILITY CO NOTIFIED
LIC[NEEO AS REQUIRED BY LOS ANGELES COUNTY AND STATE Or
CAUFORNIA OR THAT 1 Ar E " AL OWMSR OF AND 1N 0 TO
R[110E IM
THE AEOY[pE D REID[MTIAL PROP[IRv FINAL G
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL R
OF I- "MITT
PERMIT VALIDATION CK M O c.EH
PLAN CHECK VALIDATION CK M O CASH
LhW6 4 9 8- S020 5 0 3,50-
Te A eeT—eE en a/ee
APPLICATION FOR PLUMBING PERMI;X'�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER soaDING
BUILDING AND SAFETY DIVISION AUmDm 5332 Pal Hal fire
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING 10CALITT le tilt.
FOR APPLICANT TO PILL IN PR NT OR TYPECROSS ONEAREST L �
ST
NUMBER FIXTURE OR ITEM EACH FEE
pW� Roy Townsend
WATER CLOSET 150
1300 E. Las Tunas Dr.
BATH TUB 150 p
RESS
SHOWER 1 50 CITY San Gabriel Ta. NO 286ISC-2
LAVATORY 150 CONTRACTOR Owen Bres. P1aIDb
SINK 1 50 ADDS 26 O
. Baidw
DISHWASHER 110 CETT El Monte TCL U0
CLOTHES HASHER 1 50 STATE LIC
LICENSE NO 231 741 CLASS C
SWIMMING POOL RECEPTOR 1 50 DItTq/DT��IO O ZONE RR EV
LAWN SPRINKLER SYSTEM 2 00
WATER HEATER 150 INDUSTRIAL C!
WASTR AMOVAL =
O
GAS SYSTEM OUTLETS 1 50 BIRPRCTION RECORD F
OUTLETS OVER
5 PER SYSTEM J1 .
rn
2
Plan check lee. 211 of abo%e See re�er
PLUMBING PERNII P ISSIIING F EF2 00
1 O rAL FF F
APPROVALS DATE IN{.ECTON{{IOMATUIIE
Plan cheek applicant UNDER SLAB WORK
Varve ROUGH PLUMBING
Ae1e1ress GAS PIPING
GAS VENT
Clt) lei NoHOT WATER HEATER
I NEARBY ACKNOWLEDGE THAT 1 HAVE READLICATION PLUMBING FIXTURES
AND /TAT[ THAT THE ApYE 1{ CORRZCT AND COMPLr
WITH ALL COUNTY 011DINANCE{ AND STATE ULATING LASTEST
PLUMBING
1 MEImY CERTIFY THAT 1 AN PROPERLY RAUDIO* UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOB ANGEL[) COUAT[ 0ICALIFORNIA OR THAT 1 AM THE LEWL OWIRR TEND TOm"m IN THE ASOYE DE IDEMTIA 1FINAL
SIGNATURE JACK R ALLEN, eUPERV151NG CHANICAL ENG R
OF PlRMITT[[ PERMIT VALIDATION cN MD CASH
PLAN CHECK VALIDATION M ° `A5;�f 6 9 6 2 Z SEP 28 5 D 65 0^'
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