HomeMy Public PortalAbout5339 PARMERTON AVE_Plumbing__ DEN 1Y IO es APPLICATION FOR PLUMBING PERMIT 1
DMSION OF BUILDING AND SAFETY
Department of County Eng(naex
County of LOB Angofe6 BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 5339 Parmerton
CASSATTD GRIFFIN SUPTOFSUILDINa LOCALITY Temple City
FOR APPLICANT TO FILL IN NEARCROSEST
Dain e9 U
OWNER John Bartruff DISTRICI NO GROUP
RI ZONE 14EAOY FOB IHSFecTIOH
MAIL 5339 Parmerton
ADDRESS
TempleY Cit Gi . 45825 INDUSTRIAL
CITY TEL NO WASTEAPPROVAL
PLUMBER San Gabriel Plumbing -_?o INSPECTION RECORD
ADDRESS 1731 So. San Gabriel Blv
CITYSan Gabriel TEL NO At .
LICENSE NO 144715 /
/S�4<
NUMBER TYPE OF FIXTURE ON ITEM FEB JZ s /f ^w /}
1 WATER CLOSET (TOILET) @ $100 $ t
BATHTUB @ $100 f-/ J�. , �i / S
1 SHOWER a 5100 1 00
LAVA-TORY (WASH BASIN) Q S100 1 OO �•0
KITCHEN SINK Q $I 00
r
DISHWASHER Q $1 00 �'�✓����� ✓�I1�/�
LAUNDRY TUB OR TRAY 0 SI 00 F f
CLOTHES WASHER Q $I 00
WATER HEATER @ v 00
GAS SYSTEM SI 00
APPROVALS
DY DATE INSPECTORS SI NATURE /
UNDER WORK — /&,
PERMIT $ 1 00 ROUGH PLUMBING
Y
— GAS PIPING
TOTAL FEE 4 O GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 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 PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDENTIAL PR ERTY �
SIGNATURE y
OF PERMITTEE FINAL t 6
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERTA WOOD CHIEF PLBG INSPECTOR
Y • CAeH
M. 3 3 1 5S .All.2 9 5 A 4.0 O N
70A669 CEnS17 IQ ST
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APPLICATION FOR `PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUII.DING AND SAFETY DIVISION FADING
JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING LITY
FOR APPLICANT TO FILL IN PR NT OR TYPE EST
S ST
NUMBER FIXTURE OR ITEM EACH FEEER rY4/WATER CLOSET 150
� BATH TUB 1 50 ADDAESS
SHOWER 1 50 CITY TEL NO
LAVATORY 150 CONTAACTO
SINK 1 50 ADDRESS
DISHRASHER 150 CITY TEL NO
CLOTHES WASHER 1 50 STATELIC
b� LF y 7 CLASS Co
LICENSE NO
SWIMMING POOL RECEPTOR 1 50 DISTRICT lr GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2 00 QO 1
O
\LATER HEATER 1 50 INDUSTRIAL U
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD U
OUTLETS OVER 30 �^ �^� 1
5 PER SYSTEM { .� N
T /120
PlaD check fee 21` of above See reNerse
PLUMBING PERM17 ISSUING FEE S 2 00
I OTAL FL'E
APPROVALS DATE INSPECrPRBnIGNATuae
PlaTI cheek applicant UNDER SLAB WORK
UNDER SLAB WORK UNDER
ROUGH PLUMBING
Address GAS PIPING
GAS VENT
Gq Fel No HOT WATER HEATER
1 HCREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE 11 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING G /
PLUMYING AS TEST
1 NEREHY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AMC STATE OF
CALIFORNIA OR THAT I AM THE "GAL OWNER OF AND INTEND TO
RESIOE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATURE JACK R ALLEN, suP RVISIN MECHANICAL ENG RT
OF PERMITTEE
PERMIT VALIDATIO cH M o CASH
PLAN CHECK VLIDATION CK M o CASH — —
5 5 3 0:8 JLL18 5 0 3,50- v