HomeMy Public PortalAbout5421 PARMERTON AVE_Plumbing__ ' D 8 6 77 25M SETS 7 47 APPLICATION FOR PERMIT
DEPARTMENT OFLOS NG-AND SAFETi ��������
" �'�'COUNTY OFF Y
LOS ANGELES
Wm J FOX.CHIEF ENGINEER
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ATURE O INSTALLATION D STRI O O P
FIXTU RHD I� COMPLETE 7 /D
CESSPOOL SEPTIC TANK RECe�VHD BY READY FOR ATE ISSUED
FIRST INSPECTION 7
ISCELLA EOUB �J1
APPLICANT FILL IN HEAVILY INE�1D PORTION ONLY
JOB
V a ADDRESS � 1 4-+`.
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TEL NO CROSS ST
i 8X►IREDNAME
OF SEPTIC TAN$ OR L z MAIL
3 ADDREDD
NORTH O
CITY � � TEL No
1 AM THE LEGAL POESESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OP ]CATION
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1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
SOUTH
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DESCRIPTION OF WORK a
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ATH TUB FURNACEHOWER ^ISHWASHER O
AVATORY REFRIGERATOR R
ITCHEN SINK WATER SOFTENER
FLOOR BINK SANDTRAP
LFEEIEFINAL
K FLOOR DRAIN
Y URINAL APPROVALS
OSET -DRINKING
ATE INSPECTOR E NAME
____LW EATER DENTAL LAVATORY ROUGH PLUMBING
GAS SODA FOUNTAIN
OUTL GAB PIPING
GAB VENT I
CESSPOOL I
MBER OF FIXTURES /J SEPTIC TANK I
_ REPTICTANK �(/ SEWER /
S
UTILITY CO NOTIFIED Z4 ,4 A
RINAL
70AC07 A IC ES IT A I 8/75
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES +F*** TBRPLE CITY *�**
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILD INc
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MAKE KE CHECKS PAYABLE PO ADORE Q ✓'��
HARVEY T BRANDT, COUNTY ENGINEER
LOCALITY TempleCity
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST
NUMBER FIXTURE OR ITEM ® FEE CROSS ST Dfl B
WATER CLOSET OWNER Jerry Ti lebaum
MAIL
BATH TUB ADDRESS 5421 Parmerton
1 SHOWER CITY Temple City TEL N0442-7357
1 LAVATORYre plac emeni no
CONTRACTOR Rainbow T-iles , Inn
1 SINK II 3 00 ADDRESS 1743 So Tin CiPnPgF; 'RI
DISHWASHER CITY ce Anizelels TEL NO
CLOTHES WASHESTATE LiC
-
LCENSENO 1411 CLASS 12514
SWIMMING POOL RECEPTOR
DIST-ICT NO GROUP JZONEJ OCESSED B
LAWN SPRINKLER SYSTEM r O O T Q
WATER HEATER IND USTpIAL V
WASTE APPROVAL
GAS SYSTEM OUTLETS INSPECTION RECORD G.
OUTLETS OVER 0
5 PER SYSTEM ��- 1,9-7,4, T V
C
f y1 0
a
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Plan Check fee See Reverie
PLUMBING PERMIT ISSUING FEES 0
TOTAL FEE
APPROVALS DATE uls PEcroel ecruArueE
Plan Check applicant UNDER SLAB WORK
Name BOUGH PLUMBING
AddreSS GAS PIPING
City Tel No GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUM GIN0 GAS TEST
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUI REO BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE OES RIBEO REIT DfI/�71AL PROPERTY
FINAL
SIGNATURE /
OF PERMITTE
PERMIT VALIDATION cK M D CASH
PLAN CHECK VALIDATION CK M 0 CASH
288inNOV 15 5 U 1 3.5QA�
70A067-C EX81 7'10-62
APPLICATION FOR -PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
B IN�` AND SAFETY DIVISION BUILDIIic r'
-JOH A-LAMBIE COUNTY ENGINEER ADDBE88
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST /
NUMBER FIXTURE OR ITEM EACH FEE OWNER
I
WATER CLOSE! $1 25 MAIL ^
BATH 'TUB 125 ADDRESS- �_ ,L(-<.( AQ4 t.(-.
SHOWER 125
1-
CITY .j, TEL NO
I 'LAVATORY 1 R5 ' ., CONTRACTOR
SINY 125• ADDRESS - tib`\ /�
DISHWASHER 125 CITY •-� TEL NO f. ( If
LAUNDRY NB 125 REGISTRATION NO — STATE
7 NTRACTOR S C COUNTY
CLOTHES WASHER 125mIBTR T Nq GROUP ` Z2NE PROCESSED BY
WATER HEATER 150
GAS SYSTEM OUTLETS 150 WASTEAPPROVAL
OUTLETS OVER 5 PER SYSTEM 00 INSPECTION RECORD U
Am
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APPROVALS DA11.E INSPECTOR E SIGNATURE
PERMIT - S 2 00 UNDER SLAB WORK
1 ROUGH PLUMBING
TOTAL FEE
,GAS PIPING
1 XEREBYTHAT
TH ACKNOWLEDGE THAT HAVE READ TX16 hFP-CO ION GAS VENT
AND STATE TXAT THE AJNA 1E CORRECT AND AGREE E COMPLY
WITH ALL COUNTY OIIDINANCEB ANp gTAT6 LAWf REGU TRYING
PLUNGING HOT WATER HEATER
1 HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES J
LICENSED A9 RQOUIRE BY LOp ANGELES COUNTY AND GTATE OF GAS TEST II _
CALIFORNIA OR TXAT AM THE LEGAL OWNER OF AND INTEND TO
.RESIDE IN THE AEOVE EYCRIBHD RE91T IAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE FINAL S-T
4CV LIDATION ROBERT A WOOID
R N O CASH SUPERVISING MECHANICAL ENG R
"Co 6'0 9. 8 MAR 2 5 0 5 .75-