HomeMy Public PortalAbout5818 PRIMROSE AVE_Plumbing__ 76 Z-6.67—CE 817 8/68 0
`^ APPLICATION FOR PLUMBING PERM
r' v COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGENEER
BUILDING AND SAFETY DMSION SUEZ?
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 818 No.-Primrose
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL.IN(PR NT O TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE.OR ITEM EACH FEE
WATER CLOSET
OW14ER Anderson
_ 1
E :3 KAIL
BATH TUB 1. ADDRESS 8.18 No. Primrose
SHOWER I-AO cin Temple City TEL. NO.
3 LAVATORY 1.50 qCONTRACTOR Owen Bros. Plumbing Ino.
/
SINK 1 so %� ADDRESS 4265 No. Baldwin Ave.
DISHWASHER 1 so CiiR El Monte 9.1731 TFL-NO- 443--0078
/ CLOTHES WASHER 1 50 STATE 231 741 LIC C 36
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT NOG P Z P O DO
R
LAWN SPRINKLESYSTEM 2 00'
• (gyO
/ WATER HEATER 1. 0 INDUSTRIAL V
WASTE APPROVAL Z
0
l GAS SYSTEM OUTLETS: 1. INSPECTION RECORD
OUTLETS OVER 3 d
5 PER SYSTEM
H
Z
Plancheck fee 25% of above:See reverse.
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE O
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING �� !alA
Address
GAS PIPING
GAS VENT
City Tel. NO. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 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.
1 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 INTIkND TO
RESIDE IN.THE ABOV E IBlD RESIDENTIAL PROPERTY. FINAL
SIGNATURE TACK R. ALLEN, SGPERVISIN ECH ANICAL EN'G'R.
OF.PERMITTEE
No PERMIT VALIDATION cK M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH a �/
I i 11_ 6 5 4` 27 2 4.0 0-
;,76 A37—CE 817 8/68
�l
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINM NG
BUIMING AND SAFETY DIVISION BUILDIBUILbIs 816 Primrose
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUP'T'. OF BUILDING LOCALMY Temple City
FOR APPLICANT TO FILL IN(PR NTOR TYPE) NEAREST
CROSS ST. or,2Q/
NUMBER FIXTURE OR ITEM EACH FEE
owxEa Anderson
WATER CLOSET 1 0
MAIL
BATH TUB 1.50 DRESS 5818 Primrose
SHOWER 1.,50 Cm Temple City TEL,NO.
LAVATORY 1.50 CONTRACTOR Owen Erase Plumbing, Ino.
SINK 1.50 ADDRESS- 4265 No. Baldwin Ave.
DISHWASHER 1.50. CITY El Monte 91731 TEL.No. 443-0078'
CLOTHES WASHER 1.50 . STATE LIC
LICENSE NO. 231 741 CLASS C 36
SWIMT7ING POOL RECEPTOR 1.50 DISTRICT NO. ORO P NE P O SS BY
LAWN SPRINKLER SYSTEM 2.00 —,a
WATER HEATER 1.50 INDUSTRIAL 0
WASTE APPROVAL
GAS SYSTEM OUTLETS1.. INSPECTION RECORD W
OUTLETS OVER 30 Tn
5 PER SYSTEM
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 00
TOTAL FEE APPROVALS 'DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB.WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 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.
1 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 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABO DESCRIBED RESIDENT AL.PROPERTY. FINAL /
SIGNATURE JACK R. ALLEN. 'SUFERVI$IOICHANICAL EN G'R.
OF PERMITTEEPERMIT VALIDATI�AL—
ON M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
h_ 7
27 5 D 4. 5 v;