HomeMy Public PortalAbout5834 PRIMROSE AVE_Plumbing__ �7$A667SGE-81:7.) 8-7.1.•. - /�M� :I� lei /,7/
'-.:APPLICATION
~- 'PPL.ICATION FOR PLLfME31NG PERMIT
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
LOCALITY a �T
FOR APPLICANT TO FILL-IN (PRINT OR TYPE) NEAREST
CEASET. LAS, TUNIS
NUMBER FIXTURE OR ITEM @ FEE
OWNER Mg_ 1
WATER CLOSET 1.75
-�• MAIL
.L BATH TUB 1.75 7S ll ADDRESS i N, PRTMR(yShl
SHOWER 1.75 CITE' TEMPLE CITY TEL. NO.'
LAVATORY 1•.75COj CONTRACTOR gARL BRYAN PI+UXBINf,r•
SINK 1.75 • ti J ADDRESS
5Q29 AMISA -GAMY IRD-
DISHWASHER 1.75 CITY BALDWIN PARK TEL. q626284
3L CLOTHES WASHER 1.75 `7 STATE LIC
LICENSE.NO:Y- -8. CLASS
SWIMMING POOL RECEPTOR 1.75
DI5 RICT O. !rP E P E BY
LAWN SPRINKLER SYSTEM 1.75
3; O �y
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL O
I GAS SYSTEM OUTLETS 1.75 1 79i. N E ON REC D
OUTLETS OVER
5 PER SYSTEM .30 .i ex
4 0
v
V
W
A.
N
Z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE ,
�
1-2. 00
� APPROVALS DATE INS ECTO R'9 16N TORE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ASO VE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY L S ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TH LEEGG�AALL�OWNER OF; AND INTEND TO
RESIDE IN THE ABOVE DE ED RE EN L PROPERTY. FINAL
SIGNATURE
OF PERMITTEE. VV
PERMIT VALIDATION C CASH
PLAN CHECK VALIDATION CK. M.O. CASH
4. 6 0 7.7-1i. FEB 2 8 9 `D 1 7.0 0- V
j%A667. E-817)-8-71 i
- APPLICATION FOR PLUMBIN PERM {�
v TEMPLE CITY LIC. #2T67
LJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
LOCALITY TEMPLE CITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CNEAREST
ROSS ST. LAS TUNIS
NUMBER FIXTURE OR ITEM @ FEE
GMR., & MRS. BRUNO HAUG
WATER CLOSET 1.75
MAILAIL 5854 PRIMROSE
BATH TUB 1.75 ADDRESS
SHOWER 1.75 cITYTEMPLE CITY TEL. N0.
LAVATORY 1.75 CONTRACTOR KARL BRYAN MMBING
SINK 1.75 ADDRESS 5029' AZUSA CANYON; RD.
DISHWASHER 1.75 CITY BALDWIN" PARK TEL. N0.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1,75 LICENSE NO. 11 CLASS '
DISTRICT NO. G:r ZDVE PR E By
LAWN SPRINKLER SYSTEM 1.75 J �t 1
(!
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
2 GAS SYSTEM OUTLETS 1.750
INSPECTION RECORD
'AVTLETS OVER
57�PER SYSTEM .30 a
O
H
u
661
AL
In
a
P!an check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 6 50-
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATINGy
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF; AND INTEND TOA Al
RESIDE IN THE ABOVE DESCRIBED.RESIDENTIAL PROPERTY. FINAL
SIGNATURE _`/
OF PERMITTEE ""'iFF-���
PERMIT VALIDATION C CASN
PLAN CHECK VALIDATION CK. M.O. CASH
LACo 4 5 3 4" Fu 2 3 .5 D 6. (0-