HomeMy Public PortalAbout5469 SARA MAR LN_Plumbing__ T"^-T ' APPLICATION FOR ,PLUMBING PERMIT 1
Dee IT aDIVISION OF BUILDING AND SAFETY '
Depo+haant of Co ty Engineer
Co ty of Lw Angeles
WM J FOX COUNTY ENEER NGIBUILDING
ADDRlSH G}/1
i CA9SATT0 GRIFFIN SUFTOFHUILOINO
LOCALITY i
FOS,APPLICANT TO FILL IN NrARE s'r <<CLt
OWNER DISTRICPO GROUP I ZONE IRECIDYFORINSPRCTION
MAIL
ADDRESS C V�
INDUSTRIAL
CITY 7EL NO WASTEAPPROVAL
PLUMBER INSPECTION RECORD
ADDRESS 11
CITY T J
LICENSE NO 11,24141,6/
NUMBER "PROF FIXTURE OR IT" FEE Ir
WATER CLOSET (TOILET) s
BATHTUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY '
CLOTHES WASHER
TOTAL NO Im o 90 APPROVALS
(
UNDER SLAB WORK
DATE INSPECTOR S SIGNATURE
WATER HEATER 100
PERMIT 1 00
ROUGH PLUMBING
f
GAB PIPING
TOTAL FEE QC GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I -AM THE LEGAk jpWNER OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDENTIAL PROP TY
J
9RE
OPPERI /
OF PERMTTE FINAL
WILLIAM J FOX,COUNTY ENGINEER VALIDATION R A WOOD CHIEF PLBG INSPECTOR
` _G5 8 6 0S JUL21 3 2.0 0
oDRnT a ss APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Department of 2:1% EBgbiew r
county of Los Bgol*s BUILDING
WM J FOX, COUNTY ENGINEER ADDRESS
CASBT ATD GRIFFIN SUP T of BGILDINO
OCAFOR APPLICANT TO FILL. IN "�E' O
OWNER EDAI OLL1 S DISTRICT O GRO ZONE RRAOF FOR IRAPtCT IQN
MAILA„'
ADDRESS L.0 /
INDUSTRIAL
WASTE APPROVAL t� wr nt�r.�
PLUMBER ) INSP=ON RECORD
ADDRESS Q bLAJ L� .LZ jC p
CITY O TEL NO (�
LICENSE NO 1- �J
NUMBER TYPX OF FIXTURE OR ITIRM F[6
WATER CLOSET (TOILET) S
BATH TUB _
SHOWER _
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER _
LAUNDRY TUB OR TRAY
CLOTHES WASHER Ie
TOTAL NO 0 080 APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM_!q_OUTLETS ® 1 00 DD
WATER HEATER 1 00 0 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT IF I OO GAS PIPING Imo/ (l 130—
TOTAL
1.TOTAL FEE C4D GAS VENT f�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR AS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT 1 THE LEGAL OW ER OF THE ABOVE
DESCRIBED RtlIDEX A OPERTY
SIGNATURE
OF PERMITTEE FINAL y
WILLIAM FOX, UNTYENOINMER _ VALIDATIOPi,
_ iaC2a 'ragt 4 3 ,y9A'0 e
(RT
ODEPUTT
DNS 17'EAPPLICATION FOR PLUMBING PERMIT '
BE DIVISiON OF RUMDING AND SAFETY
DBpmtmBal of CaaYf! EBg1wsE
�� at BUILDING
WM J FOX, COUNTY ENGIN[IER ADDRESS
CABSATT D GRIFFIN BLIP T OF RUILOINa
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
OWNER DIST?NO OROS 39FPIB� RCADY roA INsncnoA
MAIL 5 /� /
ADDRESS
INDUSTRIAL
WASTE APPROVAL
[PLUMBER ,.v /] DMEC TION RECORD
ADDRESS 2
CITY TEL NO 12i6l
LI E SE NO 0
NUMBER TYPE OF FIXTURE OR REM FEE
WATER CLOSET (TOILET) f
BATH TUB _
SHOWER
LAVATORY (WASH BASIN) _
KITCHEN SINK
DISHWASHER _
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO 2 080 APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYS T61+ OUTLETS ® 100
— UNDER BLAB WORK
WATER HEATER 100
ROUGH PLUMBING T
PERMIT f I Oo GAB PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT TWE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGMLATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BT L ANGELES COON AND STATE OF
CA IF
OR THAT 1 A E LEGAL OW OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDEN�I P R7T
SIGNATURE I`
OF PERMITTEE FINAL ZI S
WILLIAM J FOX, LINTY ENGINEEit VALIDATION
1,38 vm24 3 1 .80 e
BY
DEPUTY
/73
^]BABB] E-SI]ABPPLICATION OR PMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER AJ
BUILDING AND SAFETY DIVISION
/
AIA KE CHECKS PAYABLE TO ADDRESS 5469 Sara Mar Lane
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
Temnlp 1
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS 5T
NUMBER FIXTURE OR ITEM ® FEE TTyy������
WATER CLOSET 1 75 OWNER Craft Built Homes
MAIL
BATH TUB 1 75 ADDRESS 230 E. Valley Blvd*
I SHOWER 1 75 CITYSan Gabriel TEL No 280 7382
LAVATORY 1 75 CONTRACTOR n Umbin , Inc.
SINK 1 75 ADDRESS 4265 N. Baldwin Ave
DISHWASHER 1 75 CITY El Monte TEL NU3�78
CLOTHES WASHER 1 75 STATE LICENSE NO 231 741 G LIC
SWIMMING POOL RECEPTOR 1 7$
C LASS
DISTRICT NO GROUP (O P OC ESS BY
LAWN SPRINKLER SYSTEM 175 L�S{CRIL T �/ y
WATER HEATER 1 75 WA)S`TE•JAPAPROVAL —•f— po-
GAS SYSTEM ♦ OUTLETS 1 75 INSPECTION RECORD o
OUTLETS OVER
5 PER SYSTEM 30 O
H
V
W
_ H
♦ Z i
Plan Check fee See Revere.
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
APPROVALS DATE Ive Pcc To.• e]fu.T GRc
Plan Check applicant UNDER SLAB WORK
Name ROUGH 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
PLUMBING GAS TEST _ / ♦A
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 I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DE 1 .LSIDENTIAL AER TY FINAL
SIGNATU RE
ER1
OF PI
PERMIT VALIDATION C% M 0 CASH
PLAN CHECK VALIDATION CK M o CASH
i 488:APR 11 5 0 4.75
' T
�FAB!)�B 01 f Ai line
,,APPLICATION FOR 'PLUMBING PERMIT li
n
COU OF LOS ANG S
DEPART OF
RCOUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING )CM 14AR 1,AM
NUMBER FIXTURE OR ITEM a FEE ADDRESS
WATER CLOSET LOCALITY TY
BATH TUB NEAREST
CROSS ST
SHOWER OWNER MILHALL,
LAVATORY MAIL
ADDRESS SAW
SINK CITY TEME• TEL NO286-1
DISHWASHER CONTRACTOR TRANE HCC
CLOTHES WASHER ADDRESS 2034 N. PECK RD.
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY S. ELMOND TEL NO 579-7982
STATE LIC
WATER HEATER LICENSE NO 265094 CLASS
L
GAS
TLSYSTEM
E I OUTLETS 3 00 DIST 'O, UP 791NIE P ESSED Y
S PER SSYRW INDUSTRIAL l//•\�
WASTE APPROVAL C
INSPECTION RECORD V
Q
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 7 00
TOTAL FEE 10
Plan check applicant
Name
d APPROVALS DATE NisPEcroR 551cNATURE
UNDER SLAB VIORK
Address ROUGH PLUMBING
CITY Tel No GtSPIPING 'T)1!, 77-1 i T
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT /
THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY WIHI ALL COUNTY OADUTANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTFY THAT 1 AM PROPERLY REGMTERED AND/OR LICENSED AS PLUMBING FIXTURES
REWIRED By LOS ANGELES COMM((AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF AND INTEND TO RESIDE IN OVE DESCRIBED RESIDENNIL
PROPERTY UTILITYCO NOTIFIED
SIGNATURE
OP PERMITTEE •FINAL fd
PIA e� OMEENZATfQN PERMIT VALIDATION u cAsH
01. 59APR 19 6 D \ 1 0.0 0 wog
POLICY HOLDER:
CF- (!J/�L1.gR�U mL
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