HomeMy Public PortalAbout5508 SARA MAR LN_Plumbing__ Y
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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUU.DIN
BUILDING AND SAFETY DIVISION ADDRG
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCAL / 1
FOR APPLICANT TO FILL IN CROSS BY /
NUMBER FIXTURE OR ITEM
y OWNEi
WATER CLOSET `
BATH TUB DADM REBS P
SHOWER Circ Q V' tl TEL No
y LAVATORY CONTRACTOR
J SUPE ADDSE83
f DISHWASHER CRT TEL NO
O (-LAUNDRY TDB CONTRACTOR STA
REGISTRATION NO 0 )UN jj0 Ty
CLOTHES WASHER
DISTRICT O GR ZON? SEAUYMl INAPECTIDN
WATER HEATER
• GAB SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
® $100 PER ITEM DATK INSP c TURE
OR FTRTUHE S Q UNDER Ab/119-WORK
PERMIT s 100 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 00
GAS VENT
1 HEREBY 7ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTT RDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUNBIN6
I HEREBY CERT FY HAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS RE i D BY LOS A GELES COUNTY AND STATE OF
CALIFORNIA OR ,1 THE EGAL OWNER F THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIO HAL P OPERT
f
SIGNATURE
OF PERMITTER FINAL _
ALIDATION ROBERT A WOOD
k2*7
MDu1x
SUPERVISING MECHANICAL ENO R
x8 1 K'APR 11 3 A 12-00 9
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0306240017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0688 EXT
LEGAL ID FEES PAID BUILOINU-JURMT— —
ON FILE 5508 SARA MAR LN
FEE DESCRIPTION QUANTITY: LON AMOUNT: TEMP CA 917802527
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY
8588-010-029 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY
47 WATER HEATER(S) 1 00 WTH 16 20
TENANT TOTAL FEES 43 95 ISSUED Ohl- PROCESSED BY PLAN BY EIWWM�
06/24/03 JK 12/21/03
OWNER TEL. NO CODE
TRAVIS ORVELL L,PATRICIA (818) 287-4500-
5508 SARA MAR LM
TEMP 917802527 6ESCRippiON"uS
C/O WATER HEATER
APPLICANT TEL NO
ACTION CONTRACTORS INC (310) 515.1311-
17111 S BROADWAY ST SPECIAL CONDITIONS
GARDENA 90248 _
CONTRACTOR TEL C J�
ACTION CONTRACTORS (310) 515-1311- APPROVALS DATE INSPECTOR SIGMATUR
17111 SOUTH BROADWAY LIC. NO UNDER SLAB WORK
GARDENA CA 90248 B/L 27953WATER SERVICE
ARCMITECT OR ENGINEER TEL NO:
PLASTIC Y/N METAL Y/N
LIC -No
l� t —\,�' _1�IIFGAS PIPING
GAS VENT
NOT WATER HU=PLUMBING FIXTURESI
LAWN SPRiNKERF
GAS TEST
UTILITY COMPANY NOT
CWV
v I r C' 10 GRAY WATER SYSTEM
• ADDITIONAL DATA ON FILE
REPORT ID DPR263 ROUTE TO SS0508