HomeMy Public PortalAbout5516 SARA MAR LN_Plumbing__ GM 710 EE APPLICATION -FOR PLUMBING PERMIT
DMSION OF BUELDING AND SAFETY
Deportment of County Engineer
County of 1.08 Angel" BUILDI NO
JOHN A LAMBIE COUNTY ENGINEER ADDR88SS
CASSATT D GRIFFIN.SUP TOP BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
OBB
OWNER 2X,1411 , DISTRICT NO GROUP Z HE _ READY MR INRPRCTION
MAIL
I TEL NO - y 9 INDUSTRIAL
WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS 901 SOUTH PRIMROSE AVE.
MONROVIA.CALIFORNIA
CITY
LICENSE NO
NUMB" TYPE Or FIXTURE OR REH IEE
WATER OLOS6T (TOILET) 0 $1 00 QO
I BATH TUB 100
SHOWER $1 00
'Ve LAVATORY (WASH BASIN) @ $100
KITCHEN SINK o SI00
DISHWASHER @ $t 00
LAUNDRY TUB OR TRAY $100
CLOTHES WASHER !1 00 49402 _
WATER HEATER $100
GAS SYSTEM 3100
APPROVALS
DAT! INSPECTOR S SIGNATURE
UNDER BLAB WORK
PERMIT 1 00ROUGH PLUMBING I
GAS PIPING
TOTAL FEE 1 /-"100 GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION NOT WATER HEATER
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES '7
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LE OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT PR RTY
SIGNATUR!
OF PERMITTE FINAL
ROBINSON
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD. CHIEF PLBG INSPECTOR
OR M • CASH
L
w- LACo 8 9 3 1 W1 Jm 6 3 1200 n
C
TeweaT-cERen 5163 City of Temple City 00192
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUIIDD!iG AIV S FETY �IVLSIRR BUILDINGF2115.1 6 Sara Marlane
JOHN A LAM IE oUNTY NaINEER
WILLIAM A JENSFN SUP T w BUILDING Temple Cit
FOR APPLICANT TO FELL IN Temple City & O iv
NUMBER FIXTURE OR ITEM EACH FEEaes RiceWATER CLOSET !1m MAILDATH TUB 1m ame
SHOWER 125 CTR TEL NO
LAVATORY 1.m CONTRACTOR General Installation Co.
RDNE 1 m `ADDRESS 8888 West Blvd.
DISHWASHER 125 CRY Los Angeles TEL No FL 3-2541
LAUNDRY TOR 1 m REGISSTTRATIIO fno C-38 181839_ 787 coalA+r�r
CLOTHES WARf1P♦R 125 DISTR Nq GRO_� EN F P !{SCD BY,`
WATER HEATER 158 J /¢— }
O
GAS eYRTEx Oor1.ETR ISO
WASTE ROVAL �0
OUTLETS OVER 5 PER SYSTEM .DB DIRPECTION RECORD V
1 Water Softener 150 Ready for Inspeotion ov pe
N
Z
APPROVALS DATE InISPECTORSEIMNE
PERMR S 2 00 UNOER SLAB WORK
TOTAL FEE 3 50 ROUGH PLUMBING
GAS PIPING
1 HSTATE ACKNOWLEDGE THAT`S NECAYM RLAp THIS APPLICATION
OCOMPLY
GAS VENT
ANp FIAT[ TXAT THE ABOVE IS CONNECT AND "ME TO COMPLY
WITX ALL COUNTY ORDINANCES AMD\STAT[ LAWS REGULATING HOT WATER HEATER
PLUMBING
I H[R Y C[NIIPv THAT I AM PROPERLY R[o1ST[BE. AND/OR PLUMBING FIXTURES
LICEN= AS RYOU1RSO eY Lp[ ANGELES COUN Y AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OVVV{{{MMM[R OF AND INTZZ TO GAS TEST
BESIDE IN THE ABOVE M11CRI{{D RKS1 p RM UTILITY CO NOTIFIED
SIGNATURE G�JGf(/
OF PERMITTEE
-
FINAL
6 AMATION ROBERT A WOOD
cK M O CASH SUPERVISING MECHANICAL ENG R
LA,o 7 6 5 2 2 1,PR 17 5 D 3.5 O
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