HomeMy Public PortalAbout5522 SARA MAR LN_Plumbing__ PRO °7710,; APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF B=ING AND SAFETY
Dep@,ant of cemtT Englnllr
COnnty of Los Angell{ BUILDING `__ '
JOHN A LAMBIE COUNTY ENGINEER ADDRESS //�O�✓
CASSATT D GRIFFIN,SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ROSH ST
OWNER P 1N
DISTRICT NO GROUZONE RIADY MR IPBCrIOR
MAAt
DDREB �•
INDUSTRIAL
1
TEL �. WASTEAPPROVAL
PLUMBER ReHan Plumbing I mea�jINSPECTION RECORD
ADDRESS 901 SOUTH PRIMROSE AVE
MONROVIA,CALIFORNIA
CITY /
_LICENSE NO Ia 71 Y y
NUMbG I TYPR OF PIXTURX OR MM PR!
WATER CLOSET (TOILET) 0 41 00 S
BATH TUB a $t 00
SHOWER @ $t00
LAVATORY (WASH BASIN) @ 9100
KITCHEN SINK @ f100
DISHWASHER 0 91 00 en
LAUNDRY TUB OR TRAY @ 91 00
CLOTHES WASHER @ 91 00 O
WATER HEATER *too
GAS SYSTEM 100
APPROVALS
DATE INSPECTOR 5SIGNATURE
UNDER BLAB WORK
PERMIT $ 1 00 ROUGH PLUMB)NO
GAS PIPING
TOTAL FEE y 04-0 GAB VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST vk
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LE6 OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT PRO RTY
SIGNATOR!
OF PERMITTlH FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLOD INSPECTOR
CR ■ • GIN
�roa 9 3 2 JUN 6 3 1 2 0 0 ID