HomeMy Public PortalAbout10657 SPARKLETT ST_Plumbing__ .. 7.�A667 ((!C-j817)-8-11
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 106 I S arklett
LOCAUTYTemple City
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET 1 75 0 OWNER John Sell,
/ ADDRESS 2023 Bella Vista Drive
BATH TUB #75
SHOWER ` CITY Arcadia TEL NO 445-2772
LAVATORY 0 CONTRACTOR Owen Bros-Plimbing Inc.
/ SINK 1 75 ADDRESS 4265 North ,Baldwin Ave.I� r�yYrKtT
DISHWASHER 1 75 CITY El Monte TEL NO 443—W78
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1 75 D \
WATER HEATER 1 75 ILL
WASTE APAPPOVAL G
GAS SYSTEM OUTLETS 1 750.
INSPECTION RECORD V
OUTLETS OVER 3I
Z
5 PER SYSTEM
O
F.
W
IL
N
Z
Plan check fee See revers
PLUMBING PERMIT ISSUING FEE $ W
TOTAL FEE ?j
APPROVALS DATE 1xeP one oN RE
Plan Check RPPIICent UNDER SLAB WORK S ✓ �__
Nerve ROUGH PLUMBING
Address GAS PIPING
City Tel NoGAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE MCAD TICATION HOT WATER HEATER
AND STATE THAT THE ASOVE 19 COIINCCT AND AOMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCE. ANO STATE LLATING
PLU McIUG GAS TEST / J
I HCRCSY CERTIrY THAT I AM PROPE.LY REANO/OR UTILITY CO NOTIFIED
L IGCNSEO AG xEOUIRCO BY LOS ANGCLE9 COUNTAT- OF......x N IA OR1HAT I AM THC LEGAL OWNER OFEND TORESIDE INTHE ASOVC C . SED RESIDENTIAL PFINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK M D CASH
PLAN CHECK VALIDATION IN M D CASH
LdLo 9 0 6 7 `DGT 3 o 2 225-- p