HomeMy Public PortalAbout4940 TEMPLE CITY BLVD_Plumbing__ 7BA687LEBI7-BSB
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY
G188A1SD OB�PDY� DIVISION �BU
I dpIrm-1. �
LOCALITY
FOR APPLICANT TO FILL IN �
NUMBER FIXTURE OR ITEM
_
WATER GLOSSY OWNER
RAID TUB ADDRESS
SHOWER TEL xOa
LAVATORY CONTRAa
BHa, ADDRESS
D188WABBEB CITY NO
CTOR a STATE ❑
LILUNDRY TOB BEOISTBATION NO. COUNTY El
CL07TiP8 WASHER D16TR,I.CYT^NO O ZONE PROCESSED BY
WATER WATER Csr /4—
GAB SYSTEM IITDDBSBUIL
WASTE APPROVAL
DBPECYIO ORD
�I APPROVALS
Vgwn0 D i a C DATE INSPECTOR R SIGNATURE
UNDER SLAB WORK
PERMIT f 2 00 ROUGH PLUMBING
TOTAL FEE OAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TRIS A LICATIOM GAS VENT
AND STATI THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXT'URES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR .��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I THE LEGAL W OF E ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA OP
SIGNATURE
TE FINAL (j
®>' VALIDATION ROBERT A WOOD
SUPERVISING MECHANICAL ENO R
C[' ■ o CAPtl
LAGp4 6 2 51A P.PR 7 5 A 4.00 M
7"667 - CM17 5/70 Tmau CITY
%la APPLICATION FOR PLUMBING, PERMIT
COUNTY OF LOS ANGELES b B 8344 _
DEPAATMENi OF COUNTY ENGIIIEER
BJOHN A. LAMMB ESCOAFu�ENNGIINNEER F27
4940 Temple Cit Blvd
COLEMAN W JENKINS SUPT OF BUILDING ITY TwRle Ci
ty
FOR APPLICANT TO FILL IN PR NT OR TYPE T
ST
NUMBER FIXTURE OR ITEM EA FHfi
demar ArmBvret
WATER CLOSET IS
BATH TUB 1 5 ESS Surae
SHOWER I CITY TEL NO '
LAVATORY 1 0 CONTRACTOR GENERAL INSTALLATION CO.
SINE 1 o ADDRESS 6558 WEST BLVD.
ATE LIC
DISHWASHER 1 o CITY Los ;kngeles TEL NO PL 3-2541
CLOTHES WASHER I 0 LICEN.E NO C 36 151839 CLASS
SWIMMING POOL RECEPTOR I 0DR�� GRrP 20 P [ D BY
LAWN SPRINKLER SYSTEM 2 0 2
Z WATER HEATER Z 7S WpOSTRASTZ Ov�
GAS SYSTEM OUTLETS 1 50 D18PLCTION CO
OUTLETS OVER
5 PER SYSTEM BO Ready for Ins p ion NOW 7f— L jG
WATER SOFTENER Z
I N
Z
Plan check fee 25% of above See reverJA
PLUMBING PERMIT ISSUING FEE -
TOTAL FEE4 7S
APPROVALS DATE In[PECTOR[[IGNATuw[
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING _
Address GAS PIPING
GAS VENT
City Tel NoHOT WATER HEATER
1 H[N[SY ACNNOWL[DOR THAT 1 NAY[ NLADJCATION
wND STAT THAT TH[ AwY[ IS cOARZCT AND COMPLY PLUMBING FIXTURES
WITH ALL C011NTT ORDINAMC[S AND RAT[ ULATING GAS TMST
FLUMPINO
1 N[Rur CIIRrIFY THAT 1 AN FRCP[RLY RZAno/oR UTILITY CO NOTIFIED
C[NOW i4 ROUII® SY LOS AMO[L4 COUTAT[ OICALIFORNIA OR THAT I AM TN[ L[OAL OWHIUI T[ND TORZAIM IN TNS ADDV[MRCIDR[D Ist n PFINALSIGNATURE ; JACK R. ALLEN, SUPERVISI M H NICAL ENG'R
OF PERMITTLL `
/ PE HIIHT VALD)AT10 N M O CASH
PLAN CHECK VALIDATION CK M o CASH � 1
L I O,F 6:7 a v AM25 5 D 4.75-' v
J
APP ATION FMBING PERMIT
C NTY ANGELES OF LOS AS BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS 4940 Temple C i " Blvd.
NUMBER FIXTURE OR ITEM A FEE
LOCALITY - - -
WATERCLOSET
NEAREST
BATHTUB CRO55 ST La Rosa
SHOWER OWNER Wa Idenar Ambrust
LAVATORY MAIL
ADDRESS 4940 Temple City BIvd .
SINK CITYTem l e City TEL NO 2872342
DISHWASHER CONTRACTOR
General Temp Control
CLOTHES WASHER ADDRESS 167 W- OranqAthnirpA
SWIMMING POOL RECEPTOR CITY Placentia TELN09961521
LAWN SPRINKLER SYSTEM
TATE LIC
WATER HEATER LI ENSENO 343771 CLASS C-20
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
J
OUTLETSOVER UNDER SLAB WORK yyy
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
V
GAS VENT W
HOT WATER HEATER Q
PLUMBING FIXTURES E�G7j
GAS TEST N
Plan check fee Z
UT ILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE I
TOTAL FEE 0 FINAL
Plan check applicant PLAN CHECK VALIDATION
Nome
Address
CI Tel No
I HE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMB/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE p L
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY Lqy'
SIGNATURE _ CJ. A/0,
OF PERMITTEE O /VDoil /� 7
01 P BY Y S /
INDUSTRIAL
WASTE APPROVAL 4F P