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HomeMy Public PortalAbout5636 TEMPLE CITY BLVD_Plumbing__ oeDEI1710 RR APPLICATION FOR PLUMBING PERMIT 1 DIVISION OF BUIMING AND SAFETY Deportment of County Engineer County of 1.oe Angeles BUILDING 3 E JOHN A LAMBIE. COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN,SUR T On BUILOIRO LOCALITYLac C FOR APPLICANT TO FILL IN NE CROSS L! Ve O A ICS OWNER DISTRICT N GROUP I ZONE I READY FOR INSPECTION MAIL ADDRESS L INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER / I p INSPECTION RECORD ADDRESS W 4 CITY TEL NOS 6 8 LICENSE NO // 3 A/ aQ NUMBER TYRE OF RI%TUR¢OR REM RES WATER CLOSET (TOILET) Q $100 BATH TUB sI 00 SHOWER $I 00 LAVATORY (WASH BASIN) C@ $100 KITCHEN SINK 100 DISHWASHER $100 LAUNDRY TUB OR TRAY $100 CLOTHES WASHER •100 WATER HEATER @ sl00 GAS SYSTEM $100 S d APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAB VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST . LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY R SIGNATURE c OF PERMITTB S FINAL JOHN A LAMBIE COUNTY ENGINMERVALIDATI0 ROBERT A WOOD CHIEF PLBG INSPECTOR r - Z4 O rH 2C, JAR 9 3 2.00 � C>5 - /� 76 A 657 - CE 817 7.69 ' APPLICATION FOR PLUMBI G PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER u°°°a sG BURRING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER COLEMAN IN JENKINS SUPT of BUILDING FOR APPLICANT TO FILL IN PR NT OR TYPE RE"ST r NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1 50 NAIL BATH TUB l SO ADDRESS SHOWER 1 50 CITY O LAVATORY 1 50 CONTRA SINK 150 ADDRESS DISHWASHER 150 CITT CLOTHES WASHER 1 50 ISTATIfNSE NOC SWIMMING POOL RECEPTOR 150IGTRIPTN G P ELAWN SPRINKLER SYST 2 00WATER HE 1 50 USTRIAL TE APPROVAL GAS SYSTEM OUTLETS 1 50 RISPLCTION SEAQ OUTLETS OVER 30 5 PER SYSTEM f Plan check fee 2S% of above See reverse PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALS DATE IN[f cYoP 9 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address OAS PIPING GAS VENT City Tel No HOT WATER NEATER 17 I NSMATS Ac[NowLEODE 15 I NAY[ READ GRI APPUGTON AND RAT[ TN[T TY[ ADINA IS CORID S AND AOR[[ I LATINO PLUMBING FIXTURES MTI ALL CAUMT' OROIMANQI AND RAT[ LAWS R[OULATIMO GAS TEST PLUNGING I N[ROY C[R1FY "AT I AN PROPERLY R[oIMMD ANO/OR UTILITY CO NOTIFIED LICENSED AS ROGUIR[D R LOG ANDEIIS COUNTY AND RATE OP GLIIGNIA OR THAT 1 AN TIQ LEGAL OWM[R OF AN 1 D M Gleam IN THE ASOYE DEGCROED mol"It n PROP[RY FINAL SIGNATURE JACK R ALLEN, SUP ER OF PERMITT V191N NANICAL EN O'R PERMIT VALIDATION CK M o CASH - PLAN CHECK VALIDATION CK MO CASH I Df, 3 7 8 49 FEB20 5 D -'-5,00"