HomeMy Public PortalAbout5826 TREE ROSE TER_Plumbing__ 67
TeAaeT CE.°" IDAPPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES Lot # 5
DEPARTMENT OF COUNTY ENGINEER �°QDe sG
WELDING AND SAFETY DIVLSION
JOHN A LAMBIE COUNTY ENGINEER 5826 Tree Rose Terrace
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY Temple Gi
FOR APPLICANT TO FILL IN PR NT OR TYPEJ CROSS TT
NUMBED FIXTURE OR ITEM EACH REE OWNER Y T. B. Weber Development
WATER CLOSET 150 _
1 BATH TUB 150 1
DRESS 5926 Temple Gity Blvd,
1 SHOWER 1 50 1 G CITYTemp2A rityTEL NO _
2 LAVATORY 150 CONTBACTO a
1 SINE 1 50 1 50 ADDRESS 442 W. Fleetwood Plaoe
DISHWASHER 150 1 50 crrY Glendora TEL NO ED
CLOTHES WASHER 150 1 cn LTATE LTC
ICENSE NO 209431 CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP ZONE P EB [D
LAWN SPRINKLER SYSTEM 2 00 Qa
WATER HEATER 150 INDUSTRIAL
WASTE APPROVAL Ir
1 GAS SYSTEM OUTLETS 150 1 INSPECTION RECORD CC>
OUTLETS OVER 50 Uwe
5 PER SYSTEM
Plan check Nee 21,% OI above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 18 50 APPROVAL DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER WORK O-
Nme ROUGH PLUMBING
Address GAS PIPING
Citygel No GAS VENT
HOT WATER HEATER
IN[IveY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE AROVE IS CORRECT AND AOMQ TO COMPLY PLUMBING FIXTURES
WITH NY 4
ALL COUTORDIMANCAND STATE LAWS REGULATING GAS TEST
PLUMBING
I HERESY CENT 1 FY THAT I AM PROPERLY MOISTENED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND RATE OF / I
GLIIORN IA OR THAT I AM THE UROAL OWNER OF AND INTEND TO A
R[SID[IN THE ABOVE DESCRIBED 11P.DSWIAL ERONLRTY FINAL
SIGNATURE JACK R. ALLEN, SUPERVISIN CHANICAL ENG'R
OF PERM=S
PERMIT VALH)ATION cK M o CASH
PLAN CHECK VALIDATION CK M o ASH
5 9 1 9� AUG13 5 A 18-50'