HomeMy Public PortalAbout5317-5319 VILLAGE CIRCLE DR_Plumbing__ 76A667 (CE-817)- 5/7-3
APPLICATION F PLU NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
hIAKE CHECKS PAYABLE TO: ADDRESS 1' & 319 Village Circle
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY Temple C1'f,
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER • FIXTURE OR ITEM ® FEE' Noel Baldwin
_ - C�� OWNER-
WATER CLOSET MAIL
5302 Baldwin BATH TUB 1. 5 ADDRESS Ave*
SHOWER t. 5 Dh CITY Te a Ci TEL. NO. "8_3907
LAVATORY 1. 5 CONTRACTOR Owen BTO$• Plumbing, Ino.
SINK 1. 5 ADDRESS
4265 N. Baldwin Ave•
DISHWASHER 1. 5 A 0e> CITY' El Monte ' TEL. NO. 44.3-0078
CLOTHES WASHER 1. 5 STATE 231 741 LIC C36-20
SWIMMING POOL RECEPTOR 1. LICENSE NO. CLASS
DISTRICT NO. I GROUP j ZONECESSED BY
LAWN SPRINKLER SYSTEM 1. ✓ 2
oo zp 16
WATER HEATER 1. 5 �j oD INDUSTRIAL
WASTE APPROVAL a
' GAS SYSTEM . OUTLETS 1.75 INSPECTION RECORD O
OUTLETS OVER v
5 PER SYSTEM .30 .m '
. IV' LLJ
U �+ y
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSP TOR:S SIGNATURE
Plan check applicant UNDER SLAB WORK o
Name ROUGH PLUMBING ,
Address GAS PIPING
City Tel. No. GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,'AND INTEND TO .�
RESIDE IN THE ABOVE CRI D RESIDENTIAL PROPERTY. FINAL
SIGNATURE _
OF PERMITTEE V�
PERMIT VALIDATION cK M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
692r--Nov 10 5 o 82.54A,!�s