HomeMy Public PortalAbout4505TEMPLE CITY BLVD_Plumbing TBAee>T` APPLICATION FOR PLUMBING PERMIT 1
D�ION OF BQIID'NG AND SAFETY -
DBpozlmant d Cauaty EngmBBs
�°�°`� '� �°` �ooR 4505 N Te le �Tty_`Bl d
JOA LAMBIE COUNTY ENGINEER
CA TT D GRIFFIN,SU•T OP BUILDING
LOCALITY iead
FOR APPLICANT TO M IN NEAREST
R b'f
OWNER John Grover -DIBTRIC,Ts GR P Z N6 RUDY POR INSPECTION
ADDRESS 9455PineSt J —
I San Gabriel TEL NO INDUSTRIAL
WASTE APPROVAL
PLUMSFRMStatevide PlumbiINSPECTION BECORD
ADDRESS 10024 E Vall@y Blvd -7 'B(-Sc--7 'B(-Sc— I 1RzC .. ' l a{Qpm♦
CITY 1 Monte TEL qNO 7 _ ' 9
LICENSE NO NO 1462660-36
NUMBER TYPE OF FIXTURE OR ITEM PEE
1 WATER CLOSET (TOILfiT) $100 SO Z D
1 BATH TUB @ $100 1 OO
SHOWER •100
7L.AVATORY (WASH BASIN) @ 111 OO 1 OO 14
KITCHEN SINK a SI00 1 OO
DISHWASHER a sI00 t t SAI
LAUNDRY TUB OR TRAY a sI 00
1 CLOTHES WASHER @ $1 00
WATER HEATER (a $1 00
GAS SYSTEM 1 00
APPROVALS
DATE INSPECTOR 5SIGNATURE
UNDER SLAB WORK
PERMIT s 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 8 00
GAS VENT.
I HEREBY ACKNOWLEDGE THAT 1 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 PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST wolucttsn6
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED SC
DESCRIBED RESIDENTIAL PROPERTY
9IGNATU RI
OF PERMITTfiE FINAL
JOHN A L.AMBIE COUNTY ENGINEER _}( WATION ROBERT A WOOD CHIEF PLBG INSPECTOR
(!_ _� Lo7790' JUL 5 3 800 In