HomeMy Public PortalAbout9179 JAYLEE DR_Plumbing_11/16/1956_fixtures 5 APPUCATION FOR PLUMBING PERMIT
DBS-17jDIVISION OF BUILDING AND SAFETY -
Department of County Engineer_
County of Los Angeles BUILDING 9179 E Jaylee St
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,,SUPT OF BUILDING
•. =x.. - - LOCALITY Temple City
FOR APPLICANT TO FILL IN` NEAREST
y� cRoss sT. Loma
OWNER Robryert G .OW.enS DISTRICT . GROUP //ZZONE READY FOR INSPECTION
MAIL'n ADDRESS 917 9 E Ja. lee St ✓` —(
_ INDUSTRIAL
C
- CITY Temple it TEL. NO. - WASTE APPROVAL
PLUMBER Statewide.. Plumbing Co INSPECTION RECORD -
L ADDRESS 10024 Eyailey Blvd
CITY El ontW; TEL. NO.- —
►7 ry
r
LICENSE NO. 160930 C-36
NUMBER TYPE OF FIXTURE'OR ITEM FEE
1 WATER-CLOSET (TOILET) @ $1.00 $ 0
BATH TUB @ $1.00 ^^ /...-73_�"'."f f/ fly/AIR^�-y�.+p
SHOWER @ $1.00 , V G6t] @ /V® �.l/V�J!/E�,6/ --- -
2 LAVATORY (WASH BASIN) - @ $1.00 2 �j/ `f�
KITCHEN SINK '@ $1.00 <-�� A 45 3.6
C&0i"" C-r �/
DISHWASHER @ $1.00 /(� 45 3.6 16A1,-11_,f VrXIPA
LAUNDRY TUB OR TRAY @ $1..00
CLOTHES WASHER @ $1.00 /
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
If/-- /0. )6IMA*A J048V:
APPROVALS
DATE / INSPECTORS SIGNATURE
UNDER SLAB WORK
ROUGH PLUMBING
PERMIT • $ i 00 _
GAS PIPING — �--"
TOTAL FEE rf00
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
T
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED 'AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER' OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY..
SIGNATURE /��� %!7
OFPERM ITTEE� C .v�.,.__� -- FINAL 2-`�
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. N.O. CASH
'_: e;2_4:3 ? 14gq 1:6 3 7.000