HomeMy Public PortalAbout9971 BOGUE ST_Plumbing__ 76 A 667—'CE 817'8/68
APPLICATION FOR PLUMBIN PER�AMIIT.
DEPARTMENT
OF LOS ANGELES q'I a 1T
P RTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BU73�
JOHN A. LAMBIE, COUNTY ENGINEER ADBogue
COLEMAN�W. JENKINS. SUP T OF BUILDING LO - Temple City
FOR APPLICANT TO FILL IN (PR NT 0R TYPE) NEAREST
CROSS ST. Baldwin
NUMBER FIXTURE OR ITEM EACH FEE -
WATER CLOSET 1.50 OWNER Jack Clifford
KAIL
BATH TUB 1.50 ADDRESS 9r971 Bogue
f�
SHOWER 1.50 •CITY Temple City TEL. NO. 286-2654
LAVATORY 1.50 CONTRACTOR Pacific Installers
SINK 1.50 ADDRESS 1.0920 E. (rand Ave*
DISHWASHER 1.50 CITY Temple City TEL. NO. 27070
CLOTHES WASHER 1.50 STATE LICENSE NO 211898 LIC C-20
CLASS
SWIMMING POOL RECEPTOR 1.50
D!!.T NO. GROUP Q P E55ED BY
LAWN SPRINKLER SYSTEM 2.00 �r Q� ••'� d
O
I WATER HEATER 1.50 1-50 INDUSTRIAL - U
WASTE APPROVAL Z
0
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 1--
OUTLETS OVER v
_ 5 PER SYSTEM •30 Lu
GOGO
� Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE 3 50.
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name' ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No, HOT WATER HEATER-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
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 DEiCR ED RESIDENTIAL OPE RT Y. FINAL ,
SIGNATURE JACK R. ALLEN, SUPER (SING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION M O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
32231.06EL,31 5 x.50-
_...
78A887,-MI7,-II-57.
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING /
JOHN A. LAMBIE, County En weer ADDRESS �✓ r,
CASSATT D. GRIFFIN, Supt of Building LOCALITY 'f j? -" 4n, j j
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM CROSS ST. .�.�
6.�• /r'js. (fly
WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS J��41 G
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR N7 ,j'f
SINS ADDRESS ��� e 7' Ve.
DISHWASHER CITY ,/7-C ATEL. NO.�! � 6�
CONTRACTOR'S STATE
LAUNDRY TUB
REGISTRATION NO. �C? ,�� COUNTY ❑
CLOTHES WASHER DISTRICT No. GROUP I AZO E xE R INSPECTION
WATER HEATER
GAS SYSTEM
a INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
i @ $I.00 PER ITEM 00 DATE INSPECTOR'S SIGNATURE
OR FIXTURE $
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE �O GAS PIPING
-j
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
(a-"
`� /�„�/J__,�r' `e
PLUMBING. PLUMBING FIXTURES /""'j'" �"jJ�` `!
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GASTEST �/��L
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED '
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE OF PERM TTE FINAL
ROBERT A.WOOD.
Op VALIDATION SUPERVISING MECHANICAL ENG'R
CASH
5 7 4 2 APR 2 7 5 a 6.0 0 '
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