HomeMy Public PortalAbout8737 BURGHARDT RD_Plumbing__ 780887 x817 12-84
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 8737 Burhardt
JOHN A. LAMBIE. COUNTY ENGINEER g+
COLEMAN W. JEN KI NS, SUPT OF BUILDING
LOCALITY San Gabriel
FOR APPLICANT TO FILL IN cCRROSSS ST. Muscatel & Burghardt
NUMBER FIXTURE OR ITEM EACH FEE OWNER John J. Burghardt
2 WATER CLOSET $1.25
IL
1 BATH TUB 1,25 ADDRESS No.12 ,Holsted Circle
1 SHOWER 1.25 Cin Alhambra TEL NO. At 2 071
3 LAVATORY 1.25 3 G CONTRACTOR Lamac Plumbing Co.
1 SINK 1,25 1 5- ADDRESS 851 W. Front St.
1 DISHWASHER 1.25 CITY Covilma TEL. No. 339-2479
LAUNDRY SUB 1.25 CONTRACTOR'S STATE
REGISTRATION N0.232843 COUNTY
CLOTHES WASHER 1.25 1 5- DISTRICT NO. GR ZONE. P O BY
1 WATER HEATER 1.50
�- GAS SYSTEM OUTLETS 1.50 1 0 INDUSTRIAL �.
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .50 0 INSPECTION RECORD (0.1
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APPROVALS DATE INSFE SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING /"F -/J
TOTAL FEE l7 80 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �p� -
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES ICU
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE SCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED P
SIGNATURE ,
OF PERMITTE
FINAL
VALIDATION ROBERT A. WOOD
DK. M.0. CASH SUPERVISING MECHANICAL ENG'R
LhC0 7 3 0.1'2 NOV 12 5 A 1 7.8 0, a
1/75
APPLICATION F( R PLUMIJING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS I;/X39 SU.c�i1oai l' 2ND
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY J/I// 0"�AgA
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CNEA HROSSSST. A41S��T�r6t`
NUMBER FIXTURE OR ITEM C FEE
WATER CLOSET 2.00 OWNER
MAIL p
BATHTUB 2.00 ADDftE56 p 7.3 1VuA6,HhAD) P-0-
SHOWER ��. 2.00 7[.�
cITY S�-aG�r/J/2i 1, TEL. NOaj(�J32Z>
LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS
DISHWASHER 2.00 CITY TEL. NO.
CLOTHES WASHER 2.00 STATE LIC
SWIMMING POOL RECEPTOR LICENSE NO. CLASS
2.00
DIST R-LCT N/JO.GROUP ZONE PR CESS ED B
LAWN SPRINKLER SYSTEM 2.00 (j T3 y _'— 7 z 4U
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WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL y
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30
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Plan Check fee Sj
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PLUMBING PERMIT ISSUIN $ l30
TOTEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicantUNDER SLAB WORK
NameROUGH PLUMBING
AddressGAS PIPING
City . No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HEAD THIS APPLICATION
AND STATE THAT THE ABOVE IS CORAND AGREE TO COMPLY PLUMBING_FIXTURES
WITH
ALL COUNTY ORDINANCES ANTE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PRY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGCOUNTY AN_D STATE OF
CALIFORNIA OR THAT I AM THE LEGAER OF, AND 1 ND TO /J
RESIDE IN THE ABOVE DESCRIBED SIAL PROP FINAL
SIGNATURE y
OF PERMITTEE
PERMIT VALIDATION CK. M.D. CA_=H
PLAN CHECK VALIDATION CK. M.D. CASH
5 9 5�ImAR 8 5 D 7.5 Q t-yo
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