HomeMy Public PortalAbout6210 BURTON AVE_Plumbing__ 7GA667-CEx017 10-67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDIIEss 6 0 North Burton Avenue
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple Cit
FAPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
FIXTURE OR ITEM EACH FEE
OWNER Bill Hadley
ER CLOSET 1.50 F/
MAIL
TH TUB 1.50 1 0 ADDREss 818 E. Camino Real
WER 1.50 1 50 CITY Arcadia TEL. NO.
VATORY 1.50 00 CONTRACTOR Owen Bros. Plumbing, Inc.
K so 1 50 . ADDRESS 4265 No. Baldwin Avenue.
HWASHER 1.50 50. CITY EI Monte TEL. NO. 443-0078
CLOTHES WASHER 50 1 0 ' ATE LIC
LICENSE NO. 231 741 CLASS C-36
MMING POOL RECEPTOR 1.50 DISTRICT NO. G P ZONE P ESSED BY
WN SPRINKLER SYSTEM 2.00
S R-� / rc�r� o
U
TER HEATER 50 1 0. /WASTE APPROVAL
S SYSTEM 4 OUTLETS 1.50 1 0 INSPECTION RECORDLETS OVERn ER SYSTEM .30 z- 9'(jrC-41/-,-n �O�Qundr Tra /0- TG� GLLS r.4Ue-,-G rL .4=./d�/4
9'J, 9Y/
Plan check fee 2So of above. See reverse.
PLUMi;ltic PH RMIT IssulNc Fe.� s z oo rIS rFt'7
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK F - --
w.
Name ROUGH PLUMBING 1
Address GAS PIPING
City Tel. No. GAS VENT ,l$
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION /c�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES f g7.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST A9
PLV MSING.
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 Q�
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL /Q�S�� /, e ll
SIGNATURE JACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION cK. M.O. cA6N_ ,
PLAN CHECK VALIDATION CK. M.0. CASH
LAL� 5; 1- 032 X418 5 A 21 .50