HomeMy Public PortalAbout5340 BUTTONS AVE_Plumbing__ APPLICATION FOR PLUMBING PERMIT 1
Des IT IDIV'tTSION OF BUILDING AND SAFETY
Dipmtineat o4 County Engineer _ -
County of LOS Angeles - BUILDING 3
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN_ SUPT OF BUILDING
LOCALITY AZIll
FOR APPLICANT '%'M IN NEAREST ! r r J
CROSS ST.
OWNER DISTRIr. I rUP READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY A TEL. NO. WASTEAPPROVAL
PLUMBER INSPECTION RECORD
ADDRE {/
CITY NO. /
LICENSE NO. q
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 S210-4
/( BATH TUB @ 51.00 C'0
SHOWER @ $1.00 rIQ
LAVATORY (WASH BASIN) @ S1.00 da
KITCHEN SINK @ 51.00
DISHWASHER @ S1.00
LAUNDRYTUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00 O d
WATER HEATER @ $1.00
GAS SYSTEM @ SI.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK t n
PERMIT 5 1 00 ROUGH PLUMBING F- C 1 n
�( GAS PIPING
TOTAL FEES .l GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE.LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST S6
y LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED Y -1
DESCRIBED RESIDENTIAL ROPERTY.
SIGNATURE
OF PERMITTEE FINAL
.JOHN A. LAMB, .11
OUNTY ENGINEER XALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
C°. N. 0. CASH
AGO 6 1 6 8 ;n MAY 18 3 1 2 .0 0 In
''ABET APPLICATION FOR PLUMBING PERMIT 1
DBS-I](DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING ,
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5340 Buttons Strepfi
CASSATT D. GRIFFIN, SUP'T OF BUILDING
. ..,. ., ... .. .....,.,_ LOCALITY Tpmple City
FOR APPLICANT TO FILL IN caoss$T, mL yE
OWNER DISTRICT NO. GROUP ��ZQNF� READY FOR INSPECTION
mA"L1 ADDRESS 53LL0 Buttons Street pp ,� .� -I'tj![`/ily�[/�`�o
RIAL
CITY Temple City . TEL. NO.CU 3-1889 WASTEINDUSTAPPROVAL h
PLUMBER Simpson' s Garden-Town INSPECTION RECORD
ADDRESS 3125 E. Colorado
CITY Pasadena TEL. NO. Oy 6-6131
LICENSE-NO. 113318
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) '@ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY {WASH BASIN) @ $1.00
KITCHEN SINK @ SLOO
DISHWASHER @. $1.00
LAUNDRY TUB OR TRAY @ .$1.00
CLOTHES WASHER @. 51.00
WATER HEATER @ $T OO
GAS SYSTEM @ $1.00
l Lawn Sprinkler Spat -no
APPROVALS
DATE INSPECTOR'S SIGNATURE
'. UNDER SLAB WORK
PERMIT S 7 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 2 0-
GAB VENT
1 HEREBY ACKNOWLEDGE THAT I '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
1 HEREBY CERTIFY THAT 1 AM PROPERLY- REGISTERED AND/OR GASTEST
LICENSED AS REQUIRED BY LOS. ANGELES COUNTY AND STATE OF
CALIFORNIA ES THAT 1 AM THE LEGAL OWNER OF THE . UTILITY CO.NOTIFIED CALIFORNIA
DESCRIBED RESIDENTIAL AM THE _90 c,
SIGNATURE
OF PERMITTEE Q?A OSO Af S OW �'"^" - FINAwwwwL��i� ��^���
JOHN A. LAMBIE, COUNTY ENGI NEER VALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR.
CK. B.0.
� 0 8 5 11R ,OCT Z 3 2.0 0
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