HomeMy Public PortalAbout5220 DEGAS AVE_Plumbing__ Ta<reT�CEB6'T AAPPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION annnDPLss 9
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF Bwtmpc LOCALITY `�
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1,25 CONTRACTOR -
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY reL• NO.
LAUNDRY TUB 1.25 CONTRACTIONOR' f COUNTY
REGISTRATION NO. _ -s
CLOTHES WASHER 1.25 DISTRICT NO. GR UP ZONE PRO EBBED BY
WATER HEATER 1.50 .B ✓ �"/
CAS SYSTEM OUTLETS 1'� L INDUSTRIAL y
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD157)
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15 d/l
APPROVALS DATE INSPECTORS SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
/ ROUGH PLUMBING
TOTAL FEE ,S11 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE T"AT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AN010R PLUMBING F %TURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE P /5
FINAL JJ
/'--IVPLIDATION ROBERT A. WOOD
cnsH SUPERVISING MECHANICAL EN G'R
1 Aro O 5 1 7�— MAR 16 5 D 6.50-
76�.66`7 CE0817 10-62 C / f -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ppDAEsS 220 Deans Ave.
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
_ LOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST BdIIdWlCk
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 Dnal Corp.
MAIL
1 BATH TUB 1.25 1.25 ADDRESS
2 SHOWER 1.25 2.50 CITY TEL. NO.
LAVATORY 1,25 _ CONTRACTOR Owen Bros Plumbing, Inc.
1 SINK 1.25 1.25 ADDRESS 4265 No. Baldwin Ave.
1 DISHWASHER 1.25 1.25 CITY El Monte TEL. NO. 443-0078
LAUNDRY rub 1.25 REGISTRATION ON NO. 231741 COVE
1 CLOTHES WASHER 1.25 1.25 1 DISTRICT NO. GROUP I ZONE PRO ESSED BY
1WATER HEATER 1.58 1.50 :5�1)
1 GAS SYSTEM 5 OUTLETS 1.58 1.SO INDUSTRIAL ' O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORDV
WA-TOR, A YD G A& , L,1rJe mol
O
r-It-3 SbFT-D-IJILL Cr.Z•/j1 ITn&I Q6,1
'd"
z_
3'2J (oC G'A-sem. WArrrl . LIAtz 10
A-Al Q STe PP.EO inr Y�2L AcG-
AP S DATE r INSPECTORS SIGNATURE
PERMIT 55000 UNDER SL-rFB WORK
J
ROUGH PLUMBING S-.y
TOTAL FEE q
GAS PIPING
1 XEREBY ACKNOWLEDGE THAT 1 HAVE READ APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER L
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 611
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABOVE VE...IBED RES DENTIAL PROPERTY, UTILITY CO.NOTIFIED Q�
SIGNATURE /
OF PERMITTEE ! J•i
_ FINAL �� (T yC�(�(fy(A�"•J`
VALIDATION ROBERT A. WOOD V
cR. M.D. CASH SUPERVISING MECHANICAL ENG'R
Ln�o 9 3 5 1 ?LIAR 8 5 D 20.00-