HomeMy Public PortalAbout5306 DEGAS AVE_Plumbing__ 76A607-CE81710-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 5306 Deg
JOHN A. LAMBIE, COUNTY ENGINEER F ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �Temple City -
FOR APPLICANT TO FILL IN NEAREST
CROSST .
NUMBER FIXTURE OR ITEM OWNER 'S B Weher,COIIStruction-CO-
2 WATER CLOSET MAIL
HATE TUH .. ADDRESS '
1 SHOWS a CITY TEL NO.
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2 LAVATORY CONTRACTOR p811B f
1 RINK .. - ADDRESS 442 W F -
ntsEwnsazR CITY Glendora TEL NO. WA 3
CONTRACTORmilm"R
LAUNDRY TUB REGISTRATION NO. 1608 COUNTY
1 CLOTHES WASHER DISTRICT NO. I GROUP ZONE P ED BY
WATER HEATER - - `) -C
1 GAS SYSTM - - INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD _ 0
_ o
D_
Z
® P.M PER ITEM
10 OR FIXTURE $ - APPROVALS DATE// INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK mob/ E/�kl
TOTAL FEE00 ROUGH PLUMBING
GAS PIPING .11
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
D ,
ANSTATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS-REGULATING
PLUMBING. HOT WATER HEATER If,
1 HEREBY CERTIFY THAT I AM PROPERLY 'REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE /
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED P3'Z.21I�14
SIGNATURE
OF PERMITT
FINAL
ALIDATION ROBERT A!WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
I4
3 a 2 0 o KT 1 12 .0 ' r. /
76A667-CE 817468
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION AVER NG
JOHN A. LAMBIE, COUNTY ENGINEER AVER
JPROCESOED
COLEMAN W. JENKINS. SUPT: OF BUILDING LOCALIFOR APPLICANT TO FILL IN (PR NT OR TYPE) NEARESTCROSS STNUMBER FIXTURE,OR ITEM. EACH FEEOWNERWATER CLOSET 1.50 ,�EFBATH TUB 1.50 DDRE536SHOWER 1.50 CITYTEL. NO.
LAVATORY 1.50 CONTRACTORSINKDISHWASHER 1.50 (� CITY �� ^� TEL. NO.CLOTHES WASHER 1.50 STATE LIC
LICENSE NO..2y'�17�l CLASSWIMMING.POOL RECEPTOR L50DISTRICT NO. GROUP ZONE y
LAWN SPRINKLER SYSTEM 2.00 ,,o IS
WATER HEATER 1.50 INDUSTRIAL o
WASTE APPROVAL Z.
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 0
OUTLETS OVER
5 PER SYSTEM .30
W
w
Z
Pian check fee 2.no of above. See reverse.
PLUMBING PEIIMIT ISSUING FEE' S 2 00
TOTAL FEE ,'j
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name: - ROUGH PLUMBING
Address GAS PIPING -
GAS VENT
Cit)', Te=l. 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.
I HEREBY CERTIFY .THAT. 1 AM -PROPERLY REGISTERED AND/OR UTILITY CO,NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTjoIIn STATE OF
CALIFORNIA OR THAT 1 AM TH LEGAL OWNER AN INTEND TO
RESIDE IN, THE ABO ESCRI EGAL TIAL OP FINAL
SIGNATURE JACK R. ALLEN, SUPERV151 GHANICAL ENG'R.
OF PERMITTEE
PER111T VALIDATION cH. M.O. CASH -
PLAN CHEC IDATION CH. M.D. CASH
CLA
c,9 7 0 4 MAY 55 0 j