HomeMy Public PortalAbout8828 1/2 ELM AVE_Plumbing__ ,76A667 -CE#817 12-64 B 11611
City of Temple City
APPLICATION FOR PLUMBING GIS F
COUNTY OF LOS ANGELES ��.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 2a. Elm St.
COLEMAN W. JENKINS, SUPT OF BUILDING
r, LOCALITY Temple City
FOR APPLICANT TO FILL IN Cao SSST. Rosemead
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Harold Kendi
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS Same
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR General Installation Co 0
SINK 1.25 ADDRESS 6558 West Blvd.
DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 NO. C-36 151839_ 787couxrY "
REGISTRATION a
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR CES BY
WATER HEATER 1.50 ] Q ® � �^
SYSTEM OUTLETS
1.50 INDUSTRIAL
GAS
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
R�
Ready for Inspection Now
U)
APPROVALS DATE INSPECTOR'S SIGNATURE
ERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL,FEE31 50GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GASV ENT f
i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,.po9yy I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �' I r C?
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED' AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE.ABOVE DESCRIBED RESIDE T ALPROPERTY. UTILITY CO. NOTIFIED
SIGNATURE G • /A, !9
OF PERMITTEE "
FINAL
LIDATION ROBERT A. WOOD
cKi M.O. CASH SUPERVISING MECHANICAL ENG'R
LH�c�
T1 .8 2--'-`.' FE815 5 D3" 5, Q-
DBS-17 APPLICATION FOR PLUMBING PERMIT.
oBs.,�'DIVISION OF BUILDING ARID SAFETY
Department of County Engineer - �3 *
County of Los.Angeles BUILDING�`gAf
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESSCQ7 r/ 2 h/„ E
CASSATT D.,GRIFFIN,SUPT OF BUILDING
LOCALITY
F APPLICANT TO FILL IN NEAREST (s Q
CROSS ST.
OWNER ( 1 /✓LS T,.
DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
;< ADDRESS
INDUSTRIAL
CITY ��EL. NO. WASTE APPROVAL
PLUMBER � ' INSPECTION RECORD
ADDRESS /�G/la4 /
., G ICIN 4,e.4/C-.0 I/✓ fIN®�e
CITY TEL.TEL. NO./-U%6�31 �� � !�-� USI ,�G'. .�� �s+�o^J✓
,•
LICENSE NO. / �('�
`!/ t5��� CI-36
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 -rc !>
BATH TUB @ $t.00O � , /4 Al/A B/—Bi1�F_ XA-r-It ./q S 69dr/
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 -
e KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ .$1.00
CLOTHES WASHER @' $1.00 _
WATER HEATER @ $1.00-
GAS SYSTEM @ $1.00
d'
{ APPROVALS.
DATE INSP,f CTOR'S SIGNATURE
UNDER SLAB WORK Q-1 —jam ',�..,,
PERMIT $ 1 00 r
ROUGH PLUMBING D+R �
_ - GAS PIPING
TOTAL FEE
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER A 411
rl' WITH ALL COUNTY ORDINANCES AND STATE' LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED -AND/OR GAS TEST
LICENSED AS REQUIRED 8 ANGEhES-zGe4AW, AND STATE OF
CALIFORNIA OR THAT AML THE LEG E
OW R OF THE ABOVE - UTILITY CO.NOTIFIED F
--- DESCRIBED RESIDENT P OPERTY. J
SIGNATURE
OFPERMIT FINAL
�s
JOHN A.,LAMBIE, COUNTY ENGINEERVALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR.
0. CASH
I, �7 4 6 64 APR23 3 `7.0 0 '�