HomeMy Public PortalAbout9032 EMPEROR AVE_Plumbing__ 76A667 (CE-817)-4/72 `
E APPLICATI FOR P MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE cHscKs PArnacs To BUILDING
ADDRESS 9032 Emperor Avenue
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEARES -
CROSS T
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1 75 OWNER O P. Attebery
MAIL
BATH TUB 1 75 ADDRESS Same
SHOWER 1 75 CITY San Gabriel TEL NO 285-3327
LAVATORY 1 75 CONTRACTOR Trane H C C
SINK 1 75 ADDRESS 2031E North Peck Road
DISHWASHER 1 75CITY So. El Monte TEL NO 579-7982
CLOTHES WASHER 1 75 STATELIC
LICENSE NO 265094 CLASS C-20
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO NE PR ESSE V
LAWN SPRINKLER SYSTEM 1 75 D GROUP T rl L
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL Gam.
GAS SYSTEM OUTLETS 1 75
1.75 IV.§PECTIONiRETORD V
OUTLETS OVER 30 ��"'tr'
5 PER SYSTEM �r y CD
ArApr i W
O.
N
r �
r
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE tl
APPROVALS DATE INSPECTOR S 51t'NATU RE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTUR
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED !
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIA PBROPEERRTY FINAL
SIGNATU RE ✓/ l
OF PERMITTEE rr nr ZZ..JJ
PERMIT VALIDATION cK M . CASH
PLAN CHECK VALIDATION CK M 0 CASH
r 9 0 ? SEP 13 5 0 4.7 5 oyd
7CA667 (CE-817) - 1/75 '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO ADDRESS ,
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST ('
CROSS ST J G T A/
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 200
.31 r OWNER ESS
MAIL
BATH TUB 2 00 ADDRESS
SHOWER 2 00 CITY TEL NO b- T
LAVATORY 200 CONTRACTOR
SINK 200 ADDRESS
DISHWASHER 200 CITY 6 V TEL NO
CLOTHES WASHER 200 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 200
DISTRICT NO IGROUPINE ESSED BY
LAWN SPRINKLER SYSTEM 200 baa
WATER HEATER 200 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 200 INSPECTION RECORD
OUTLETS OVER 30
5 PER SYSTEM �� ��/� /�t/s/�� a�fj'" �-� , -=
O
I-�
U
W
a
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING �` ~
Address GAS PIPING
City
Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 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
L
L
TIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
QUIRED BY LOS ANGELES COUNTY AND STATE OF
HAT I AM THE LEGAL OWNER OF, AND INTEND TO
OVE DESCRIBED RESIDENTIAL PROPERTY FINAL
EE
PERMIT VALIDATIONCK M.0 CASH
PLAN CHECK VALIDATION CK M 0 CASH
4 0 5 E'- ==6 5 U 1 0.5 0 ,&zjo