HomeMy Public PortalAbout9819 FLAHERTY ST_Plumbing__ 1 6A667-CE817 12/59
APPLICATION. FOR P'L MBINGil,R,tMv IT
COUNTY OF LOS ANGELES_
' DEPARTMENT OF COUNTY ENGINEELfA
BUILDING AND SAFETY DIVISIONUILDING
JOHN A. LA_MBIE, OUNTY ENGINEERDDRESSWILLIAM A.JENSEN, SUP'T OF BUILDING, OCALITYFOR APPLICANT TO FILL IN EAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER / r
WATER CLOSET MAIL
BATH TUB- ADDRESS
CITY " EL. NO.
SHOWER
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY NO.1&R0 og
CONTIM MOE T STATE
LAUNDRY TUB REGISTRATION NO. ! Y COUNTY I]
CLOTHES WASHER DISTRICT
�N !r, ZONE S D BY
WATER HEATER
GAS-SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD a.
a
O
U
• a
O ,
z
0 PER ITEM
j @ OR FIXTURE
$ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $. 2100 UNDER SLAB WORK
TOTAL FEECJ's ROUGH PLUMBING
/ GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT 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 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 THE ABOVE
DESCRIBED RESIDE ,TIAL PROP TY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE /
FINAL ^�2-40 1A �,�•
®F VA ROBERT A. WOOD,
M.0.
CK. M.O. (/CA/SH ) SUPERVISING MECHANICAL ENG'R
Uro c) G 4 fl W12'8 5 0 3.0 0
76A667-CE817-8-58
APPLICATION FOR. PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING9 h e rg 1 F 1 a Yy
JOHN A. LAMBIE, County Engineer ADDRESS 9
CASSATT D. GRIFFIN,Supt of Building LOCALITtTem l e City, Calif.
FOR APPLICANT TO FILL IN CROSS ST.G o 1 d en G'Je s t"
NUMBER FIXTURE OR ITEM OWNEIMr.. &. Mr S. G. Taff i
1 WATER CLOSET
BATH TUB A DRESS9819 Flaheryy
1 SHOWER cITY Temple City TEL. NOAT 61425
1 LAVATORY CONTRACTOR San Gabriel Plumbing
SINK ADDESS1731 S. San Gabriel Blvd
DISHWASHER CITY San Gabriel TEL. NOAT 0-8483
LAUNDRY TUB REGISTRATION NO.144715 STATE
COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE C SED,BY
j
WATER HEATER I 'IiGt
GAS SYSTEM r INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
1G_ /VDT4.-4�lti'G,I/` U%L/
APPROVALS
@ $1.00 PER ITEM
OR FIXTURE $ FI_()nA DATE INSPECTOR'S SIGNATURE
I B WO
•• // UNDER SRK n
PERMIT $ '2100 v ROUGH PLUMBING �0
TOTAL FEE GAS PIPING —
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT �—
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATERWITH ALL
PLUMBING. COUNTY ORDINANCES AND STATE LAWS REGULATING { PLUMBING FIXTURES f�- P aa> x dL1�l`�AllDpP
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPER Y. l
SIGNATURE FINAL � •�ji1
OF PERM ITTE� ROBERTA.A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. CASH
Lf o-7:1 2 5ckiol t4AR 2 5 A 5.0 0 m