HomeMy Public PortalAbout10249 FREER ST_Plumbing__ -78A887-C E9817 9/63
APPLICATION FOR PLUMBING PERMIT u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 10249 Freer St.
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
4 CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER J B Weber Development
'3 WATER CLOSET $1.25 3175 MAIL
1 BATH TUB 1.25 1125
ADDRESS 5926 Temple City Blvd. '
2 SHOWER 1.25 2 50 CITY Ternple City TEL. NO.
CONTRACTOR a' ' ey Plumbing CO.
LAVATORY 1.85 3 75. Fleetwood Plo
1 SINK 1.25 1 25 ADDRESS 442 W_
1 DISHWASHER '1.25 1 25 CITY a TEL. N�id 5-1293
CONTRACTOR'S 209431 STATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑
1' CLOTHES WASHER 1.25 1 25 DISTRICT NO. GROUP ZONE ESSED BY
l WATER HEATER 1.50 1 50
1 GAS SYSTEM OUTLETS 1'50 1 50 INDUSTRIALWASTE APPROVAL O
1 OUTLETS OVER 5 PER SYSTEM .30 30 INSPECTION RECORD U
W
y a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK S=7
ROUGH PLUMBING r,n I7-6 4L dr^ nn.
TOTAL FEE 1 20130 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES j � A
�/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST -3)4d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO e
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED "-
SIGNATURE 1
OF PERMITTEE -L
FINAL � D'l��—' �'�..f�w/ 1•.-- '
0
ALIDATION ROBERT A. WOOD d
M O CASH SUPERVISING MECHANICAL ENG'R
L~1lJc 0 7 5AM 2 4 5 D 2 0.3 0-. �'
764667A ICV 817B)- 11/76 '
APPLICATION FORPLUMBING PERMIT
BUILDING AND SAFETY D ION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALIT
NEAREST
BATH TUB CROSS ST
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK TE NO
DISHWASHER CONTRACTOR
CLOTHES WASHER l r
. ADDRESS �
SWIMMING POOL RECEPTOR 3
CITY TEL NO
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO. �, CLASS
GAS SYSTEM OUTLETS DISTRICT O VGnUP dNE CESSED
OUTLETS OVER ✓'
5 PE YSTEM INDUSTRIAL 0:
f^ ` WASTE APPROVAL
(SLr/ INSPECTION RECORD v
- ca
w
_ H
Plan check fee
PLUMBING PERMIT ISSUING FEE$ /'TJ
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City 'Tel No GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT -
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES / 7
REQUIRED BY LOS ANGELES CODRE.
STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ®7/ 2 7 77 /04 --r
LEGAL OWNER OF,AND INTE E IN TH BOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL ' -�� �C� "�"�•C,
PLAN CHECK;VALIDAT a C® K po PERMIT VALIDATION CK - M O CASH
C 044BSEP 23 5 u 1 .5penc;
POLICY HOLDER: a-(, �--�. o=
POLICY NUMBER: We tv