HomeMy Public PortalAbout10525 FREER ST_Plumbing__ 76A667-CE#817 2-66 A /
APPLICATION FOR PLUMBI G PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY_ENGINEER
BUILDING AND SAFETY DIVISION f
DING
JOHN A. LAMBIE, COUNTY ENGINEER RESS 1 nrj lj FY PPY
COLEMAN W. JENKINS. SUP'T'OF BUILDINGALITY Temple City :
FOR APPLICANT TO FILL IN RESTSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.2S ER Ae17I Tonkovl oh
ADDREMAIL SS 10525 Freer St.
BATH TUB 1.25
SHOWER 1.2S CITY Temple City TEL. NO.448961 4
LAVATORY 1.2S CONTRACTOR ?;aIle v xe ..tinz Co.
SINK 1.2S ADDRESS 505 E.Valley Blvd.
DISHWASHER 1.25 CITY�3 an 'a eri a TEL. NO.288 812
LAUNDRY TUB 1.25 STATE LICENSE NO 147899 C20
CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GR P ZT E P D BY
WATER HEATER 1.50 O
GAS SYSTEM OUTLETS 1.50 1' 50 INDUSTRIAL
WASTE APPROVALCD
n-
OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD V
O
F-
v
W
CL
CO
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 50 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES CCrGN'FY AND STATE OF GAS TEST (
CALIFORNIA OR THAT 1 AM THE LEGAL O�NER OF AND 1 TEND TO b e
RESIDE IN,THE ABOVE DCRIBED RESIDENTIAL PR 4E Y.
UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE �7"+
FINAL ��
/VALIDATION .LACK R. ALLEN
cK M 0 CASH SUPERVISING MEaCHANICAL ENG-R.
7BA667-CES17-11-57
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APPLICATION FOR PLUMB IN- P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS� ., F� 5�' !2
CASSATT D.,GRIFFIN, Supt of Building LOCALITY E � j (,
FOR APPLICANT TO FILL IN CROSS NEARESST. ,
NUMBER FIXTURE OR ITEM
OWNER '�J�
WATER CLOSET '
IL
BATH TUB ADDRESS
SHOWER' CITY TEL. NO. 1 '
LAVATORY ICONTRACTO$
SINK ADDRESS �rT
DISHWASHER CITY TEL- NO. 4 6 J
CONTRACTOR'S ` "STATE- [01LAUNDRY TUB •REGISTRATION NO. COUNTY
Y
CLOTHES WASHER DISTRICT O. GROUP I ZONE I READY FOR INSPECTION
WATER HEATER
f GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD I
APPROVALS
$1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $
'" UNDER SLAB WORK
PERMIT 31 a100 ROUGH PLUMBING
T.
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT• I HAVE READ THIS APPLICATION GAS VENT _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
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 BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED 4L-
DESCRIBED RESIDENTIAL PROPERTY. A
SIGNATURE FINAL Q�
OF PERMITTE5
ROBERTA.WOOD.
®F VALIDATION SUPERVISING MECHANICALENG'R
CK. M.0. CASH !1/J
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