HomeMy Public PortalAbout10723 FREER ST_Plumbing__ 76A667 -CE#817 5/63 '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
CROSS ST.
BUILDING AND SAFETY DIVISION BUILDING
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JOHN A. LAM IE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SuP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST v
NUMBER FIXTURE OR ITEM EACH FEE
4,OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITYTEL. NO.
SHOWER 1.25
LAVATORY 1.25
;CONTRACTOR
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
CONTRACTOR'S COUNTY El
TUB 1.25 STATE
REGISTRATION NO. ,j
CLOTHES WASHER 1.2.4 DISTRICT NO Z jJE RO ES^ DBY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL CI
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
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
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 COUNTY AND STATE OF ,}
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
D-IS�-E/(.--
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO. NOTIFIED
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SIGNATURE 11
OF PERMITTEE
-6A a
(/V ►LIDATION ROBERT A. WOOD
C�. M.0. CASH SUPERVISING MECHANICAL ENG'R
UUo 3 2 2 01 AUG 2 7 5 D 3.5 0~ v
76A667 -CE#817 5/63 &GP�ERMIT APPLICATION FOR .PLUMBI
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 10723 Freer
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER B
WATER CLOSET $1.25 MAIL
ailpy
BATH TUB 1.25 ADDRESS gaMe
SHOWER 1.25 CITY TEL. NO. Gi*81.20
LAVATORY 1.25 CONTRACTOR Pneti-fic Installers
SINK 1,25 ADDRESS 10920 E Grand
DISHWASHER 1.25 CITY T e City TEL. NO. 442-1234
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 211898 COUNTY ❑
CLOTHES WASHER 1.25 DISTR T NO GROUP ZONE PR SSED BY
WATER HEATER 1.50
1.50INDUSTRIAL d
GAS SYSTEM OUTLETS 1 0 WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 V
INSPECTION RECORD
gas line for furnace ¢ _ i3 .�� � --�� � � 0
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3050 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANO 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 COUNTY AND STATE OF GAS TEST
CALIFORNIA-OR THAT I AM TH LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCCRIIBB D RESIDENTIAL PRO ,RT/Y.. UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
cKVALIDATION ROBERT A. WOOD ,
M O. CASH SUPERVISING MECHANICAL ENG'R
u,{(;o 4 22 0 JI1PJ 0
3.50—
s
0.6.S!117 25M SETS 2.47 - -- APPLICATION FOR PERMIT
f DEPARTMENT OF -BUILDING AND SAFETY
COUNTY OF LOS ANGELES, 1
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRI GROUP ZONE P RMIT.
ROUGH FIXTURES COMPLETE S.i
—I RECE ED BY READY FOR T 18 E
HEATER CESSPOOL —1-SEPTIC YANK / FIRST INSPECTION
GAS MISCELLANEOUS
,[ go.JAPPPL'yICANT FILL IN HEAVILY OUTLINED P`O�RTION ONLY
JOB c5o
R NA /TI /!A
m ADDRESS ge���M� 44- LOCALITY A
.914910
NEAREST
Y •� � CROSS sr,4Q.
..JCITTEL.
COU TY Y / '
CERT.No. / EXPIRESli �D s(� NAME
Id
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CI TEL.No.
I
AM THE LEGAL POS H980R OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
a
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
_ D
3 1 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
BATH TUB FURNACE E9
LY
/ SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR,
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPR®YALS
___Z_WATER CLOSET DRINKING FOUNTAIN DA / INSPeCTOR'B NAME
/
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ` { i A
METER _GAS CODA FOUNTAIN GAS PIPING I ` I ~ Nl�
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOI SEPTIC TANK O 6� SEWER II
S UTILITY CO.NOTIFIED
TOTAL FEE
INAL /
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76A667-CE#817 5/63 x-
APPLICATION FOR PLUMBING PERMIT
: COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT'TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER r '
WATER CLOSET• $1.25 MAIL
BATH SUB 1.25
i ADDRESS �iJr
' '
SHOWER 1.25 CITYjN
' STEL. NO. '
LAVATORY 1.25
CONTRACTOR 1 -
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY �! TEL. NO.
CONTRACTOR'S / STATE
LAUNDRY TUB 1.25
REGISTRATION NO. �e�(c� COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM :30 INSPECTION RECORD V
W
W*-y l O I=!LL Q Z
PLUG LtIcc"fC, —
��� C_esiG �-rl /)fr
APPROVALS ' DATEO INSPECTOR'StSIGNATURE
PERMIT $ 2 0O UNDER SLAB WORK
_ ROUGH PLUMBING
TOTAL FEE �S GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
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 COUNTY AND 'STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE,ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE. 4s ,rA �^- j A
OF PERMITTEE Iu-O '� �yA _4A,, -
FINAL tf' �7.
iLIDATIO ROBERT A. WOOD
M C o CASH SUPERVISING MECHANICAL ENG'R
L jjLo:2 3 8 0 AUG 7 5 0 Jc.7 Jc "