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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 �a 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 . O UUH til CL N Z 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 i p 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 Z �- 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 / [ l/ 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 "