HomeMy Public PortalAbout8612 GARIBALDI AVE_Plumbing__ I _
DRS-17 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
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Co=ty of
JOHN A. LAMBIE. COUNTY ENGINKER
CASSATT D,GRIrFIN,.DUF'T OF EUILDING
LON
CALITY
R APPLICANT TO FILL IN NMARK T
OWNS DISTRICT NO, GROUP
� $ ¢LADY Iron IIUp[cTlo■
A[A I L iii
p. E N INDUITTRIAL
CITY IG.� WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRX" ,At
CITY L r4 TIL
LICKNAK NO. G1
NUYm[R `Cv OF FUCTVRI OR TrKm FIx
WATIER""KT (TOL ) $1.00 s
BATH TUB 1.00
SHOWKR 1.00
LAVATORY (WAOH SABIN) 1.00
KITCHXNa1NK 51.00. o
DIaHW"HER 1.00
LAUNDRY TUB OR TRAY $1.00'
CLOTHES WASHER 1.00
WATER HATER 11.00
OAS DYafKm s 1.00
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APPROVAIS
DATK INSPECTOR'S SIGI(ATURE
UNDI R SLAB WORK
PERMIT 1 00 ROUGH PLUMBING
GAA PIPING
TOTAL FEE
GAS YENT
1 HERBY ACI(I(OWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE AEOVE I CORRECT A" AGREE TO COMPLY
OITH ALL COUITTX ORDINANCES AND NATE LAWS REGULATING V
PLUMBING, PLUMBING FIXTURES .i
I HEREBT CERTIFY TRAT 1 AM PROPERLY REGISTERED AND/OR GAS TLYT -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CAL1FORNIA OR THAT 1 AM THE. LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL ROPERTY.
BIGNATURK ti
OF Pm" �L FINAL
JOHN A. L.AMBIE, COUNTY ENgINKtZR VALIDATIONZ ROBERT A.WOOD. CHIEF PLBG. INJIPICTOR
CL 19.0.
(j e'6 2 6 1 MAY 2 2 3 3.0 0 rn
I tel /
76 A 667 - CE 817 7-69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES B47734
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIMON BUILDING $612 Gar ib a ld i
JOHN A. LAMBIE, COUNTY ENGINE[R
COLEMAN W. JENKINS. SUPT. OF BUILDING LIALITT San Gabriel
FOR APPLICANT TO FILL IN R O TYPE WEARM
CROW XT.
NUMBER FIXTUR[ OR ITEM EACH PHQ 'i
WATER CLOSET 1.50 Owl= Irwin H. Haman
1[AII.
BATH TUB 1.50 ADDIfaE e
SHOWER 1.51 a=T TEL wo•
LAVATORY 1.50 Ol Genual Inst nAWflT1 Om
SINE 1.50 ADD EFdB 6W Weet fid.
DISHWASHER 1.50 CIT! J.m - T&- No. P
CLOTHES WASHER 1:50 LIC
Si ATIC NO. C-M 151 8 Cuss
SWDUdIQG POOL RECEP'T'OR 1.50 DI{TRICT NO. . GROUP ZON[ P BY,/
LAWN SPRINKLER SYSTEM 2.00 5
WATER HEATER 1.50 1 50 EnuffrKLILL
WA= APnOTAL
GAB SYSTEM OUTLETS 1.50 DOA ILCOID
5 -
OUTLETS OVER
S PER SYSTEM .30 PAady for Impact m Now
WATIM
Plan check fee 25% of ove. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE 3 50
APPROVAl,B PATE IH{PICTOR'■{IDNATU R[ "
plan check applicfLnt UNDER BLAB WORK
Name ROUGH PLUMBING
Addre9H GAS PIPING .
GAS VENT
City, Tel. No. HOT WATI?R HEATER
1 H[RMY ACXNOWLJLDO[ THAT1 HAY[ I<AD THIS APPLICATION
AMD STAT[ THAT TH[ AROY[ 1{'CORRICT AND A01� TO CO%fPLY PLUMBING FIXTURES
WITH ALL, COUNTY ORDfKApK*{L AND STAT[ LAWS RIOULATIN• GAS TEST
PLUW{INO.
I H[IIf7Y C[1TTI FY THAT 1 AN PROPIRLY RI{I{T[RSD AND/OR UTILITY CO.NOTIFIED
LICDISaa AS RlgUIMM SY LOS Ali OIL" COUNTY AND STAT[ OF
CALIFORNIA OR THAT I AM TIS LKQAL OWNIl1 OF,AND INTEND TO ..
IVID[ IN;TM[IVOY[DS7C R>1CD 71F
�PQfI'Y FINAL `
•16NATUMI Lz r,�� JACK R. ALLEN fU PERVIII HANICAL HNb'R.
OP PERMITTii
PERMIT VALIDATION c M.O. C ASH
PLAN CHUCK VALIDATION CK. M.O. CASH
r � 96 -1 6= FEB 3 5 'A -50" 1�