HomeMy Public PortalAbout8912 GARIBALDI AVE_Plumbing__ CM 817 . APPLICATION FOR PLUMBING PERMIT 1
BUI MING AND SAFETY DMSION
D.pm-tment of County Engb2*w
County of Los Angel" BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDREGS
CASSATT D.GRIFFIN,BUTT of BUILDING
LOCALITY
FADDRE"
A IN NEARB.B'T
8H BT
.DISTRICT NO. GROUP ZONE ■X"T roR I!1►[aTIO■
INDUDTRIIAA��
TEL NO WASTE APPF�OVAL
II�TiON BECOBD
TEL NO.
LICENSE NO.
NUYIR TYTM qF FDCTURI OR moi FQ
WATER CLOaES (TOIL•$T) 1.00
'BATH TUB 41.0.0
1 SHOWER 41.00
LAVATORY (WASHBASIN) $1.00
KITCHEN SINK 1.00
D BHWASHB7t 91.00
.LAUNDRY TUB OR TRAY $1.00 i
CLOTHE.H WASHER 41.00
WATKR HEATER Q111.00
GAO SY 1.00
AMOVAM
DATE INSPECTOR'S SIGNATUaE
UNDER 9L.AB WORK
PERMIT 1 00 ROUGH PLUMBING
OO GAS PIPING
TOTAL FEE
GAS;vwlrr
I HEREBT ACLIIOWLEDGK THAT I RAVE READ THIS APPLICATION HOT AID STATE THAT THE ABOYE IS CbYRSCT AND AGREE TO CON-PL7 '"
WITH ALL COUNTY OYDINANCKS AND rATY LAMB REGULATING
PLUMBING. PLUMBING FwrURXm
I H¢RERT CERTIFT THAT I AN PROPERLY BEGIMUZED AND/OR GAS TWIT
LICEIISED AS REOUfYED BY LOS AAesm COUNTT AND STATE OF
CALIVORN1A OR THAT I AM TRE LEOWN OF THN ABOVE UTILITY CO.NOTHnED
DESCRIBkD YESIDIXTUIL PYO .
a 1 G NATURN
OF PERMRTER FINAL
�/�, ROBERT A.WOOD.
ALID
JOHN A. LMBIE. COUNTY ENGINEER VAATION SUFWtVIQINGMECHANICALEN"
CK. IL 0. aA>m
U0 9 9 8 9 SJL 3 8-c 0 n
76A667 DeS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT GROUP PERMIT NO.
FOR APPLICANT TO FILL IN
PLUMBER Belvedere Plumbing Co. RECEIVED BY READY FOR DATE ISSUED
L FIRST INSPECTION
ADDRESS 136 S• Palm Ave• ��
CITY Alhambra TEL.NO. AT95025 BUILDING ADDRESS 8912 E. Garibaldi
COUNTY80$M 6-30-52 LOCALITY 'rem le Cit
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Ghilieri
MAIL
WATER CLOSET(TOILET) @ 0.50 $ 150 ADDRESS
BATH TUB @ 0.50 0 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 0 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
WATER HEATER @ 0.50 50 SIGNATURE OF �t�'.c�f�
PERMITTEE_
bendix @ 0.50 50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 ?
MISCELLANEOUS O
R'
i
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING E
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER /
PERMIT I 1.00 GAS*TEST
UTILITY CO.NOTIFIED
TOTAL FEE 51
FINAL >"
V 244