HomeMy Public PortalAbout9013 GARIBALDI AVE_Plumbing__ 76A667 - CE817 5/70 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES B 8603 U
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 9013 Garibaldi
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST.
WATER CLOSET 1.50 OWNER R Dillbe
MAIL Same
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1,50 CONTRACTOR GENERAL INSTALLATION CO.
SINK 1.50 ADDRESS 6558 WEST BLVD.
DISHWASHER 1.50 CITY Los Angeles TEL. NO. PL 3-2541
CLOTHES WASHER 1.50 LTATE LIC
ICENSE NO. C 36 151839 CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. G P NE R
LAWN SPRINKLER SYSTEM 2.00 57!
0(SSED BY
WATER HEATER 1.50 l 75 INDUSTRIAL
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30 Ready for Inspection Now Z
WATER SOFTENER 4 r G, 0
Zza
N
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8
' TOTAL FEE �+ 75
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
Y Tel. No.
Cit GAS VENT
HOT WATER HEATER
2t
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RENTI L PRO RTY. FINAL Z,
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
or99i- € 10 5 D 4.75"
7GA667 DBS 17 1,-SO ► APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
1 TR T NO. ROUP ZO .
FOR APPLICANT T❑ FILL IN
f1
PLUMBER -- C5 0"j READY FOR
REC�VED BY DATE ISSUED
3a C FIRST INSPECTION
ADDRESS Cf- `
BUILDING
CITY TEL Na. / ADDRESS
COUNTY LOCALITY
I...ICEN�iE NO. j EXPIRES �Q�J
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /N
MAIL
WATER CLOSET(TOILET) @ 0.50 $ .Sa I ADDRESS
BATH TUB @ 0.50 CITY TEL No.
SHOWER @ O.SD 1 HEREBY ACKNOWLEDGE THAT i HA 13
LAVATORY (WASH BASIN) @ 0.50 Q APPLICATION AND STATE THAT TH E IS CORRE
AND AGREE TO COMPL OUNTY OF,
S
KITCHEN SINK @ 0.50 Q AND STATE LAWS LATIN G.
I CERTIFY AT I P09 T ABOV ID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES C NTY LICEN R AM THE LLIJAL O R
OF THE IDENTIAL DESCRI A
GAS SYBTEM OUTLETS I? 0.50 O
91GNA RE OF
WATER HEATER @ 0.50 Jr4o P MITTE
SLOP SINK @ O.SD INSPECTION RECORD
FLOOR SINK G$ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS _O
Ir
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT Z"
CESSPOOL @ 1.00 CESSPOOL
BEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.013 GAS TEST 1�'r` lam► r'',
UTILITY CO.NOTIFIED
TOTAL FEE S �
FINAL