HomeMy Public PortalAbout9118 GARIBALDI AVE_Plumbing__ 76AG67 -CE;1817 4-64 ,
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER7NEAREST
o e
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER It i
WILLIAM A. JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN ^�NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 MAIL
i BATH TUB 1.25 ADDRESS
CITY TEL. NO.
SHOWER 1.25 ,
LAVATORY 1.25
CONTRACTOR
t SINS 1.25 ADDRESS �� C
' DISHWASHER 1.25 CITY TEL. NO.�SL� -Q�
LAUNDRY TUB 1,25 cm
CONTRACTOR'S / COUNTY ❑
REGISTRATION NO.
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE OCESSED BY
WATER HEATER 1.50 f S'O :5-, Q -
1.50 5 V INDUSTRIAL pC„
GAS SYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD lJ
_ O
W
CL
V)
Z
2Jr APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDERSJw48 WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I 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.
I 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 ABO V DEi IBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ,
OF PERMITTEE
FINAL
VALIDATION ROBERT A. WOOD
CK. W O. CASH SUPERVISING MECHANICAL ENG'R
L-iLo 4 9 0 3 OCT 15 5 D 1 6.25 -, v
r �
• COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0209100001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-04M EXT:
LEGAL ID: FEES PALU BUILD
TR: 5904 LT: 346 9118 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: UOM: AM"T: TEMP CA 917801621
ASSESSOR INFORMATION NUM1BER; NEAREST CROSS STREET: HART/LOMA
5384-014-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
21 HOSE BIBB(S) 1.00 FIX 16.20
47 WATER HEATER5S) 1.00 WTH 16.20 .
51 LOW PRS GAS OUTLET 1.00 SYS 16.20 09/10/02 JK 03/09/03
TOTAL FEES 76.35
OWWER: TEL. NO: FI DATE FINAL CODE:
SWISHER-DAVID
9118 WIBALDI AV
TEMP 917801621
PLUMBING FOR ADDITION
APPLICANT: TEL. NO:
ROSEMEAD CONSTRUCTION (626) 573-41.10— '
1818 SAN GABRIEL SPECIAL CONDLINNS:
SAN GABRIEL _
` ALL �0.CNTR.ACTOR: TEL. W: APPROVALS DATE INSPECTOR SIGNATURE
~
ROSEMEAD CONSTRUCTION (626) 57374110— •f/. ��}:;,`
1818 S. SAN GABRIEL BLVD. LIC. NO TU�DER SLAB WORK—.-,SAN GABR I E-L, G 91776 221544/0 * r.;� ^v r LL
WATER SERVICE
PLASTIC Y/N METAL YIN
ARCHITECT OR ENGINEER:
ROUGH PLUMBING
LIC. NO./'
�r 1 GAS PIPING
GAS VENTHEATER
PLUMBING FIXTOM
ow
UTILITY CCKPANT
GUY WATER SYMF
•I`� I � �i 'l —_—., rel p 1� �^.1 I=' � �'
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* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROL[TE TO: BS0508