HomeMy Public PortalAbout9121 GARIBALDI AVE_Plumbing__ 76A6a7{ve -aa APPLICATION FOR PLUMBING ERM�1 �r
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 1UII.DrIrG
JOHN A. LAMBIE. COUNTY ENOINE[R ADDIHM
COLEMAN W. JENKINS. SUPT. OR BUILDING LOCALITY
T la Cit
FOR AFPUCANT TO FELL IN Caose i
C>loae ST. Iv A
NUMS[R FI];TUR[OR rr[M EACH F[[
ORM
WAvm CZOJET ilsf
Kr, Ed Fengler
RAPUN Im An KM
,H 9121 Garibaldi
SHOWER im crnrTemipla City TzL xo. 287-5162
LAVATORY ISI cornu=c2 KAMOR ENGINEERING, INC
Sna Im ADD)IM 6e No. Sari Gabriel 131.
bWMASHLR 1.3 CrrY - Paaaclenagl/01"NO- 795-7523
LAUNDRY TUR lsi STATE SE NO. 16500 LIC CLASS C_20
CLO110 wAdHEII 116 DISTRICT NO. GROUT ZON[ I`ROCSSS[D SY
WATER HEATS[ Im j
GAS SnrIml �OUnzm I�0 WAASYB�APPROVAL I
—Y-40UTLETS OVER 6 PER ReTEN x nqI z=ox xZCORD
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APPROVALS PATE I1418FICT011•■SIDNATURI
PERMrr f Z 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FE (J
GAS PIPING
1 HOLY AC KNOWLIDQ[ THAT 1 NAVR RIAD TH UI AITLI UTIOM GAS VENT
AND STAT[ THAT THE ASOVI IS COR7aC.T AND Aa Rii TO COMELY
Wren ALL COUNTY 011DINANCIS AND STATI LAWS RKOULATING HOT WATER HEATER
FLUMSING.
1 HumWY CZNTIFY THAT I AM FworIRLY R=olrr[RrD AND/OR PLUMBING FIXTURES
LICKNSID AS RIOUIRID WY LOS ANGEL" COUNTY AND STAT[ Or GAS TEST
CAU FORMUI OR THI LI WHIR Or,AND IMTIND TO
RSSIDI IN,THI R[D AL RTY. UTILITY CO.NOTIFIED
SIGNATURE
OF P[RMITT[
FINAL
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ATTON JACK R. ALLEN
M.
cic. o.sd-XAsr, SUPERVISING MECHANICAL ENO'R.
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i DBS-17 10-55 APPLICATION FOR PLUMBING PERMIT 1
DBS-17
DIVISION OF BUILDING AND SAFETY
Department of County Engineer /
County of Los Angeles BUILDING
ADDRESS GIla 2
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN , �
NEAREST
J CROSS ST. s�
OWNER Q,-- DPGTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL //�� _
ADDRESS Jaa I I�R
INDUSTRIAL
CITY TEL. NO. Z WASTE APPROVAL
PLUMBER ,' INSPECTION RECORD
ADDRESS
CITY TEL. NO.
LICENSE NIV
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00 7-/
SHOWER @ $1.00 QT /� - r✓�`l
LAVATORY (WASH BASIN) @ $1.00
i
1
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 1/ -
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $7.00 - -
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
ROUGH PLUMBING i ;' j -
PERMIT $ 1 00
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION '<*
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ^ -S4r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTE FINAL — (�
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. V.•, CASH
'°A°e' 17 5-50 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTJVO. GROUP ZONE PERMIT NO.
PLUMBER Belvedere PlumbingGo. 9�93y
RECEIVED BY READY FOR DATE ISSUED
'^
ADDRESS 136 S. Palm Ave. Y�C,"/1.M, FIRST INSPECTION 3 _
CITY Alhambra TEL,
TEL. NO. AT95025 ADD EISS 9121 Garibaldi
LICENSE NO. 808M EXPIRES b/3o/51 LOCALITY Temple City
NEARESTWillard
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Fengley
MAIL
1 I WATER CLOSET (TOILET) @ 0.50 $ I0 ADDRESS
1 BATH TUB @ 0.50 I I0 CITY TEL. NO.
�I SHOWER @ 0.5011 HERE ACKNOWLEDGE THAT I HAVE READ THIS
1 I LAVATORY (WASH BASIN) @ 0.50 O '41'I'LI CATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 KITCHEN SINK @ 0.50 5_ STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
1 I LAUNDRY TUB OR TRAY @ 0.50 O ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1 GAS SYSTEM--4-OUTLETS @ 0.501 O SIGNATURE OF
1 I WATER HEATER @ 0.50 I 5_ PERMITTEE CL
I SLOP SINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ 0.50 1
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
I URINAL @ 0.501 1 ..1
I HOUSESEWER @ 0.501 I Q
MISCELLANEOUS 1 I a
O
I I
I�
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.001 CESSPOOL
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( @ 1.00 I SEWER
PERMIT . . I I.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $ 4 �50 FINAL
189 M
78AM-=17-8-W
APPLICATION FOR PLUMBING PERMIT
COIINTT OF SOS ANc3m-
DEPARTbO R OF CODNTT ENC23UM
BU7M�EIIN�,}, AND OAcF�E77 gDrVI�ffiON
CST!
D.•ELL e�xa't a!Dm v4
LOCA=
FOR APP11CANT TO FILL IN
NUMBER FIXTURE ort ITXM
OWNER
WATER CLOSET
JkDDRESS
car TEL NO. -S 2—
LIVAT=
am
catTEW NO.
LAUNDRY TIB COUNTY
l CLOTES WAREOM 131E'I'RI7 N0. d UP PROCESSEDBY
WATER MEATH
CM SYS[ AL
wAa>B APPROVAL
nMECTION RECORD
l
APPROVALS
rim r DATIS INSPECTORS 31GAATURE
UrmeQe SLAP WORK
PERMIT S 2 QO AflUGH PLUMBING
TOTAL FEE G"PIPING
I HER.KBT ACKNOWLEDGE THAT I HAYS RW THlf K"UGATIOA CIAO VST
AAD STATE THAT THE ABOVE 18 CORRECT Mb AGREE TO CO[PLT HOT WATER HEATER
WITH ALL COUATT ORDIAMCES AID STATE L&VS REGULATING
PLURBIA0. G FLXTURW
I HCERTIFT THAT I AN FROPIRLT REGISTERED MD/OR
LIC701ffiIS AS REQUIRED BT LOS MGELSS COURTT AAD STATE OF
CA-UFORNIA OR THAT I Al THE LEGAL OWNER OF THE ABOTE UTILJry Co
,?iQnrlxp
DESCRIBED RESIDENTIAL PROP
SIGNATURE FINAL
OF PBHHI
ROBERT A-WOOD.
OF !/ VALIDATION SUPERVIOING MECHANICAL.ENG'R
V !.o. ran
LAC,03277T, MR10 5 A 3.00 N --�