HomeMy Public PortalAbout9155 GARIBALDI AVE_Plumbing__ DBS-17 12.54 7 " APPLICATION FOR PLUMBING PERMIT
DBS-17
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles �-
WM. J. FOX, COUNTY ENGINEER BUILDING
/
CASSATT D. GRIFFIN, SUPT of BUILDING
LOCALITY
FOR APPLICANT TO FILL IN -NEAREST
// CROSS ST.
OWNER �+ + - ��/� G� f't I DISTRICT/NO I GRGROUPO E READY FOR INSPECTION
MAIL
ADDRESS .5-7`
/� INDUSTRIAL
CITY A h TEL. NO - IO WASTE APPROVAL
PLUMBER INSPECTION RECORD
l
ADDRESS
CITY �J J TEL. NO. 1V�dJ
LICENSE NO. p_( 7�✓�
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) $ O O
BATH TUB / O b
SHOWER / 00
_ LAVATORY (WASH BASIN) O Q
KITCHEN SINK
DISHWASHER
I
LAUNDRY TUB OR TRAY
I "
CLOTHES WASHER A.,
1
IL-136 kv/L
71z.
TOTAL NO. % @-a-go 00 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00 G O UNDER SLAB WORK �-
WATER HEATER @ 1.00
ROUGH PLUMBING
PERMIT S 1 00 GAS PIPING
TOTAL FEE I / .1 GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER i 1.-��_I r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ PLUMBING FIXTURES
P U
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST f
ED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THA AM T E LEGAL ,OWNER OF THE ABOVE T
DESCRIBED REST DEN - P OP TX. -
SIGNATURE
OF PERM TTE "' �� FINAL
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION
5 7 ;r rr,V 3 1 2.0 0
BY
r�rG DEPUTY
O
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LNS TUMAS PL 0508 0409030001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID- FEES PAID BUILDING ADDRESS:
TR: 590. LT: 258 UN: .002 9155 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: UXM:` AMOLRIT: TEMP CA 917801624
NEAREST CROSS STREET: ROSEM EAD
5384-012-002 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
O7 BATHTUBS/SHOUTERS 2.D0 FIX 32.40
13 DISHNASHER(S) - 1.00 FIX 16.20 .
25 LAVATORIES/SINKS 2.DO FIX 32.40 09/03/04 JK 03/02/05
45 NATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: TEL. NO: TOTAL FEES 141.15 .
TAI VINCENT (818) 285-6744-
915� GARIBALDI AV '�—
TEMP 917801624 DES 5iIPTION OF WORK
PLUMBING FOR BATHROOMS AND KITCHEN REMODEL
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTPACTM-- TEL. Nb:
SAME AS 0 IN ER -
LIC. NO UNDER SLAB WORK
PLASTIC Y/N METAL Y/N
ARCHITECT Cl.R ENGINEER: TEL. NO: ROUGH PLUM'BINGt
LIC. NO:
GAS VtNT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINZIEM
GAS TEST
CwV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508