HomeMy Public PortalAbout9235 GARIBALDI AVE_Plumbing__ � 1
7� m7-,-CE 817 7-88
r APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES.
+� DEPARTMENT OF COUNTY ENGINEER
BIIII INC AND SAFETY DIVL4ION D11DDDD�EW A 1—'0 to a
JOHN A. LAM IE, COUNTY EtNGIN[[R
COLEMAN W, JENKINS. SUPT. of BUILDING LOCAyrr=
t �
FOR APPLICANT TO FILL IN R NT O TYPE) Cd0=
NUMBER FIXTURE OR ITEM EACH P[¢ ,
EWER Q r.
WATER CL08ET 1.50
13ATH TUB 1.50 1DDlElW '� ~
SHOWER 1.50 c= G G TEL No.
LAVATORY 1.50 1 GfY
SWK. 1.50 1- D -+C..
DISHWASHER x.50 aff . A4,nTKL11o. /+ —d
CLOTHES WASHER 1.50 LIC
LtCAENSK NO./91 91 CJ L} CLASS Cl— Ey
SWIUMING POOL RECEPTOR 1.50 DI CT NO. ORO Z [ P my
LAWN BPRINEILRR SYSTEM 2.00
WATER DATER 1.50AM " OYAL
OAS SYSTEM OUTLE'T'S 1-50 IiRIPECT N RECORD
OUTLETS OVER 80
5 PER SYSTEM
Plan Check fee 2S%of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
AR!lOVAL$ TE IN c-ros•■SIOHATURS
Plan check applicant UNDCR$LAD WORK f/
Name ROUGH PLUMBING
Addreee GAB PIPING
GABVENT
city, Tel' No. HOT HATER HEATER
I H"MY ACKNOWLI1MM THAT I HAV[ RAD THIS APPLICATION PLUMBING FIXTURES
AND STAT[ THAT TH[ AsloV[ UI COARCT AND Aal� TO COMELY
writ+ AA-L, COUNTY ow KA'OC« ATIb aTATt uvra IRauunNa
GAS y g ST
FLUYsrHo.
I HXXM* CSFTIFY THAT I AY FwopWny RSaISTOR.P AHDIOII UTILITY CO.NOTIFIED
LICKNZIM AS ISQUIRD SV Loa ANaK COUNTY AND STAT[ OF
CAUrOIWIA ORI THATI AY TNt � A I OWdF.AND I)CrI P TO
RSItY[ IN.THr ABOV11 DI0L§SDK -MLPA0r[RTY. FINAL
SIGN(A R[ JACK R• ALLEN, Su [RVISINO HANICAL ENO'R.
Ott M1tM ITT1CR PERhffr VALIDA'T'ION M.0. CASH
PLAN CHECK VALTDATION CK. M.d. CAS!*
� � 9717c---' RR15 5 D 5.00M
76AWI-CE&710-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING L / /�li
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 6/�r'ba, ve
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM J
OWNER pe I ei,,go
WATER CLOSET
/ ADDRESSZ.
BATH TUB t 1 S`�
CITY TEL. NO.
SHOWER
2. LAVATORY .X S p CONTRACTOR ,s
SINS j 2S ADDRESS
DISHWASHER CITY TEL. NO. �a rgpro
CONTRACTOR'S — STATE
LAUNDRY TUB REGISTRATION NO. 127-9'!; j COUNTY
r CLOTHES WASHER Z S— DISTRIC,Try NO. GROURB NE CESSED BY
WATER HEATER / 5-0
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD 0
v
p
-- W
h
- z
1
$1.00 PER ITEM
OR FIXTURE APPROVALS DAvt E INSPECTOR'S SIGNATURE
HPERMIT $ 2100 UNDER SLAB WORK 1411 -
TOTAL FEE 7L� ROUGH PLUMBING
1 GAS PIPING
I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 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 THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. ^ UTILITY CO. NOTIF D
SIGNATURE
OF PERMITTEE FINAL
CALIDATION
ROBERT A. MOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
UGo o 0 2 FEB 5 5 D _ _.� 3.7'5
COUNTY OF LOS TNGET•F6S T04PLE CITY # 0508 PLUMBING PERHTT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0703290010
B=I:NG ASID SAFETY / LAND DEVELAPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EST:
L DGAL Il): FEES PAID BffI=ING ADID ULSS i
ON FILE 9235 GARIBA DI AV
FEE DE8CRIFiON- QUANTITY: DOM. AMOUNT: TD4P CA 917801626
A99FiS90R INFIDF14tTIO19 NUMBER: 9T CROSS STREET:
5385-003-029 01 PEU417 ISSUANCE FES 27.75 T11014AS PAGES 596 GRID: J2 LOCALSTY: TEMPLE CITY, C
47 YATHR•ETEATSR(S) 1.00 WTH 16.20
TENANT: TO`iAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: ESPIRHB ON:
03/29/07 JL 09/25/07
OWNER: TEL. NO: F22AL Txp
I BY: CODE:
NITIATTIPHORH, PAUL (626) 451-9917- HT
9235 GARIBALDI AV
TEMP 917801626 DESCRIPTION OF WORK
NATER 14EATSR CHANGE OUT
APPLICANT: TEL. NO:
MORGAN REE (661) 775-2944-
27520 AVE HOPIZEN8 #D SPECAL ITIOEZS:
VALENCIA, CA 91355
CONTRACTOR: TEL. NO: APPROVALS DATE IXSPECTOR SIG3ATURE
PAYLESS WATER HF.hTZRR (661) 775-2944-
27520 AVE HOPLIINB #D LIC. NO UNDER SLAB WORT
VALENCIA CA 91355 836216 C36
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHI= OR ENGINEER: TSL. NO:
- ROUGH PIA[-MING
LIC. NO:
GAS PIPING
(SAS VENT
HOT WATER HHATYR
PLUMBING FZrIURSS
1 J
LAWN 9PftnNrriv4
GAS TEST
UTrr.TTy COMPANY NOTIFIED
cwV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: B90508
J