HomeMy Public PortalAbout9237 GARIBALDI AVE_Plumbing__ 76AGG?C (CIC-0117110) -9/75
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION'
FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING �l
NUMBER FIXTURE OR ITEM FEE ADDRESS �C CE-V,), /' 1
WATER CLOSET LOCALITY --Le- G1
NEAREST
BATH TUB CROSS ST. A
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL. NO d
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY TEL NO- A?-
STATE i/ LIC
WATER HEATER LICENSE NO. �{ CLASS CD
J GAS SYSTEM OUTLETS DISTRICT NO GROUP Z N.E RO E� D 'Y✓ o
OUTLETS OVER
5 PER SYSTEM $TRI%
WADS7E APPFIOVAL
I NSPEC TI ON REC ORD x
Plan check fee
PLUMBING PERMIT ISSUING FEE A ;
TOTAL FEE
Plan check applicant
Name UNDER
DATE INSP[CTOR'O SIGNATURE
} 1{ UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel. No. GAS PIPING -I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE Ib CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE44S
LDF
REQUIRED BY OD ANGELES COUNTY AND STATE OF GAS TEST
R THA A [ LEGAL OWNER or, AND INTEND TO
E ABOV D C BED SID IAL PROPERTY. UTILITY CO. NOTIFIED
ITTEE FINAL
PLAN CHEf,-K ;ALID TION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
71 2 i 7 5 d 0.5 0 `;
7D"-l77iv-55 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUELDING AND SAFETY Y3
Departm.wt of C--t7 Engb wr
Comm? of Los Anuel s AD�REHS lT Y I`
JOHN A. LAMBIE, COUNTY ENGINEER
CARSATT D.GRIFFIN,SUP-r of EUI1DIHa r
LOCALITY
FOR APPLICANT TO FILL IN NEARM8T
88 ST
OWN DISTRICT NO. GROUP ZONE R Folk IulicT]O■
HAIL
ADD
INDUSTRIAL
I TY NO. WASTE APPROVAL
PLUMi3ERngSP=ON BECO$D
lz
ADDRESD
CITY 1p T[L- NO.-!�;P-
LICIEN189 NO. V
fR1Y�R TYr[OF FIXTURI OR Pial FII
WATXft CLO 9 SS (TOILET) $1.00 li
m
BATH TUB 1.(>0 O /
SHOWER 1.00
LAVATORY (WASH BASIN) $1.00 DO
KITCHEN SINK a 41.00 O
DISHWA9HEf! I.00 r
LAUfmRY TUB OR TRAY 41.00
CLOTHES WASHER $1.00 f Or h r
IMAl
WATER HEATER 1.00 O
GA$SYS'[W 01.00
'Do WAA
APPEOVAIS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUM19ING
Q O� GAS PIPINd Azo
TOTAL FES u GA VaNI _
I HEREBY ACXNOWLRDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 16 CORRECT ANT) AGREE TO COMPLY HOT Wt.T'ER HEATER - �.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
PLUMBING. PLUMBING FLXTURES
INEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST f
LICEMSED AS REQLLI"D BY LOS AMGELES COUNTY AND STATE OF
CALIFORNIA OR TW 1 AM THE LEGAL OWNER OF THE OVH UTILITY CO.NOTIFIED ?
DESCRIBED RESIDHHTIA PROPEkTY.
SIGNATYJRE
OF PERMITTEE INAL
JOHN A. LAMBIE, rOUNTY ENGIN¢ER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
■.0. cA"
2 2 7-20R ,m 26 5 A $00 A
r-'y
7APPLICATION FOR PLUMBING PERMIT 1
mBS.5.17'DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING Gari ba I d 1
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 92 37, E•
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. C /L' L 1%� i J—A
OWNER Roy Chambers DISTRICT NO. GROUP ZONE N
AMAIL 1�DDRESS 9237 E. Garibaldi �; i't I --1 I rya vifo
CITY Temp I e C I 1Y TEL. NOG 52y I I INDUSTRIAL
W STEAPPROVAL
PLUMBER L h a m b e r s t' I umb i n g Ser v i c INSPECTION RECORD
ADDRESS 307 N San Marino
CITY S a n Ga b r i e f TEL. NOA t 25117
LICENSE NO. 191735
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $I.00
BATH TUB @ 1.0
SHOWER @ 61-do
LAVATORY (WASH BASIN) @ 1. O
KITCHEN SINK @ A110
_DISHWASHER @ $ O
LAUNDRY TUB OR TRAY @ $1100
CLOTHES WASHER @ $ . 0
WATER HEATER @ $ 40
GAS SYSTEM @ 1. O
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
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 TH I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRE LOS ANG S COUNT ND STATE ---
CALIFORNIA OR THAT I AM THE L 0 OF THE A E UTILITY CO.NOTIFIED
DESCRIBED RESIDENT ROPERT
SIGNATURE
OF PERM IT INAL
JOHN A. LAMBIE, COUNTY NGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
•. CASH
D ,J --