HomeMy Public PortalAbout9429 GARIBALDI AVE_Plumbing__ DOS-17 10-" APPLICATION FOR .PLUMBING PERMIT 1
DIVISION OF BUELDING AND- SAFETY
of C--tr.
county of Loi An"las BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRE" %31. Qarlbaldi
CASSATT D,GRIFFIN,SUP^I'OF BUILDING /�
LOCALITY Ci
tsF.OR APPLICANT TO FML IN NEARMUTCROSaQ
OWN[1t rQ R. Eq Hadley DISTRICT N 6R� 7.QN7 ■RAST FOR INSPICTIOF
..DDRus 119 3o. 3rd Ave. . R
INDUSTRIAL
CITY Ams&ax TEL NO7-�58% WASTE APPROVAL
P'L LIMBEn & SM6 INSPECTION RECORD
ADDREQJ•
CITY PiGo A cle-lil TEL NO. OX 2-3m
LICENDE NO. —C36
Nummm TYPK OF rDCTURt OR ITd FXK I
1 WATER CLOSET (TOILET) a IFI.C'O 1
1
BATHTUB a 1.00 1 00 7-
SHOWER 9 4111.00
1 LAVATORY (WASHBASIN) a V.00 1 00
1 TTCHEN SINK a v1.00 1 00
DIeHWADHZR
LALINDRY TUB OR TRAY $1.0.0 /Q
CLOTH WASHER 1.00 I/
�- WATMt HEATER $1.0000
1 /l
1 GAS SYS'I'EXI 81.00 1 00
1 100
APPROVALS
DATE IMSPCCTO2'1 SIGNATURE
UNDER SLAB WORK
PERMIT ; t 00 ROUGH PLUMBING i
G"PIPING
�TOTAL FEE $9 ,00 GAA v
ONT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOTW TER HEATER
AND ST TL THAT THE ABOVE 13-CORRECT AND AGREE TO COMPLY
WITH A COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMEING FIX
TUREB
I HERBY CERTIFY THAT I AM PROPERLY REGISTERED MP/OR OAs TxsT 4 ,
LIGEIISED AS REQUIRED BY LOS AKGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVEJ UTILITY CO.NOTIFIED
DESCRIBED REBID EXTIA PROPE
SIGNATURE
OF PIERMITTE FINAL L
JOHN A. LAMBIE, COUNTY ENGINEER TION ROBERT A.WOOD, CHIEF PL.BG. INSPECTOR
cz. CASH
�. 0 5 7 4 1 Ll T4,4Y 7 3 9.o 0 Ln
' COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLLKBING P
DEPARTMENT OF PUBLIC WORKS 9701 LAS TLK S 0508 18
BUILDING AND-SAFETY / LAND DEVELOPMENT , TEMPLE CITY CA 91780
-PHONE: (626) 285-0488• EXT:
LEGAL ID: FEES PAID kUILDING ADDRESS:
ON FILE
FEE DESCRIPTION: QUANTITY: LJOM: AMOUNT: N 5A 917801 .
5385-008-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID:.J2 LOCALITY: TEMPLE CITY.
07 BATHTUBS/SHOWERS 1.00 .FIX 16.20
25 LAVATORIES/SINKS 1.00 FIX 16.20ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES .
45 WATER CLOSET/IJRINAL 1.00 FIX 16.20 06/29/99 UT 12/26/99 .
TOTAL FEES 76.35
uwwtx: TEL. NO: FI
ZAMALL.OA (626) 282-6940- tWE.
9431 GARIBALDI AV
TEMP 917801648 VESqUPTICIN OF WORK
Lt!mFMUT F
APPLICANT: TEL. NO:
EAGLE CONSTRUCTION (800) 313-1990-
18034 VENTLSA BLVD SPECIAL CONDITIONS:
ENC.INO, CA
S PNEL
GES CCONTRACTOR: TEL. NO: ONT
APPROVALS DATE INSPECTOR SIGN.ATURE
EAGLE CONSTRUCTION (800) 313-1990-
18034 VENTl1RA BLVD. LIC. NO . UNDER SLAB WORK
ENCINO,.CA 91316 7016088
PLASTIC Y/N METAL Y/N
ENGINEER:ARCHITECT OR TEL. NO: -
RM PLUMBIJU
LIC: NOGAS PIPING
1
EWC W' ' 0 K H'OT �AT ER H t:A I M
U J, y�
A r�
GAS TEST
lb LITILITY COMPANY NOTIFIED
U
46,/c Service That�cj CWV
REPORT ID: DPR263 ROUTE TO: BS0508