HomeMy Public PortalAbout9514 GARIBALDI AVE_Plumbing__ 76A667-CE817 359
Is
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGter'/ � A p
JOHN A. LAMBIE. Count. Engineer ADDRESS d
CASSATT D. GRIFFIN, Supt of Building �j
LOCALITY 'c—
FOR APPLICANT TO FILL IN NCROSS EARESTOWNER T.
NUMBER FIXTURE OR ITEM Y
WATER CLOSET MAIL
1
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER LAVATORY CONTRACTOR MONTEREY PARK PLUMBING
t SINK ADDRESS 410 SO. GARFIELD - AT 2-2604
DISHWASHER
CITY MONTIE;;E�E$AR6. CALIFORNIA
CONTRACTOR'S LSTATE
LAUNDRY TUB REGISTRATION NO. I COUNTY E]
CLOTHES WASHER DISrTRIC�TyNO GPkgjLa.. ONE ESSED BY
WATER HEATER /Lj
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
R PER ITEM
OI /
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $0 UNDER SLAB WORK
TOTAL FEE V ROUGH PLUMBING1 '2-
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
PLUMBING. HOT WATER HEATER ID�. - 'GG0,:;
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE GAS TESTt ''•� - `�{ /`�
DESCRIBED RESIDENTIAL PROPERTY. T UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL V/,Z p
®P CLIDATION ROBERT A. WOOD,
cs.
M.o, cesR SUPERVISING MECHANICAL ENG'R
76A667 (CE-817)-8-71tj/ry �� ��� ��•
APPLICATION FOR PLUMBING PERMIT .
COUNTY OF LOS ANGELES
DEPART118NT OF.COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS /
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
d
NUMBER FIXTURE OR ITEM • FEE CROSS ST. D,�
OY(N E R
WATER CLOSET 1.75 MAIL Zia
BATH TUB 1.75 ADDRESS
SHOWER 1.76 CITY TEL. NO.
LAVATORY 1.76
CONTRACTOR
SINK 1.76 ADDRESS
DISHWASHER 1.76 CITY TEL NO. D
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.76 LICENSE NO. CLASS
ICT Z E BY
LAWN SPRINKLER SYSTEM 1.76 O
WATER HEATER 1.76p�STRIq�
WANE AOVAL
GAS SYSTEM OUTLETS 1.76 1 NSPECTI ON REC D
UTLETS OVER 30
6 PER SYSTEM O
W
9L
Vl
a
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 pp
TOTAL FEE ZE
APPROVALS DATE IMSP[C TO R'• RIGMATUR[
Plah check eppllcant UNDER SLAB WORK
Name ROUGH PLUMSINd
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I H[R[RY AC[NOWLEDO[ THAT I HAVE'READ THIR APPLICATION
AND STAT[ THAT TH[ A<OV[ I• CORRCT AND AGR[[ TO COMPLY PLILMBING FIXTURES
r` WITH ALL COUNTY ORDINANC[l Z
AMD •TAT[ UWG R[@ULATIN•
PLUMBING. GAS TEST
I HEREBY CERTIFY'THAT I AM PROPERLY R[QIST[R[D AND/OR UTILITY CO. NOTIFIED
LIC[NB[D A• REQUIRED BY LOS AIIG[L[• COUNTY AND •TAT[ OF
CALIFORNIA OR THAT 1 AM T [ L[SAL OITN[R AND INTEND TO
REDID[
IN TH[ ADO'E D[B I [D R [NTIA P OP[RTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CR. M.O. CASH
PLAN CHECK VALIDATION CR.. M.0. CATH
, 4 4 9 41 FB22 : 9i o ► 4.75N Q
70A867 -CE#817 12-84 '/
/ MIT
/APPLICATION FOR PLUMBING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ��� �1�
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS '5111 Ga iilbG.ldi
COI,EMAN W. JENKINS, SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN CROSS ST. Temple City 'llve.
NUMBER FIXTURE OR ITEM EACH FEE
APwxs->qt Smilie
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS 14 Garibaldi
SHOWER 1.25 CITY Temple City TEL. NO. AT-7-2C-9P
LAVATORY 1.25 CONTRACTOR Pacific Tnstallers
SINK 1.25 ADDRESS 10920 E. Grad
DISHWASHER 1.25 CITYT ;1-1e City TEL. NO. 1-1,.2-7070)
CONTRACTOR'SSTATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. 211 a 9 G COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GRq}iP ZQNE PR ESSED BY
1 WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL C
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
V
O
H
- V
CL
N
rt`.
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 QO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE JQ GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �'j.'�•
PLUMBING. Z�
IHEREBY CERTIFY THAT I AM PROPERLY RE TERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUN AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER AND INTEND TO
RESIDE IN,Tl4E ABOVE DES D SIDENTIAL P RTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
Y,
V LIDATION ROBERT A. WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
LALo 7 a 0 5uol NOV 16 5 D 3.50- 4
t .