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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 .