HomeMy Public PortalAbout9613-15 GARIBALDI AVE_Plumbing__ ""°" DM T7 7-91 _ APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY I N
COUNTY OFF LOS LOB ANGELES
WILLIAM J. FOX, OHI[F [NSIN[IR
FOR APPLICAt4T TO FILL IN DISTR PERMIT NO.
PLUMS 1-�O MCD BY READY FOR DAT[ KMUm
FIRNT IHOP[OTION
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CITY (/V /H TIL No. �� A.1=.V/, _ V As
COUNTY
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Nu�tia TYP[of rlX- FIX OR rrKW Fi[ OWNEf7
MAIL
WATIR OLOKIT(TOILKT) 48 O.KO • ADD
RIKK D
MATH TUB 0.60 CITY T[L Ho.
SHOWIR Q O.SO I H[ OY AOKN DO[ THAT 1 HAV[ R[AD THIO
LAVATORY (WAKH BANIN) Q 0.60 Ate-KATION AND KTAT[ THAT TH[ ABOVK 18 CORRECT
AND AUNJIM TD OOMPLY WITH ALL COUNTY ORDINANO[K
KITOH[N MINK Q 0.60 0 AND STATI LAWO R[BULATINO PLUMBING.
1 CERTIFY THAT I POKKB
[SO THE ADV[ VALIDLO
B8
LB
I..AUMDRY TUB OR TRAY Q 0.60 ANKELM COUNTY LIO[NKI, OR I AM TH[ LEGAL OWN[R
GAS KYKT[ LITL[TK Q 0.60 C141L TH[ RIMID[NT1APROP[RTY D ORJS[D AaOVL
LK1 K NATURI OV
WQ ATH[ATLR � 0.60 ;I—
GLOP
60 P[R:M
GOP ■INK Q 0.60INKOkCTION RECORD
FLOOR BINK Q 0.60
FLOOR DRAIN Q 0.60
DIKHWAKHKR 0.60
DRINKING FDUNTAIN Q 0.60 Z,`
URINAL Q 0.60 J
HOUSE K[Wp! Q 0.60
M I KO[CLAN[GLIM f B
Q
0
Gf
v/(//r o-z�
DATE iH wti NAM[
ROUGH PLUMBING
OAS PIPIN■
MAN VENT —
O[KSPOOL Q 1.00 O[SKPOOL
MXPT1 O TANKS B Urn O TAN K
DRAIN ( ) PIT ( Q 1.00 B[W-R
PERMIT 1. GAB TiOT
UTILITY O0.NOT1F1[D
TOTAL FEE f Q 0
76A867—CE8174W
APPLICATION FOR PLUMBI G PERM �j
COUNTY OF LOS ANGELES
LJ
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Iain�D� 9615 Garibaldi
JOHN A. LAMBIE. COUNTY ENGIN[ER
COLEMAN W. JENKINS. SUPT. OP BUILDING LocAyry Temple City, California
FORAPPLICANTTOFILLIN(PRITrO TYPE I�
CSOIIB ET.
NUMBER FIXTURE OR ITEM EACH FHE OWIra W. E. Sherle
WATER CI OBET 1.50 IT
1[AII.
BATH TUB 1.50 ADDHFJIB
SHOWER 1.50 CITTSame TEL No.
285-4162
LAVATORY 1.50 COATIA=R Pacific Installers, Inc.
E. tall
SINK 1.50 ADD venue
��yle City-
.' Gal±f CT Iftift
DISHWASHER 1.50 CrTATEfT .-f oTEL LIC
No.
CLOTHES WASHER 1.50 ELIC NSE NO. 21 1898 CLASS C 20
SWD"UNG POOL RECEPTOR 1.50 DISTRICT NO.
L 6 ZON[ r 12Y
AWN SPRINffi.ER SYSTEM 2.00 -3,
� D
'v
WATER HEATER 1.50 OfDUITIIAI
WASTE LPPROVAL
OAS SYSTEM OUTLETS 1.50 Df6PE=Ox O
OUTLETS OVER 7-
5 PER SYSTEM .30 Q
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE i 2 00
TOTAL FEE
APPROVALS DATE INsr+<croR•■SIaNATU R[
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Addreee GAS PIPING
OAS VENT
City. Tel. No. HOT WATER HEATER
IH
Y ACXNOWLLDai THAT I HAVRtAD THIS LIGATION
AND STAT[ THAT TH[ ASOVE II COL RRECT AND Aa LY PLUMBING FIXTURES
W
IT
H
ALL COUNTY ORDIMANC[I AND STATE LAWS REOULA a GAS TEST
PLUM WHO.
I H[R"y CERrIFY THAT I AM rROP%WLY REaI Of UTILITY CO.NOTIFIED
ED
LICKNIAS MCQUIRIM By LOS (ELKS COUNTYAT[
AV.
CSIUFORMOR THAT I AM TH MD IMTKND �ry
RID[ IN.THE AROv[ IAL RTY• FINAL
BIGNATUR[ JACK R. ALLEN,[[
SUPGRVISINO HANICAL EN9'R.
OF r[RMITT
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
LA(`, 3 5 1 5F- X 3
28 5 D .5 0" 15