HomeMy Public PortalAbout9625 GARIBALDI AVE_Plumbing__ 76A6G7A - •��
C •17 UtffV.6/7W
APPL ATI FOR PL ING PERMIT
COUNTY OF LOS ANGELES BUILDING AND.SAFETY
FOR APPLICANT TO F1LL IN(PRINT OR TYPED BUILDING
NUMBER H)(TURE OR ITEM � Fff ADORNS 5
WATER CLOSET LOCALITY T—
BATH TUB NCROSS 57 r
SHOWER OWNER- D
LAVATORYMAIL
ORESS
SINK CITY TH NO.
DISH WA$HER CONTRACTOR
CLOTHES WASHER ADDRESS
r
SWIMMING POOL RECEP[OR
CITY=E _ / T�NO.
W TER HEA TERER SYSTEM t��f LICA
GAS SYSTEM OUTLETS APPROVALS DATE MPECTOWS aIQMATUAE
�I�i�m � UNDER SLAB WORK
ROUGH PLUMBING
GAS PIPING
GAS VENT �
9H
HOT WATER HEATER O
PLUMBING FIXTURES
GAS TEST 4..
Plan check fee unuTYCO.NOT(HED' _
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIQAT IN
Name
Add road
City Tel.No.
llEr AGOIOV&EDO!THAT I HAVE P AD THIS APPUCAn D STATE _ 0 83 4.6 A
T THE AbOV!IS CORRICT AMD AQnF TO COMPLY WITH ON EI
AND STATI LAWS UGULATTMG FLUYIUrG. PERMIT VALIDATION ))i
I HEM BY CE7fTFY THAT I AyP IQiQ /OA
WOUTAID BY X03 ANGELES COU D STA UA THI 1d
LEQAL OWN"OF,AMD UfTEM A -r
PROPERTY.
SIGN -
OF PGRM /vff!Df)
BY 110,06 el
INDUSTRIAL
W EAPPROVAL
76A667-CE817 3-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING n`�
JOHN A. LAMBIE, County Engineer ADDRESS '•7'±� G a.r i b ld i
CASSATT D. GRIFFIN, Supt of Building LOCALITY Temple City
FOR APPLICANT TO FILL IN CROSSSsTT.Tem le Cit Blvd .
NUMBER FIXTURE OR ITEM OWNER Al Saviano
WATER CLOSET MAIL
1 BATH TUB ADDRESS —ri
]. SHOWER CITY TEL NO.
LAVATORY CONTRACTOR Earl Pat Standley Inc.
1. SINS W/d is os al ADDRESS 2019 N. Hoyt P.O. Box 408
DISHWASHER CITY El Monte TEL. NO. GI 4-1559
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 4COUNTY ❑
1 CLOTHES WASHER DIS TR}GTNO. ORS P OCESSED BY
1 WATER HEATER y' _J-- IV( ONE
�
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
0 $1.00 PER ITEM
ll OR FIXTURE 11.00 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAS WORK S
TOTAL FEE I 13 00 ROUGH PLUMBING
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 r2 2'
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE GA -OWNER OF THE ABOVE
DESCRIBED RESIDE PROP RT UTILITY CO. NOTIFIED
SIGNATURE
OF PERMIT!
FINAL
®F VALIDATION ROBERT A. WOOD,
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
6 6 s SO ;4W 11 5 A - 13.0 L,
1 .+� C r;