HomeMy Public PortalAbout9665 GARIBALDI AVE_Plumbing__ 7s w 667—Cfi B17 a/es
APPLICATION FOR PLUMB NG ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGMEER
BUILDING AND SAFETY DIVLSION
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LO
FOR APPLICANT TO FILL IN R 2qT O TYPE CROSS M
NUMBER PIXTU RE OR ITEM EACH FaE
OWIQSI
gv�elv 177,19W
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 1DDI
SHOWER 1.50 CITT TEL/NO.
LAVATORY 1.50 M 011
SINK 1.50 1DDIIF�S �-j N ,f'
DISHWASHER 1.50 gg
CLOTHES WASHER 1.50 STATE CENSE NO. 64r1eV4; 19 CLASS �7
SWKWnN'G POOL RHCEPTOR 1.50 DIST CT NO. GROUP ZONE •G[D BY
LAWN SPRINKLER SYSTEM 2.00 ) S
tVATERHEA C 1.50 AETE� LMOVAL CD
GAS SYSTEM OUTLETS 1.50 EIMPECTION RECORD F,
OUTLETS OVER
5 PER SYSTEM •00 Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE IH/r[CTOR'f SIONATU RE
Plan check applicant UNDER SLAB WORK
[dame ROUGH PLUM19ING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
I HERESY ACKNOWLEOGE THAT I HAV[ READ'THIS APPLICATION
AND STATE THAT THE ABOVE 10 CC"RMECT AND AOREE TO COMrLY PLUMBING FIXTURES
WrTH ALL COUNTY ORDINANCES AND STAT[ LAWS IIKOULATIMO GAS TEST
PLU M�INO.
I HumY CERTIrY THAT I AM PwOPERLY REQISTERED AND/OR UTILITY CO. NOTIFIED A '
LICZNX= AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CA LI FOAM IA OR THAT I AM THE LEGAL OW?SLR OF,AND 1 D TO
179
READ[ IN.THE ASOVE D&OCRIBLD RESIDE I PRO rt FINAL
SIGNATURES JACK R. ALLEN, DUP RVI9 ECHANICAL ENG'R.
OF PERM[
PERWF VALIDATION CK. M.O. CASH
PLAN CtWC,K VALIDATION CK. M.O. CASH
� �� 3206co" GN31 50 3.50-
' T
76AM7.CJF8I7 3M
APPLICATION FOR PLUMBING PERMIT .
COMM OF LO$ "GEUM
m"Tbma OF coulm mNccmm
sII�IIp.Dnf�(;PAM SAXEXE"gEnWolrEIN F-MEAM
C�J'�Arr D. OSIIF!!L 6ap'4 of��c , ITTFO$ A>pMCAlgT TO FILL INST fir.
F]S JRE OR ITE31IHRAM CLOW IaT E TIMTm M
LAVAT'OU
sm ADDHEM cQ
NOaly
Livimai TSfb. ON NO. f/ / �T -lam COUN,I
MOUM WAltM DISTRICTNO. GROUP 70NZ P !LD BY
WAM;FATSB
nwuunUAL
ivAL
ON RECORD
• IDo- llrTm[Pu
7'•S'�7�G/�' iQ----
v v APPROVALS DATE MPECTOR•s SIGNATURE
PERMIT ; Z 00 UNDM W AB WORK
1 TOTAh FEE ROUGH PLUMBING
I Hi3tk9T ACIIIOVLID91 7HAr I tµrl MAD THIS ArFucAnO■ GAS PIPING
AMD 1TATI.THAT TtQ khM I• CORAKCf AIb AGRA To
COii��LLT SHOT WATER HEATIER
VT
PLDIAll0. AIX
AL1. COUM ORDIICIS AND W
1TATI LAWS RXLA YG .
I URIST CIRn" THAT I AI FIOTIIIET IIWfTIRID AAD/OQ P UMEING FIXTURES Il
UC=!lm AS QIQUIQID ST LOf AIGILII COUITT AND STATI OF GAS TEST
Ott T I AI LIOA1. OWIII OF THI ADO"
DISC21BED QI1m 20 � UTILITY CO.NOTIFIED
SIGNATURIKG r
OF PERI11
FINAL
OF VAIMATION ROBERT A. WOOD.
aLr
E.o. ILS BUPLRVUnNO UdC.HANICAL ENG'R
X,00 4 3 5S VVY- 5 A 1 1 .(
78Aae7-C ERS I,7 10-07 4 -
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APPLICATION FOR PLUMBING PERMIT
COUNTY bF LOS ANGELES
DEPARTNUNT OF COUNTY
ENGINEER
BUILDING AND SAFETYDNLSION ��� S
JOHN A. LAMBIE. COUNTY ENGIN[[R
COLEMAN W. JENKINS. SUPT. or BUILDING }OCAy�
FOR APPLICANT TO FELL IN O TYPE 1Fdr - -
CSOW if.
NUMBER FIXTURE;. OR ITEM EACH FEE ovnm
WATER CLOSET 1,5Q
BATH TUB 1.50 ADDREr
$ROWER 1.50 cam! -/�1� �� TEL 1f0.
LAVATORY 1.50 COIITIXCT01 ✓y(/�'
SINS 1.50 AD -•- --
DWHWASHER 1.50 cnT Tiff- XO• v
CLOTHES WASHER 1.50 4TATIE ' LIC -
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50fWA
ICT NO. GROUP ZON[ D SY.
I,.AWN BPRDIKLER SYSTEM 2.00
WA,TS'•R HEATER 1.50 •
PP20VAL �
0
OAS SYSTEM OtrI'LETS 1.50 ON 1D y �j
OT-rrLXTS OVER .30 -
5 PER SYSTEMV!
r
Plan check fee 25% of above. See teverse,
PLUMING PERWTISSUING FEE S 2 00
TOTAL FEE 6
APPROVALS DATE INSPECTOR'S SIGNAT41
Plan check applicant UNDER 8Lj.B WORK -
Name ROUGH PLUMBING
Addrese ¢AS PIPING
GAS VENT - - -
City. Tel. No. HOT WATER HEATER
I Ii[ImY ACKNOWL[DR THAT 1 NAY[ READ THIS APPLICATION
wND rrwTr THAT TH[ ASOYE 1/ CORRiCT w.m AG REI To COMPLY PLUMBING FIXTURES
WITH ALL. CDUNTY ORDINANCFA 4ND STATE LAW RE+ULATINO GAS TEST -
r_UYSING.
H[IeDY C7AfT1rY 4iAT I AM PMOPERLY RSSI ST[REQ AND/OR UTILITY CO.NOTIFIED
u cs2taED' AS REG DIKED tr Al1oaLEJ COU —./OR
OF
CALIFCRP41A OR THA AM LESAL INTEND TO
ROIDR IN,TN[ o RSJI AL FINAL
SIGNATURE JACK R. ALL8N, IUPERVISIANICAL E-1NG'R.
OF T[Rl1ITTI[
PERM F VALIDA'T'ION CK. M.O. CASH
PLAN(`HE)C AUON CK. M.0. CASH
A 8 0 6%
715AG67-CX#0172-e= TEMPLE C97Y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELF�a
DEPARTMENT
�ODF sC�OUUNNT�YpENGMEER /
B LAMBIE, oC uNTr RM
EKR ADON DDREW O [f
WILLIAM A.J[NS=N. SUr'T OF BUILDING LOCALITY 1 -
FOR APPLICAZgY TO FILL IN I� l/J
NUMBER FIXTURY oR IT[M KAON F[[
OWI�R
RATER CLOSET [135
2e����
ME m 135 ADDHESE
Sgowm 125 CiTT O.
LAVATOHT 13i CONTI ACro
M3CIr 135 ADDRESS�
D2alWARM 135 T
LAUNDRT TUB �� COIITIIA H S STA e
IEGUMUTION No. a COUNTY
CLOTIIFS WA4MH 125 DIST NqV GROUP ZON[ P D my
WATER EEATEh 1 b0 1
W aTazn[ oIISISR6 ]s0 BmII$TRIAL
WASTE APPBOVAL
OUTLETS OVER 5 PER SYSTEM .30 DfEPECCi01f IHCOHD
O
U
8C
O
W
Q.
V)
Z
APPROVALS DATE INfriC'fOR'••IDNATU RI
PERMIT f 2 00 UNDER BLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
IHiIm [Y ACL(NOWLJIDCI THAT I HAYRr•D THLS APPLICATION GAS VENT
AND /TAT[ THAT THE A1 [ O
0VI• CORRKCT AND AGRUX TO CMPLY
WrTH ALL COUNTY ORDINANQI AND STATI LAW RKOULATIN•
rLUMRINO. HOT WATER HEIITHR
I HIROY c33rnrY THAT I AFF rMOr[RLY RI0II7"ID AND/OR PLUMBING FIXTURES
UCLHMM AS R[QUIRm ry W ANa6K K• COUNLTY AND /TAT[ OF
CALUrORN IA OR THAT I AN THR L[tA, OF, D TO GAS TEST
RMS I D[ IN.THI AIOV[D[1C�R II MED RL[ AL rXI UTILITY CO.NOTIFIED
SIGNATURE
;,,
OF P[RMIT'T
FINAL
VALIDATION ROBERT A. WOOD
cK M.u, Qkm SUPERVISING MECHANICAL ENG'R
LAto 11 6 5 Ea OCT 8 5 D 3.5 QN q