HomeMy Public PortalAbout9815 GARIBALDI AVE_Plumbing__ 7A66APPLICATION FOR PLUMBING PERMIT
B1
D517DIVISION OF BUILDING AND SAFETY
Depaxtment of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 9815 E. Garibaldi
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY Temple City, Calif.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Rowland
OWNER Howard A. Raef DISTRICT -- I GROUP I 'ZONE I READY FOR INSPECTION
MAIL
ADDRESS 9817 E. Garibaldi
INDUSTRIAL
CITY Temple City TEL. NO. WASTE APPROVAL
PLUMBgthbina & Wann P1-be & Htm Co INSPECTION RECORD
ADDRESS 8630 Norwalk Blvd. ,
CITY Los EW08
c e� TEL.r�NO
LICENSE NO. 156272 C-36
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) @ $1.00 $ 00
1 BATH TUB @ $1.00 1 QO
SHOWER @ $1.00
1
LAVATORY,(WASH BASIN) @ $1.00 1100
1 KITCHEN SINK @ $1.00 1 .00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00 J G t
WATER HEATER @ $1.00 pp
GAS SYSTEM @ $1.00
I -
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK -
ROUGH PLUMBINGT�,
PERMIT $ 1 00
GAS PIPING ..�-•
TOTAL FEE 8L00 GAS VENT
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST F f
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED E„ '
DESCRIBED RESIDENTIAL PROP TY.
SIGNATURE �� '/ -
OF PERMITTEE i`-�2 I�J�C�/ FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
C N.O. CASH
" '0 51MAR19 3A 8.00 V)
76A667-CE817-8-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION A
DDRESS z S
JOHN A. LAMBIE, COUNTY ENGINEER _
CASSATT D. GRIFFIN, SUPT OF BUILDING i ;
FOR APPLICANT TO FILL IN . Oct
NUMBER FIXTURE OR ITEM
OWNER t �
WATER CLOSET
IL
BATH TUB ADDRESS
SHOWER CITY �; L TEL.NO.
LAVATORY CONTRACTOR d
SINK ADDRESS d �
DISHWASHER CITY 1 i � _ TEL.NO. y tf
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. (f" E COUNTY
CLOTHES WASHER
DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
WATER HEATER
/
GASSY STEM INDUSTRIAL
WASTE APPROVAL
1 " INSPECTION RECORD
/Al
�1 -C ,
APPROVALS
$1.00 PER ITEM �r DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ � UNDER SLAB WORK
ROUGH PLUMBING
I PERMIT S 1100
GAS PIPING
TOTAL FEE (> GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBLD RESIDENTIAL PROPER
SIGNATURE
OF PERM ITTEE�/ FINAL
ROBERT A. WOOD,
oVALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. CASH