HomeMy Public PortalAbout9829 GARIBALDI AVE_Plumbing__ 76A667-CE,1817 2-66
CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 26a- b'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS )v:_:_i Garibaldi
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Tc mple City
FOR APPLICANT TO FILL IN CRO SSST . T;-,mple City & Longclon
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Lindner
WATER CLOSET $1.2S MAIL
IIATH TUB 1.25
ADDRESS S am E?
SHOWER 1.2S CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR General Installation Co.
SINK 1,25 ADDRESS 6558 west Blvd.
DISHWASHER 1.25 CITY Los Angeles TEL. NO. FL 3-2541
SATELAUNDRY TUB 1.25 LICENSE NO. Ci-36 151839_ CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROUP. ZONE I ZPROSD BY
WATER HEATER 1.50cz
GAS SYSTEM OUTLETS I.50 INDUSTRIAL
WASTE APPROVAL o
OUTLETS OVER 5 PER SYSTEM .30 U
INSPECTION RECORD
WATER SOFTENER 1 , 50 Ready for Inspection Now
W
Cl013z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 5O GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
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 LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED REST' IR,// UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL Z /
7ALIDATION JACK R. ALLEN
M.O. CASH SUPERVISING MECHANICAL ENG'R.
AP9 1 3J hi::A 3 5D 3.50N
I
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY 5 PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS T
FOR APPLICANT TO FILL IN LOCALITY /
I IN NEAREST
ADDRESS CROSS ST.
DISTRICT NO. GROUP �ZONE PERMIT NO.
LOCALITY
NEAREST X'o 4 L•'A-3� /I t
CROSS ST. mC cGw..//i.I[!J )'fy RE IVE�,BY Ready for Inspection DATE ISSUED
OWNER �7� L!i(/�//�7�'_ /D 2
MAIL INDUSTRIA f^ +^
ADDRESSnny/ �fJ� WASTE APPROVAL
CITY"j�3A04e ('ray TEL.NO. 4r C-fr6�0 INSPECTION RECORD
PLUMBER S74ZZ7,y/SGT A 4IA46191(� G�
ADDRESS
CITYTEL.NO.
����--.,
,�yy, ❑STATE
LICENSE NO, /NJL' COUNTY J
PERMIT FEES a
Z
4UMBER TYPE OF FIXTURE OR ITEM FEE - 9
_L WATER CLOSET(TOILET) @ 0.80 $ G
f BATH TUB @ 0.80 i
SHOWER @ 0.80
i` LAVATORY(WASH BASIN) @ 0.80
/ KITCHEN SINK @ 0.80 i
—_L LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM-.-,SOUTLETS @ 1.00 --'
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING @!.
GAS PIPING
TOTAL FEE 71 —
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-
GAS VENT 7
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN.
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE -
OF PERM ITTEE.ry'--�- – "irl 5,bX=
.................._......_............
FINAL
76A667 LBS 17 1/53
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