HomeMy Public PortalAbout9935 GARIBALDI AVE_Plumbing__ 76)a 7-C Ere17 4-67
APPLICATION FOR PLUMB NG PER hull
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUELDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALn.T
FOR APPLICANT TO FILL IN
CEOEB ST.
NUMBER FIXTURE OR ITKM UCH FEE
WATER CLOSET
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f BATH TOE ADDEM
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SHOWER 7� CTfY
TEL 1f0.V
LAVATORY CONTRACTOR
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Dga-l[WAP1714EB 125 crn TEL No.�f LIC
LAUNDRY TOB i STATELICENSENO. �L3 � CLASS G � 3 1+
CLOTHES WAsEam O DI■TRICT�iO GR E r ■
WATER HEATER t j� oTt
GAS STSTEI[�OUnzm 1-0 WAAarE STEmurAPP g
PPaovu
OuTLET3 OVER 5 PER ffy rEm m EKBPEcnQN RECORD �
APPROVALS DATE INS •R•io TUNE
PERMIT S 2 pp UNDER SLAB WORK
ROUGH PLUMBING
5
TOTAL FEE GAS PIPING
1 HERaY ACKNOWU LDSK THAT 1 E HAVREAD THIS APPLICATION
AND STATE THAT THE ASOVE 15 CORRECT AND AQREE TO COMPLY GAB VENT
WITH ALL COUNTY Oft DINANC" AND STATE LAWS REGULATING
PLUME[NQ HOT WATER HEATER
I HXF1 Y CLRTlrYV THAT I AM FMPERLY REGISTERED AND/OR PLUMBING FIXTURES
u CZN=M AS REQU11EZ) SY LOO ANGUE " COUNTY AND STATE OF GAS TEST
ES
CAUFORNIA OR T=[ AM LEQAL OWNER OF,AND INTEND TORIDE IN,7HED RLSIDO4T1AL KRTY. UTLLITY CO.NOTIFIED -
SIGNATURE
OF r¢RMITTEE
FINAL
VALIDATION JACK R. ALLEN
cK M.o. CASH SUPERVISING MECHANICAL ENG'R.
286WE JM30 5 D 1 9.75-
V6
COLN" OF LOS ANGELES TEMPLE CITY #-0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL D508 0012070007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHOME: (626) 285-0488 EXT:
LEGAL ID: FEES PAID DIN
TR: 32644 LT: 7 993 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: LION: AMOIaiT: TEMP CA 917801716
ASSESSOR INFORMATION NUMIi NEAREST CROSS STREET: BALDWIN
5385-024-048 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
51 LOW PRS GRAS 5 OUTLET 1.00 SYS 16.20
TOTAL FEES 43.95ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES .
t2/0 /00 LIT 06/06/01OWNER: TEL. NO: FINAL DATE FINAL BY: MOE
.
ANDREWS GEORGE;BETTY TRS ANDREWS TR (818) 285-6963- .
9935 GARIBALDI AV
TEMP 917801716 IF WORK
GAS LIME FOR HVAC
APPLICANT: TEL. *10:
JORDAN AIR (626) 285-6963-
129 S. HJACIENDA SPECIAL MITIONS:
GLENDORA, CA
OS PNGELES coCONTRACTOR: TEL. NO: �T
JORDANAIR (626) 963-3313- �.
129 S. HACIENDA BLVD LIC. MO
GLENDORA, CA 91741 560429C209
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMB10-
LIC. MGAS PIPING
O 111111
U7'-' LC W® K3
HOT WAI-ER HEATERPLUMBING FIFrOnr
Q
r� a GAS TEST
UTILITY COMPANY NOTIFIE�D
46��c Ser That�ct $ CWV
vice
MY 61ATER
ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508