HomeMy Public PortalAbout6134 GOLDEN WEST AVE_Plumbing__ 78568„o.s, APPLICA'T'ION FOR PLUMBING h�I,RMIT
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County Of LOS Angeles BUILDING �T
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS y�• Golden West Ave
CASSATT D.GRIFFIN, SUP'T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN I NEAREST
R.E. CROSS ST.
OWNER WFHadley DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS 1328 S• 2nd Ave. /
CITY Arcadia TEL NO INDUSTRIAL
WASTE APPROVAL
PLUMBER Belvedere Plumbing Co. INSPECTION RECORD
ADDRESS 11900 E. Garvey Ave.
CITY El Monte TEL. NO. GI 89836
LICENSE NO. 54,932 Ao �
NUMBER TYPE OF FIXTURE OR ITEM FEE ”" �; ('J"7" //✓/.(ff.?�
2 WATER CLOSET (TOILET) @ $1 00 $ 2 00
BATH TUB @ $1 00@- z?_S.7
SHOWER @ $1 00
2 LAVATORY (WASH BASIN) @ $1 00 2 00
1 KITCHEN SINK @ $1 00 00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00 1 .00
1 GAS SYSTEM @ $1 00
1 Idisposal
APPROVALS
_ FIA a DATE INSPECTOR'S SIGNATURE
UNDER AB WORK 00"
PERMIT $ 1 00 ROUGH PLUMBING 1 �'C' ry
GAS PIPING �� �) �� `� tIi �A.ti.0/ 1•✓%
TOTAL FEE 12 00 -
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,f
AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST �( P
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL 91NER OF THE ABOVE UTILITY CO.NOTIFIED SAA U
DESCRIBED RESIDENTI _PROPERTY,. -�
SIGNATURE �
OF PERMITTEE tLe� FINAL Z^ Vdz!JIb
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG INSPECTOR
CKK M.O. CASH
LACO 2--4a�,.:s€P 19 3 12-00
400 .