HomeMy Public PortalAbout8629 HALDEMAN ST_Plumbing__ 76A667 (CE-817)-4/72
APPLICATION FO.R..PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL NO.
LAVATORY 1.75 C ONTRAC TO
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL NO
CLOTHES WASHER 1.75 ST TE LIC
'
SWIMMING POOL RECEPTOR 1.75" LICENSE NO CLASS
DISTRICT NO _J 'GROUP ZONE 133CESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL Off.
GAS SYSTEM OUTLETS 1.75INSPECTIO RECORD COO
OUTLETS OVER 30 ' �
5 PER SYSTEM , 0
W
O-
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
"APPROVALS DATE INSPECTOR S SIGNAT RE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
Cit C�?� el NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST ,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED A UI BY LOS ANGELES COUNTY AND STATE OF
CALI FO RNIA OR I AM THE LEGAL OWNER OF, AND INTEND TO
IN TH
RESIDE E AB E ESIDENTIAL PROPERTY,
FINAL
SIGNIA TU RE
OF PERMI TEE
PERMIT VALIDATION CK M,0. CASH
PLAN CHECK VALIDATION CK M O. CASH
I Af,, 2 0 5 373, JUL 5 5 A 8.2 5� 4- !
76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING�AAMTB CoErTvrYir DIVISION ABUILDING
BUILDING
DDRESS Tr 26026 B(,,2 q �
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY San Gabriel
FOR APPLICANT TO FILL IN c OSS ST. Garibaldi & I311I'tOn
NUMBER FIXTURE OR ITEM
OWNER MOnarc Estates
2 WATER CLOSET
1 BATH TUB ADDRESS 11518 Lambert
1 SHOWER CITY El Monte TEL NO. Qj 31761
2 LAVATORY CONTRACTOR Valley Plumbing CO
ADDRESS 442 W. Fleetwood Place
1 SINK
DISHWASHER CITY Glendora TEL. NO. Ed 51293
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
11 CLOTHES WASHER DISTRICT NO. GROUP I ZONE I PROCESSED BY
1 WATER HEATER /
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
P.
O
U
` a
O
- v
w
- w
z
@ $1.00 PER ITEM
10 OR FIXTURE $ 0 4O APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 1 r(0
TOTAL FEE ROUGH PLUMBING
12 (Xi GAS PIPING
LSTATETHAT
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
L COUNTY ORDINANCES AND STATE LAWS REGULATINGHOT WATER HEATER
G.EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES - A
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OEGASTESTNIA OR THAT I AM THE GAL OWNER OF T ABOVE ED RESIDENTIALPR TYUTILITY CO.NOTIFIED
URERM ITT FINAL
Or VALIDATION ROBERT A. WOOD,
cs. M.0. CASH SUPERVISING MECHANICAL ENG'R
,022631 17EB g 5 A 12.00 ,
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