HomeMy Public PortalAbout6018 HART AVE_Plumbing__ 76A667-CE817-8-58 "
co APPY OFLICATIOS ON FOR PLUMBI"NG PERMIT
ES
DEPARTMENT OF COUNTY ENGINEER
ADDRESS 6016 Hart Tem
BUILDING AND SAFETY DIVISION ' BUILDING Temple City
JOHN A. LAMBIE, County Engineer t
CASSATT D GRIFFIN Sup t of Building
-: »a LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS-ST.
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER
rhairles E;, Wetmore-
MAIL
BATH TUB AA DDDRESS 6018 Hart Street. ,
x CITyTemple City TEL. NO.
SHOWER
LAVATORY CONTRACTOR
a SINK ADDES13329 E Ectro Street
DISHWASHER CITY Of Industry "TEL. No. ED 7-7226
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 96496 COUNTY p
CLOTHES WASHER DISTRICT NO. GROUP ONE OCESSED BY
WATER HEATER
GAS SYSTEM "INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
49 H
APPROVALS
t ~] @ $1.00 PER ITEM
OR FIXTURE $ ` Uf:1 7 DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK 7 S
PERMIT 2 00
ROUGH PLUMBING �jLp,� f1��
TOTAL FEE r �® GAS PIPING D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ".> GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY L 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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OWNER F THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT >PRO RTY.
SIGNATURZ
OFPERMITTE �x FINAL.
ROBERT A.WOOD.
VALIDATION
®P SUPERVISING MECHANICAL ENG'R
CR�
M.0. CASH
L !��7" 3 "5 2 ° lJJ 1 5 A .�J Cikn
C1E,B T7,1,EV.6/78) r1 _
rn� {(q� SpA �pp 1�.�a 1r.
1t 9-APPLR�9�'TRO �J .LL ���Ilvll `LJ 11 tl `�ll011 �� ..
COUNTY OF LOS.ANGELES BUILDING AND SAFETY A
- ..
FOR APPLICANT TO,FILL IN(PRINT-OR TYPEI BUILDING.
ADDRESS
' NUMBER FIXTURE OR ITEM ® FEE =.
LOCALITY
WATER
I WATER CLOSET
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
•ADDRESS ' MA
SINK CITY T
DISHWASHER CONTRACT
CLOTHES WASHER ADDRESS '
SWIMMING POOL RECEPTOR '
CIT TE .
L AWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE CLASS
GAS SYSTEM OUTLETS APPROVALS DATEINSPECTOR'S*SIG NATURE
OUTLETS OVER UNDER SLAB,WORK
5 PER SYSTEM ROUGH PLUMBING $�
'GAS PIPING
GAS VENT
. (3
HOT WATER HEATER
.PLUMBING FIXTURES � . ,A
GAS TEST �' a� �aC.��/ &T/ ��357JJ
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ r
TOTAL FEE FINAL
Plan check applicantP N CHECK VALIDATION
Name
Address
City Tel.No. b 3 2'A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE r• .. c -
THATTHE ABOVE IS CORRECTAND AGREE TO COMPLY WITH ALL,COUNTY ORDINANCES - 0 O'0;0 D.�
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION p '
- I HEREBY CEI.Y THAT IAMPROPERLY REGISTERED AND/OR LICENSED As L aa 1 9.00
REQUIRED BY - ELES COUNTY AND STA CALIFORNIA ORTHAT I AM THE
LEGAL OWNER INTEND TO RESID IN THE;�_
SCRIED RES ENTIAL O O O 1 9 00 is
PROPERTY. -
'S IGNATU - .0 Q 2 —7 9
?i OF PER I
DISTRICT NO. R CESSED BY
INDUSTRIAL
WASTE APPROVAL