HomeMy Public PortalAbout10686 KEY WEST ST_Plumbing__ 'MA667 W-E-8i7)-8-7J
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNECARSESSTT.
ILDING
BUILDING AND SAFETY DIVISION DRESS 10686 Ke , est
ALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) os , 1 D Y/�
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 john 11
MAIL
BATH TUB 1.75ADDRD
ESS 2023 Bella Vista ive
SHOWER 1 75 CITY Arcadiq, TEL. NO.
LAVATORY 1 75 O CONTRACTOR Owen Bros.Plumbin INC.
SINK 1 75 ADDRESS 4265 North Baldwin Ave.
DISHWASHER 1 75 CITY El Monte TEL. NO.
443-007$
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO. 231741 CLASS C36
SWIMMING POOL RECEPTOR 1 75
DIST CT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1 75 ,
/ WATER HEATER 1 75 /. 7� INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD u
OUTLETS OVER
5 PER SYSTEM 30 z
O
W
Vf
z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 2,2
APPROVALS OATE I PECTO •S SIGNATURE
Plan check applicant UNDER SLAB WORK 7L
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
GAS TEST
PLUMBING. �•L '7)
I HEREBY CERTIFY THAT I AM PROPERLY'REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR 'THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE (�CRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT,VALIDATION CK. M O CASH
% PLAN CHECK VALIDATYON CK . M O CASH
,0 4,.0 6 5 OCT 3 2 2.2 5
1
• 78A887 (CE-817) - 1/78 `!�1
APPLICATION FO PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS egg
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
�r e
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST,.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET
2.00
MAIL
BATH TUB - 2.00 ADDRESS
SHOWER 2.00 C ITY nlvT L. NO. !j
LAVATORY 2.00 CONTRACTOR Y
SINK 2.00 ADDRESS 1 n
DISHWASHER 2.00 C I TEL. NO.
CLOTHES WASHER 2.00 l STATEr �l/ LIC• C—/SWIMMING POOL RECEPTOR 2.00 LICENSE NO. CLASS
DISTRICT NO. �dQNE QPR,9CESSE B
LAWN SPRINKLER SYSTEM 2,00 `!` C `�\
i
WATER HEATER .2.00 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD
OUT TS OVER 30
5 P R YS E
O
1--
V
• W
CL
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TO AL FEE
APPROVALS DATE INB PECTO R'S 91GNATU RE
Plan the k applicant r UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
0
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACK NO WLED OE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY -ORDINANCES AND STATE LAWS REGULATING GAS TEST `
d ap •
PLUMBING. ,?�"(��=•'!. .:i.�weL'!
I HEREBY CERTIFY THAT LOAM PROPERLY RE ISTERED AND/OR UTILITY CO. NOTIFIED '
LICENSED AS REOUI RED BY LOS ANGELES COON Y AND STATE OF
CALIFORNIA OR THAT I AM E LEGAL OWNER F, AND INT D T L i
RESIDE IN THE ABOVE DESC B D RESIDENTIAL OPER TY FINAL
SIGNATU RE _
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
5 4.8NJUN 3 5 6,5 0 m�J