HomeMy Public PortalAbout10025 LA ROSA DR_Plumbing__ 7BA607-CE81710-60 A
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 10025 La Rosa Dr.
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS '
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEARESOSS ST. Ba1dP.lin AVE'. I NUMBER FIXTURE OR ITEM OWNEROwen
2 WATER CLOSET y�1 BATH TDB ADDRESS
CITY TEL:NO.1 SHOWER 2 LAVATORY CONTRACTOR Owen Bros. .Plumbing
1 SI NK ADDRESS 525 N. Baldwin Ave.
DISHWASHER CITY El Monte TEL• NO. GI- TE
LAUNDRY TUB REGISSTRA CONTRAcION NO.. 197184 1 CLOTHEWATERS WASHEH DISTRICT NO. GROUP ZONE P
1
WATER HEATER ��
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL }
INSPECTION RECORD D-
N� 2i1 •r/n / tAr/n ..i /Ag.P i.l03�-
O.
N
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O 61.00 PER ITEM
10 OR FIXTURE $ 10.00 APPROVALS DATE INSPECTOR' SIGNATURE
PERMIT $
UNDER SLAB WORK r
2 00 /
TOTAL FEE 11.00 ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY -ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER _1 9ll�u 4 D
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �I)�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROP TY. UTILITY CO. NOTIFIED
SIGNATURE
OF PER
MITTE OC
FINAL
ALIDATION ROBERT A. WOOD
M.D. CASH SUPERVISING MECHANICAL ENG'R
LA `05365o OCT 2 5 D 12.0 0