HomeMy Public PortalAbout10127 LA ROSA DR_Plumbing__ ]BABBT•CE#BIT 10.62VL/%J//
APPLICATION FOR PLUMBING/ PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERFBAUDIDLEE
BUILDING AND SAFETY DIVISIONJOHN A. LAMBIE. COUNTY ENGINEEWILLIAM A. JENSEN. SUPT OF BUILDINGFOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEWATER CLOSET $1.25 MAIL
BATH Tug 1.2s X73
! SHOWER 1.25 25— CITY TEL. NO.
7^ LAVATORY 1.25 Z J V CONTRACTOR
I SINE 1.25 / ts" ADDRESS 7�'S
DISHWASHER 1.25 CITY 1 pTEL. O.Fd '7370'y
LAUNDRY TUB 1.25 /- EGINS RAS ON NO. C'•3 C 1 `� 3 f COUATE NTY p�
CLOTHES WASHER 1.25 ZJ DISTRICT NO.e GROUP I ZONESSED BY
r WATER HEATER 1.50 d `f / ,�
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CAS SYSTEMS 1.50 INDUSTRIALOUTLETS Q WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .00 I INSPECTION RECORD i . / V
N
Z
%3 OD APPROVALS TE INSPEC OR'S 51 N T E
PERMIT S 2 00 UNDER SLAB WORK
/� ROUGH PLUMBING ,/�Z /'
TOTAL FEE ] UO GAS PIPING
t
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY n I (�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER F1" I(,F /� �^fy�Ir
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES �yq
LICENBED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �� 3.C2
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN. THE ABOVE DESCRIBED RESIO TIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE •� F 0 �_F"6A
OF PERMITTEE
FINAL 7 wA �+`Y/L.0
0VALIDATION ROBERT A" WOOD
CN. M.0, CASH SUPERVISING MECHANICAL ENG'R
LJ4;01 2 7 7 C; FEB 2 5 5 D 1 5.0 0"
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TBAGBT •CE*BIT 5163 City of Temple City F10100
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS 'ANGELES
D GINEER
BUILDDING AND SAFETY DT OF COUNTY IVISION
BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 10127 La Rosa
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY Temple Cit
FOA APPLICANT TO FILL IN NEAREST
OR
Lower Azusa
NUMBER FIXTURE OR ITEM EACH FEE OWNER Leslie E. Church
WATER CLOSET $1.25 MAIL`
BATH TUB 1,25 ADDRESS Same
SHOWER 1.25 CITY I TEL. NO.
LAVATORY 1.25 CONTRACTOR GE: EF.AL INSTALLATION CO.
SINK 1.25 ADDRESS 6559 NEST BLVD.
DISHWASHER 1.25 CITY L.A . TEL. NO. PL3-254❑1
LAUNDRY TUB1CTOR'S STATE
.25 EGII STAA7 ON NO. C36 151839 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PRQCESSFD BY
WATER HEATER 1.50 q. I
r
GAS SYSTEM[ OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER S PER SYSTEM .00 INSPECTION RECORD u
Softener O
H
Ready for inspection now
z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 50
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE CORRECT AND AGREE E COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPER "TER" AND/OR PLUMBING FIXTURES
-
C
AS REOUIREO BY LOS
ANGELS
COONT ANO $TATE OF GAS TEST
CALIFORNIA OR THAT I AM TME LEGAL NEO .AND
INTEND TO
RESIDE IN,THE ABOVE D IO TI ROPERTY. UTILITY CO. NOTIFIED
SIGNATURE /`� ��)
OF PERMITTEE / FINAL
6 ALIDATION ROBERT A. WOOD
cR. M.0, CASH SUPERVISING MECHANICAL ENG'R
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