HomeMy Public PortalAbout10142 LA ROSA DR_Plumbing__ 7BA667-C E081 5+63
CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES H 7538
DEPARTMENT
COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 10142 Larosa
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY Temple ity
FOR APPLICANT TO FILL IN EAR SST. i! 9 '•i'/19^. Js]COUNTY
NUMBER FIXTURE OR ITEM EACH FEEOWNER Donald Hamilton
WATER CLOSET $1.25 MAILBATH TUB 1,25 ADDRESS same
SHOWER 125 CITY TEL. NO.
LAVATORY 1.25 CONTRACTORrenArnl Iadctallat
SINK 1,25 ADDRESSJr8—w6S-ti—$Iild.DISHWASHER 1,25 CITYLos Anael-- TEL. NO. PLAUNDRY TUB 1.25 CONTRACTOR'S REGISTRATION NO.
CLOTHES WASHER 125 DISTRICT NO. GRQLlP Z NE ESSED BY
`n
WATER HEATER 1.50
INDUS
GAS SYSTEM OUTLETS 1.50 TRIAL
APPROVAL 0
OUTLETS OVER 5 PERJSYSTEM .30 INSPECTION RECORD
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Ready-for Inspection Nnyy + O
APPROVALS DATE INSPECTORS SIGNATURE
PERMIT JSTATE
2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE3 50 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE REALICATION
AN STATE THAT THE ABOVE IS CORRECT AND COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATEGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUANDSTATE OF GAS TEST
CALIFOfl NIA OR THAT I AM THE LEGAL OWNERTEND TORESIDE IN,THE ABOVE DESCRIBE. RESIOFJQ.IAL$CY/`�/y/ UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL /
/t1LIDATION ROBERT A. WOOD
GR. ) M.o, CASH SUPERVISING MECHANICAL ENG'R
Lilo 5 4 0 a FEE 1 0 5 D 3.50-, _'
eA887-CE}f01]2-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER /
BUILDING AND SAFETY DIVISION ADDRESS Ol 4R a eob,
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUP OF BUILDING LOCALITY t� �K �� Cl'
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER v
WATER CLOSET $1.25 Ta MAH
BATH TUB 1.25 ' ;Ur
ADDRESS
SHOWER 1.25 / as CITY TEL. NO.
LAVATORY 1.25 ^1 5-6 CONTRACTOR �� T
O•
SINS 1.25 ADDRESS /vL��//
� � EVA nOWf �
F DISHWASIM 1.25 CITYT TEL. NO.
3�
CONTRACTOR'S / STATE
LAUNDRY TUB ].25 REGISTRATION NO. /6¢S�O COUNTY
CLOTHES WASHER 1.25 S DISTRICTE. GRr 'ZONE P CE68E0 BY
WATER HEATER 1.50 SO >r `}
GAS SYSTEM OUTLETS 1.50 p INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD a
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m
/I t c� A ocs , lo I ¢4�- Ck 'L,31, d
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oil
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(•'
sAPPROVALS AT INaPECT06•a - Aru HE
PERMIT 5 2 pp UNDER SLAB WORK
_ ROUGH PLUMBING
TOTAL FEE GAS PIPING
HEREBY ACKNO LEDGE THAT 1 HAVE READ THIS APPLICATION M
AND STATE THAT TWE ABOVE IS CORRECT AND AGREE TO COMPLY GASVENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �r -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO GAS TEST Ad
BESIDE IN,THE ABOVE DESCRIBED RESIDE PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE Q
OF PERMITTEE
FINAL
ALIDATION ROBERT A. WOOD
cK. M.D. CASH SUPERVISING MECHANICAL ENG'R
I