HomeMy Public PortalAbout9151 LA ROSA DR_Plumbing__ 76A567-CE#817 6-65 C= OF TW..E GITl
APPLICATION FOR . PLUMBING PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 9151 La Rosa Dr
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST Encinita
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER Cbmunity Disp(Rockenbach-Gnl/Cont
5 WATER CLOSET (2-fUtUre,) 11.25 6,25 MAIL • u8 .
BATH TUB l,u ADDRESSrT 99400
SHOWER 1.25 CITY 30•El Monte TEL. NO.
5 LAVATORY (2-future) 1.25 6,25. CONTRACTOR Aero Plumbing Co.
1 SINK 1.25 1 25ADDRESS 284.5 N.Durfee Ave.
DISHWASHER 1.25 CITY El Monte TEL. NO. GI 246()o
STATE 2.38MLIC
LAUNDRY TUB 1.25 LICENSE NO CLASS
CLOTHES WASHER 1.25 DISTRICT N GROUP .ZONE R ES BY
WATER HEATER 1.50 1.50 � "
2 GAS SYSTEM OUTLETS 1'� 3 OO INDUSTRIAL }
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WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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F-
V
W
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N
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APPROVALS DATE' INSP rT R.�SSIGNATU RE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
GAS PIPING
TOTAL FEE �e 5
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT �' �✓?�� cs��-, ,�_p
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOTWATER HEATER
PLUMBING. ,
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL O E D INTEND TO GAS TEST
��
RESIDE IN,THE ABOVE D IBED SID A PROPER UTILITY CO, NOTIFIED Y r
SIGNATURE
OF PERMITTEE
L
LIDATION
CK M O CASH
X06 6 ,3 3�- PAY-19 5 D- 2.025,