HomeMy Public PortalAbout9162 LA ROSA DR_Plumbing__ 7CA667-CE9817 4-64 CITY OF TEUP.E CITY .
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY. DIVISION BUILDING A T D
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 7162 lA Re88 Dr,
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Temple Cit
FOR APPLICANT TO FILL IN
NEAREST
HOASS ST. ERCiAita
NUMBER FIXTURE OR ITEM EACH FEE OWNER (Comunity Disposal)
WATER CLOSET 6.25 $1.25 8,425— MAIL
BATH TUB 125 ADDRESS 9167 La Rosa Dr,
/SHOWER 1.25 CITY Temple City TEL. NO. 286-3342
5/<l (6.25) 1,25 6,25
CONTRACTOR Aar* Plumbing Co.
1 SINK 1.25 1.25 ADDRESS 28 A 5 N. Durf ee Ave. 9 'L
DISHWASHER 1.25 CITY El Ment® TEL. NO. GI 246W
CTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 229768 68 COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROC SSED B
Y
1 WATER HEATER 1.50 1 SQ 0 }
1 GAS SYSTEM OUTLETS 1'50 1 INDUS IAL S Z C a
WASTE APPROVAL �o � 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD s V
/ ✓ " W
a
Z
APPROVALS ODATE INSPECTSV'S SIGNAy Ujt5
PERMIT S. 2 00 UNDER SLAB WORK lWil "-
ROUGHPLUMBING
TOTAL FEE 18475 GAS PIPING y' V
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
T
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �g y
CALIFORNIA OR THAT i AM THE LEGAL ER OF,AND INTEND TO GAS TEST /J
RESIDE IN, THE ABOVE DEQ IBED RES N IAL PROP UTILITY CO NOTIFIED 1v9C6j
SIGNATURE v/^/
OF PERMITTEE
FINAL ,aj°d �
a
VALIDATION ROBERT A�WOOD
cK M O CASH SUPERVISING MECHANICAL ENG'R
CQ
Li"' 7 8 O 7� JAN 2 2, 5 D 18.75-
76A667 •CE*817 4-64
APPLICATION FOR PLUMBING PE MIT
COUNTY OF LOS ANGELES
.DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION B
UILDING
�S
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING ITY
Cl
FOR APPLICANT TO FILL IN ST. C t 7b
NUMBER FIXTURE OR ITEM EACH FEE '
OWNER O U
WATER CLOSET $1.25
BATH TUB 1.25 `ADDRESS r L (f
SHOWER 1.25 CITY 02 ` TEL. NO.
tpLAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS 607
t—
DISHWASHER 1.25 CITY O V/,4 TEL. NO., .3 ?�
CO CTOR'S �^— STATE
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY
fJ" CO
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR •ESSED BY
WATER HEATER 1.50 '-
GAS SYSTEMOUTLEi3 "so INDUSTRIAL 0
WASTE APPROVAL n'
OUTLETS OVER PER SYSTEM .30 INSPECTION'RECORD OV
9_ O
'4
W
z
�•'�p����•.E1 c���' Via".>ni'�T �..�.�a,=_r''��.yar^._�("I
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 v �
ROUGH PLUMBING _
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V \
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, D INTEND
RESIDE IN, THE ABOVE DESCRIBED RESIDE T ROP RTY. TY CO, NOTIFIED
SIGNATURE p f 1 !
OF PERMITTEE
FINAL VY Ye(fj
LIDATION ROBERT W WOOD
o CASH SUPERVISING MECHANICAL ENG•R
,a 5.3' 5'110) JAN 4 5 D 350-