HomeMy Public PortalAbout9110 LAS TUNAS DR_Plumbing__ 76A(367-CE#817 5-61,
' APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 9110 E. las Tunas
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Temple t
FOR APPLICANT TO FILL IN CRSS ST,
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL Jhn Conover
BATH TUR
ADDRESS 110 E. Las Tunas
SHOWER CITY Tampl e r1i t.y TEL NO.- AT 7ghga
LAVATORY CONTRACTOR Belvedere Plumbing Coe
SINS ADDRESS .,1_l E Garvey Ave.
DISHWASHER c= El Monte TEL. No. CU 31691
CONTRACTLAUNDRY TUB REGISTRATION NO. 179568 COUNUN
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CLOTHES WASHER DISTRICT N GROUP I NE PRO S BY
WATER HEATER L —, e
p- -2, -3
GAS SYSTEM INDUSTRIAL 0
WASTE APPROVAL V
INSPECYiON RECORD
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S' yc_Co wo al k kd a rLu
u ! H
Z
? @ MOO PER ITEM ( �
1 OR FIXTURE' APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEEROUGH PLUMBING
3100 GAS PIPING
I 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
l t!
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �I /I//f .,b�jWO
LICENSED AS REQUIRED BY LOS-ANGELES COUNTY AND STATE OF GAS TEST �I .I A111 VW
I
CALIFORNIA OR THAT 1 AM E LEGAL OWNER OF THE ABOVE A/
DESCRIBED RESID L PR RTY. UTILITY CO. NOTIFIED ' I /� / .r, Ip 1j
SIGNATURE I ' „6n. �/�ll/j
OF PERMITTE �" FINAL �� 1 I �� v M; I)V
VALIDATION ROBERT A.' ' I D
CK.
M.q. CASH SUPERVISING MECHANICAL ENG'R
LAI�O 7 8 9 110 Af'i'1 g 5 U 3.0 0 ni
76AB67-CE817 3-59
APPLICATION FOR PLUMBING PERMIT QI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. County Engineer ADDRESS
CASSATT D. GRIFFIN, Supt of Building
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
,X, r -
BATH TUB ADDRESS
CITY TEL. NO. t
SHOWER
LAVATORY
CONTRACTOR -.
SINK ADDRESS ;✓ b ��' J
%i
DISHWASHER CITY /. ':'TEL. NO. i � .
CONTRACTOR' STATE r70
LAUNDRY TUB REGISTRATION NO. ���/` / ;� COUNTY ❑
CLOTHES WASHER DISTRICTNO. GROUP ZONE PROCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
V.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE S ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE �^
OF PERMITTEE :l;r 1. >G°<9�
FINAL
®F. f'"NAUDATION ROBERT A. WOOD,
( CC. Y.O. CASH SUPERVISING MECHANICAL ENG'R
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