HomeMy Public PortalAbout9116 LAS TUNAS DR_Plumbing__ DBS-17 10.55 li PLUMBING D �PPLI _ATIO-N FOR PLUBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 9116 Last Tunas
CASSATT D. GRIFFIN,SUPT OF BUILDINGM=mLOCALITY Temple city
FOR APPLICANT TO FILL IN I. NEAREST Bart Ave.
CROSS ST.
OWNER Carl Crain DISTRI�Cj NO. GROUP Z N I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBERStatewide Plumbing' Co. INSPECTION RECORD
ADDRESS 1004 E. Valley Blvd.' n-)s-/ T�•.(,JVS
CITY El Mont a TEL. NO.GI 4-3717 ti ---��'S ' a' V '
LICENSE NO. 160930 C36 �• "° `�
NUMBER TYPE OF FIXTURE OR ITEM FEE ,':
1 WATER CLOSET (TOILET) '@ $1.00
BATH TUB @ $1.00 Q\�/-) "-- �"
SHOWER @ $1.00 7�
1 LAVATORY (WASHBASIN) @ $1.00
ii O
KITCHEN SINK@ .$1.00
r
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $I-00 "
CLOTHES WASHER @ $1.00 -
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECZ-OR'n]'Gjf4iTURE
UNDER SLAB WORK `
PERMIT $ I 1 00 ROUGH PLUMBING
5 00 GAS PIPING
TOTAL FEE, GAS
/ENT
I HEREBY ACKNOWLEDGE THAT"I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1HEREBY CERTIFY THAT 1 'AM PROPERLY REGISTERED AND/OR GAS TEST �'
LICENSED- AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE' LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESI DENTIALlUZOPERTY:
SIGNATURE /OF PERMITTEE, [.lil - FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG INSPECTOR
CK. M.0. CASH
_
44.361 Mv20 35.00 0