HomeMy Public PortalAbout9909 LAS TUNAS DR_Plumbing__ 7o A 667+-CE 817 8/68
TEMPLE, C ITY
22b1 APPLICATION FOR PLUMBING PERMIT-, _
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
INS 9909 Las s Tuna s
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W JENKINS. SUP T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST �1 '
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNER Nissoh
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO. At 6-7151
LAVATORY 1.50 CONTRACTOR Signal Plumbing-, Inc.
SINK 1.50 S ADDRESS 4520 Baldwin Ave.
DISHWASHER 1.50 CITY El Monte , 91731TEL NO. 442-0513
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO 245832 CLASS C, Fj
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP NE P O SS BY a
LAWN SPRINKLER SYSTEM 2.00 "'� ` V
WATER HEATER 1 50 INDUSTRIAL /�� i�! r Z
�y WASTE APPROVAL c.7'��-7Q o
/ GAS SYSTEM OUTLETS 1 50 ,J V INSPECTION RECORD W
OUTLETS OVER d
5 PER SYSTEM 30 cn
Z
X24 2 '
Plan check fee 25% of above See reverse.
PLUMBING PERMIT ISSUING FEE c 2 00
TOTAL FEE 15 50
APPROVALS DATE croR qpSANATURE
Plan check applicant UNDER SLAB WORK b
Name ROUGH PLUMBING JE
Ad(lresti GAS PIPING
GAS VENT
City I'd No ' HOT•WATER HEATER '
IH
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES 7,,:.�.'�o �, j O ��
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST 7-6! r1 9�4
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE,IN, THE ABOVE DE RIBED RE DENTIAL PROPERTY FINAL
SIGNATURE JACK R. ALLEN, SUPERVISIN CHANICAL ENG'R
OF PERMITTE r �
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION CK M o CASH
1' r�,4 a 9,9 My 13 5 D 1 55 0'--, °c
APPLICATION FOR PLUMBING PERMIT
DBS-17 12.84.17
,�, ,DIVISION OF BUILDING AND SAFETY 1,
Depoxtment of County Engineer
County of LoB,Angeie8 ' BUILDING -
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING '
LOCALITY 1
OR APPLICAM TO FIL IN NEAREST ti
CROSS ST
OW ER p DI STRICI.UO. GROUPZONE. READY-FOR INSPECTION
MAIL / /�, )• I �•-3
ADDRESS
INDUSTRIAL
CITYEL NO r' WASTE APPROVAL
PLUMBER ° INSPECTION RECORD
ADDRESS
TELtNO
't
LICENSE NO (/ SS ��V O e e.p'mn
NUMBER TYPE OF FIXTURE OR ITEM FEE �, .
WATER CLOSET (TOILET)
BATH TUB - �s �•
�4 W AJX
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
0
TOTAL NO. 080 l APPROVALS
DATE• INSPEGTOR'S SIGNATURE
GAS SYSTEM OUTLETS Q 100 D O
r UNDER SLAB WORK
/ WATER HEATER - @ 100 o n
ROUGH PLUMBING y0
PERMIT S 00 GAS PIPING
TOTAL FEE ZI b GAS VENT
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 FIXTURES
PLUMBING
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
GAS TEST- V. M
LICENSED AS REQUIRED BY LOS ANGELW COU NO STATE OF - -
CALIFORNIA OR THAT 1 AM THE LEG7 0 ER F THE VE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERT
SIGNATURE •••��~ LC
OF PERMITTEE FINAL b
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION-
ACO T z s ELS AUG 3 0 3 1 1 .8 0
BY -
DEPUTY,