HomeMy Public PortalAbout8768 LONGDEN AVE_Plumbing__ 78A887-CE#817 10-62
APPLicATION FOR PLUMBING
COUNTY OF LOS ANGELES Id
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
' JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING '
LOCALITY
FOR APPLICANT TO FILL IN NEARESTS
CROSS T.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY •TEL. NO.t1.3 371 R
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. ,.GROUP. ',ZONE' P CESSED BY
WATER HEATER1.50
JJ
GAS SYSTEM 004OUTLETS 1.50 INDUSTRIAL � 0.
WASTE APPROVAL ". o
OUTLETS OVER 5 PER SYSTEM .30 INSPECrTION RECORD 0
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APPROVALS DATE-'' INSPECTOR'S SIGNATURE
PERMIT $ OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION GAS VENT '
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 GAS TEST '
IICALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE.ABOVE DESCRIBED RESIDENTIAL PROPERTY. -UTILITY CO. NOTIFIED
I
SIGN ATURE .. '
OF PERMITTEE
FINAL
�ALIDATION ROBERT A. WOOL
CK. M.O.' CASH SUPERVISING,MECHANICAL ENG-R
V!l,o 5 4 1 6 FEB -L Q 5 '.rl; 4.75—
76A667 -CE#617 5163 - -
APP LQCATQ®ISI FOR PLUMBING PERMIT
COUNTY OF,LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN'A. LAMBIE, COUNTY ENGINEER ADDRESS 8768 E. Longden
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY San Gabriel
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE {
'OWNER
WATER CLOSET $1.25 JAn Jamieson
MAIL
BATH TUB 1.25 ADDRESS Same
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS 5871 Fir e»tone Blvd.
DISHWASHER 1.25 CITY So. Gate TEL. NO.. SP 32210
REGISTRATION NO. 190179 C-53 STATE
LAUNDRY TUB 1.25 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. f,+ OPJE P OCESSED BY
WATER HEATER 1:50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL d
WINE APPROVAL O
OUTLETS OVER S PER SYSTEM 30
JNSPECTION RECORD
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK '
ROUGH PLUMBING f;5y 99 e
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION 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
q �
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ��� �3 '♦ t .�l
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OW)1ER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESC IBED RESIDENT•1 PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE _
OF PERMITTEE '� l
FINAL low"401,1
v
"ALIDATION ROBERT A. WOOD -
M.0. CASH SUPERVISING MECHANICAL ENG'R
Lona 4 4 9 9 JAN/15 5 A 4.00-
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