HomeMy Public PortalAbout9722 LONGDEN AVE_Plumbing__ X87-GE '8'17 2-82 '
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 9722 E o I,on den
JOHN A. LAMBIE, COUNTY ENGINEER long
den
A.JENSEN, SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN CROS ST . Temple City Blvd.
NUMBER FIXTURE OR ITEM EACH FEE OWNER R. C e Brockman
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS same
SHOWER 1.25CITY same TEL. NO. At 6 6881 t
LAVATORY 1.25 CONTRACTOR Pacific Installers
SINK 1,25 ADDRESS 10920—Ee Grand
DISHWASHER 1.25 CITY Temple City - TEL. NO. 443 690
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LAUNDRY TUB 1.25 REGISTRATION NO. 211898 COUNTY ❑ t
CLOTHES WASHER 1.25 DISTRICT O. GR_QiLP ZONE ESSED BY
1 WATER HEATER Replacem hto -!%agd --r-- I
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL f
OUTLETS OVER 5 PER SYSTEM .90 J �'
INSPECTION RECORD f
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_ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 50 - GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
M.-STATE THAT THE ABOVE ES CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER-HEATER
1' HEREBY CERTIFY THAT' 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
. LICENSED AS REQUIRED BY' LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST y' s -
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. UTILITY CO.NOTIFIED ✓, � �
SIGNATUR OF PERM TTEE � ,✓ / '� -
y FINAL �j
VALIDATION - ROBERT .WO(OD
CK. M.O. '• CASH SUPERVIS G MECHANICAL ENG'R
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!GAee7 APPLICATION
FOR PLUMBING, PERMIT EIT
)05-17 10.83
DIVISION OF BUILDING AND SAFETY "
Deportment of County-Engineer-
County of Los Angeles BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER' ADDRESS O.
6ASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY �P
FOR APPLICANT TO FILL IN i NEAREST
.CROSS ST.
OWNER r• .DISTRICT N0. GROUP . . ZONE READY FOR INSPECTION
MAIL I' I
ADDRESS
INIDUSTRIAL
CITY Ati ,-A TEL.NO. _ Ad 4 WASTE APPROVAL
PLUMBER A INSPECTION RECORD
ADDRESS.. '
CITY TEL..NO...
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE '
WATER CLOSET (TOILET) @ $1.00 ) �L aE/j AI
BATH TUB @ $1.00 �1. s. *�+
SHOWER @ $1:00 &7, Al"D A
lhr
LAVATORY (WASH BASIN) - @ $1.00 ¢ �y P�1"/�Ry►
KITCHEN SINK @,$1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $:1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTRM @ .$1.00
APPROVALS
15ATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1. 00 r ROUGH.FLUMBING
GAS PIPING
�.. TOTAL FEE
- � 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. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED -BY LOS ANGELES COUNTY AND STATE OF
CALIF04NIA OR THAT ) AM THE. LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL'PROPERTY.
SIGNATURE
OF PERMITTEE' f FINAL' r !�
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CK. 61.0. 1 CASH
L&0 5,'0`3 N SEP 24- 3 2 0 0