HomeMy Public PortalAbout4925 MCCLINTOCK AVE_Plumbing__ 76w887 (Cg-617.) - 1/75 CITY OF TEMP CITY
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_. APPLICATION FOR PLUMBING PERM-IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO.
BUILDING
MAKE 4.925 McClintock
V--e—,
HARVEYT. BRANDT, COUNTY ENGINEER
CALITY Tem le GitFOR APPLICANT TO FILL IN (PRINT OR TYPE) ARESTOSS ST.
NUMBER FIXTURE OR ITEM p 1 . FEE
OWNERII
WATER CLOSET 2,10
GT�n R. SChrey
BATH TUB 2. 0 f ADDRESS 925 McClintock
SHOWER 2. 0 CITY TeRle..City TEL. N0442-1581
LAVATORY t 2. 0 CONTRACTOR Economy Plumbing
SINK 2. 0 ADDRESS P.O. BOX 5o68
DISHWASHER 2. O CIN Pasadena TEL. No793-$101
CLOTHES WASHER 2 0 STATE n', LIC ^�'
LICENSE NO. 24,7190 CLAS9.2421
SWIMMING POOL RECEPTOR 2 00
DISTRICT NO.GROUP ZONE ESS D B
LAWN SPRINKLER SYSTEM 2 p0 yS^�j� x 72
WATER HEATER 2 00 INDUSTRIAL
WASTE APPROVAL.
GAS SYSTEM OUTLETS 00 INSPECTION RECORD C
OUTLETS OVER
5 PER SYSTEM .30 v
CD
C13)
W
N
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Plan check fee See Reverse
r
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
s�
Name ROUGH PLUMBING.
Address GAS PIPING
City Tel.,No. GAS VENT
. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ -THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES /)
WITH ALL COUNTY ORDINANCES AND STATE LAWS- REGULATING
'PLUMBING. f GAS TEST
I 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 1 AM THE LEGAL OWNER OF, KNO fR1%Nb TO
'RESIDE IN THE ABOVE DESCRIBED RESIDENTIA PROPERTY. FINAL —IQ� ? yy�
SIGNATURE
OF PERMITTEE.
PERMIT VALIDATION MSO: CASH
PLAN-CHECK VALIDATION CK. M.O. CASH _ ,
76A667C(CE.617-A)-i 1/76
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING N
C
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
7M5
WATER CLOSET LOCALITY g
NEAREST
BATH TUB .
CROSS ST: .
SHOWER OWNER
LAVATORY MAIL /fit
ADDRESS. / r
SINK CITY r / TEL.NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS C s
SWIMMING POOL RECEPTOR
CI LGCIE TEL..NO.. Q fJ
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSENO. ��v/ CLASS
GAS SYSTEM OUTLETS DISTRICT NO. GRO P Z NEJ P ESSED BY
OUTLETS OVER `s✓ 00 p-f
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
z
Plan check fee o '
PLUMBING PERMIT ISSUING FEE$ °y
TOTAL FEE 110 &,0
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE ISCORRECTAND AGREE TO COMPLY WITRALL COUNTY ORDINANCES
AND STATE.LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS'ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
CIFPERMITTEE� FJNAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAL'I TI CK. M.O. CASH
d 7
es
MA667-CE817 r-BO '
APPLICATION FOR PL MBING PERMIT
DEPAR NIIrEN OF COUNTYGIIQEER
BUILDING AND SAFETY DIVISION RITILDII�iG ti
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 2 MCClintOCk
WILLIAM A.JENSEN.SUPT OF BUILDING LccALITY Temple Clt •_
FOR APPLICANT TO FILL IN EARS TT
N , Grand
NUMBER FIXTURE OR ITEM
2 WATER CLOSET OWNER Mr. Ca OrasoMAIL
`
1 BATH TUB ADDRESS 2727 Vanderhoff Dr.
crier Voest Covina "TBL.No.
SHOWER
2 LAVATORY coNTRAcToR Owren Broso Plumbing
1 snas ADDREss 525 N. Baldwin Ave.
DISHWASHERc1TY El Monte TEL. No. G13-7644
CONTRACTOR'S STATE
LAUNDRY TUR REGISTRATION NO. 197184 'COUNTY
I CLOTHES WASHER DISTRI NO. GROUP ZONE SED BY
]: WATER HEATER
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
10 OR OPER FmTURE� $ I 10.00
APPROVALS DATE I NSPECTOR'q SIGNATURE
PERMIT $ E 00 UNDER SLAB WORK
T0IALFEE 12 00 ROUGH PLUMBING /•l_.a-
GAS PIPING
1 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 A
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES. COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPRTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL ✓/ 7�<!q -„ T
®. VALIDATION ROBERT A.WOOD.
a, M.G. WR SUPERVISING MECHANICAL E:NG'R
�4 9 17 0 JUN 2 6 5 U 1 2.0 0 �