HomeMy Public PortalAbout10153 NADINE ST_Plumbing__ 76A667 (CE 817) 5/73
APPLICA ON FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESS
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MAKE CHECKS PAYABLE TO /O/ r �4d./�9 HARVEY TBRANDT COUNTY ENGINEER ppFOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
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NUMBER FIXTURE OR ITEM ® FEE y�
OWNER r 7,
WATER CLOSET 1 75 MAILC G
BATH TUB 1 75 ADDRESS / kJ&I Ive
SHOWER 1 75 CITY T� TEL NO
LAVATORY 1 75 CONTRACTOR UAtIt o`
SINK 175 ADDRESS 109.-Lon-
DISHWASHER
og.-LoGDISHWASHER 1 75 CITY�� !F, i7- TEL NO
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO p6 t 8 CLASS
SWIMMING POOL RECEPTOR 1 75
LAWN SPRINKLER SYSTEM 1 75 DISTRICT NO GROUP NE CESSE BY
70
SvS .Z �17..
WATER HEATER 1 75 / INDJITpIAL
WASTAPPROVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM so O
W
O.
N
Z
5
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 31 00
TOTAL FEE 7
Plan check applicant APPROVALS DATE INSPECTOR 9 SIGNATURE
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
Z t `
1 HEREBY ACKNOWLEDGE THAT I 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 GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWN R OF AND INTEND TO
RESIDE IN THE ABOVE DESED RE DENTI PROPERTY
FINAL -Jt t
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK M O CASH
PLAN CHECK VALIDATION CK M 0 CASH
Iif. 42a31a JAN 24 5 0 4756 Q
7
7OA 'gDBB17/osa APPLICATION FOR PLUMBING PERMIT 1
17
' DIVISION OF BUMDMG AND SAFETY
Deportment of Cannty Engineer
County of Los
Angeles
BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 10153 It. Nadine
CASSATT D GRIFFIN SUP T OF BUILDING City
LOCALITY Temple�ple Ci`�J
OR APPLICANT TO FILL IN NEAREST
CROSS ST
fADD7REss
Hen ViDISTRICT NO GROUP I ZONE READY FOR INSPECTION
MAIL
5430 Cloverly P� , fT Temple City TEL NO AT 7-3711 INDUSTRIAL
WASTE APPROVAL
PLUMBER Parker Plumbbl INSPECTION RECORD
ADDRESS 14617 E• �samma
CITY Baldwin Park TEL NO ED 8-1=
LICENSE NO 114538
NUMBER TYPE OF FIXTURE OR ITEM FEE
2 WATER CLOSET(TOILET) @ st 00 s2100
1 BATH TUB Q $1 00 1100
1 SHOWER Q $100 1 00
LAVATORY (WASH BASIN) 0 $100 200,
1 KITCHEN SINK @ $100
DISHWASHER @ $100 'i Inn
LAUNDRY TUB OR TRAY Q $1 00
1 CLOTHES WASHER a $t 00 100
1 WATER HEATER Q $100
GAS SYSTEM @ $1 00 AL
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLANWORK
PERMIT $ 1 00 ROUGH PLUMBING 6W 97p
GAS PIPING
TOTAL FEE 1jAND/OR
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGPLUMBING FIXTURES
r
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREDGAS TEST 000,10LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND SCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THEUTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE pzrw FINAL
0111111
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CKY e GSH
6564 YM28 3 1200 m
cz9N7 e.eo
AAPyPLILCpgA�TIIO��Ng FOR PLUM ING PERMIT
DEPARTI�NT SF COUNTY ENGIINm
BUIIAIING AND SAFETY DMSION BUDWDI G
JOHN A LAMBIE COUNTY ENGINEER ADD88>B< lal
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY
FOR APPUCAM TO FML IN close 8!
NUMBER FIXTURE OR ITEM owm
WATER CLOSET im
RATE TOB ADDRESS
TSL.
CITY J
SHOWER
XAVATORT CONTRA
8111[ ADDHffi8 r
DREi1NASHER CITY TEL
CONTRACTOR A
LAUNDRY TOB REGISTRATION NO COUNTY
CLOTHES WASIM S TRICOT NO OUP ZONE PR SD BY
WATERHEATBB ,a.
GAS ova= Omar=
WASTE APPROVAL
HISMTNON RECORD
1+✓ + '! J
or f
04
fPER rrng6-a
APPROVALS DATE INSPECTORS SIGNATURE
PERMIT S 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUM/BI G.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION am
PIPING
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATS LAWS REGULATING
PLUMBING HOT WATER NEATER
1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LE OWNER OF THE ABOVE
DESCRIBED RESIDENT=PROIpRRTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTRJ&16 FINAL
®r V AT10N ROBERT A WOOD
M.0. an SUPERVISING MECHANICAL ENG 8
Ufo 9 4 8 7 Vo JUL 3 5D 3 00