HomeMy Public PortalAbout5937 OAK AVE_Plumbing__ 7.0MIX 42/59 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
CO OF LOS ANGELES
DEBAR OF COUNT SON R
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1 OUNTY NGINEER
WILLIAM A JENSEN SuP T OF BUILDING LOCALTrY a
FOR A88LZUM TO ML IN NN8AESSON 8lT r
NUMBER FIXTURE OR ITEM OWE
WATER CLOSE!
sATB TDD ADDRIM
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CITYeg2g ` TEL N -�
CONTRA a
LAVATORY
SIIOZ ADDRESS
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alsaWASHER CITY No �/
C SLATE
LAUNDRY TUB RRGISTB&+AX NOCOUNTY
CLOTS WASIM DISTRICT NO GROUP ZONE CESSED BY
WATER HBRTER
GAS gym= aIDIISTRIAL
WASTE APPROVAL
IIQSPECTION RECORD
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
AS TEST c
CALIFORNIA OR THAT 1 T LEGAL OWNER OF THE ABOVE016
DESCRIBED RESIDENTIAL OP TY UTILITY CO NOTIFIED �,
SIGNATURE "
OF PERMITTE FINAL
®r VALIDATION ROBERT A OOD
B
C[ 0 �gN SUPERVISING MECHANICAL ENG R
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APPLICATION FOR PLUMBING PERMIT 1
o13B617 1VMON OF BUILDING AND SAFETY
Department of County Engnteer
County of Los Angeles BUILDING"
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING C
LOCALITY
FO.RAP/PL�I/UM TO M IN NCROSS EAREST g4.prf vi✓ S rv'
OWNER �G+7"/� DISTRICT NO GROUPZ NE READY FOR INSPECTION
ApDRAAILE8S J
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER �y INSPECTION RECORD
ADDRESS
CITY . .�
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FIRE
WATER CLOSET (TOILET) $1 00 $
BATH TUB @ $100
SHOWER 100
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $100
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER $1 00
WATER HEATER @ $1 00 d
GAS SYSTEM @ $100
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 .00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE , GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE '
OF PERMITTEE o4e FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATIO ROBERT A WOOD CHIEF PLBG INSPECTOR
CN M p CASH
- ' Ar-4 5 4V; PIAN 2$ 3 200 111
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D96APPLICATION FOR PLUMBING PERMIT 1
Dee 1�
DIVISION OF BiJMMG AND SAFETY
Depwtmmt Of ccr Engtnaor
county Of LOS Aagelea BUILDING
WM J FOX COUNTY ENGINEER ADDRESS
CASSATT O GRIFFIN BUP T OF BUILDING
LOCALITY
FOR APPLICANT TO EM IN NEAREST
•
CROSS ST
OWNER g jaDISTRICT NO GR ZONE READY FOR INSPECTION
MAIL M /
ADDRESS
l INDUSTRIAL
CITY TEL N (P'D WASTE APPROVAL
PLUMBER INSPF+CTION RECORD
ADDRESS r
CITY TEL NO �De7
LICE SE NO �'
NUMBER TYPE OF FIXTURE OR ITEM FEE /�yy
WATER CLOSET (TOILET) E 4
BATHTUB !/N/
SHOWER _'_+_7'7 ' •—�V"_
LAVATORY (WASH BASIN) tole
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO ® 0 8o APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM OUTLETS 0 100 t
WATER HEATER � too UNDER SLAB WORK � �D
ROUGH PLUMBING
I PERMIT S I 1 00 GAS PIPING
TOTAL FEE I( D GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT I A THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P P TY
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION R A WOOD CHIEF PLBG INSPECTOR
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