HomeMy Public PortalAbout6362 OAK AVE_Plumbing__ 76 4jo,67 - CE 817 7-69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION AD R. 6362 N. OakAve
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING. LOCALrlY Temple City
FOR APPLICANT TO FILL IN PR NT OR TYPE RCROASS T. Longden
NUMBER FIXTURE OR ITEM EACH FEE
oww Church of the PTazarene
WATER CLOSET 1.50
BATH TUB1.50
NAM 6362 N. Oak Ave
SHOWER 1.50 crryTemDle City TEL.NO, 286-9455
LAVATORY 1.50 CONTRACTOR W E Graham7�
SINK 1.50 )MDR= 9127/ Las Tunas Dr ve
DISHWASHER. 1.50 . C1TTTem le City TEL.N0286®9293
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. 104466 CLASS C— 6
SWIMMING POOL RECEPTOR 1.50 DISTRI NO.
GROUP] ZONE PROCESSED.BY
LAWN SPRINKLER SYSTEM 2.0.0
WATER HEATER 1.50 •INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS j_'1 1 INSPECTION RECORD.
OUTLETS OVER 30
5 PER SYSTEM
H
rz
Plan check fee 25%of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
AddresS GAS PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING-FIXTURE
WITH ALI,. COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 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 I AM THE LEGAL NER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED REBID TIAL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPERVI5IN HANICAL EN'G'R.
OF PERMITTEE , c
PERMIT VALIDATIONK.. o. CASH.
PLAN CHECK'VALIDATION CK. M.0. CASH
2• ) 6-89. Ats24•, 5 0 4.7 5- W
76A667 - C$877 5/70 •� /J��/-K..i /��
-_ pry �� _ •• ! . - .
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Z
BUILDING AND SAFETY DIVISION
BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �' l
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALrrY
FOR APPLICANT TO FILL IN PR NT OR TYPEj NEAREST / D
/L-
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST."
OWNER
WATER CLOSET 1.50 r
BATH TUB 1.50 ADD
RM J /�
..SHOWER 1:5'0 CITY - P TEL. NO.
LAVATORY 1.50 CONTRACTOR
.SINK ADDRESS / Q
DISHWASHER 1-4.
TY TEL. NO.
CLOTHES WASHER 1.50 ATE LIC
CENSE NO. ` CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROI�p ZONE P D BY
LAWN SPRINKLER SYSTEM 2.00 �/J/� �n(J
WATER HEATER i.50• DUSTRLALASTE APPROVAL
GAS SYSTEM OUTLETS i!Sr fAl INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30
O
b
Plan check fee 25% of above. See.reverse.
PLUMBING PERMIT ISSUING FEE:8 00
TOTAL _FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plancheck.applicant UNDER SLAB WORK
Name ROUGH PLUMBING
'Address GAS PIPING
Cit GAS VENT
Y Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION .
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING 'GAS TEST
PLUMBING.
1 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 I AM THE LEGAL OWNER OF.AN INTEND TO - _
RESIDE IN.THF ABO=DESCRIRESIDENT PRO FINAL
SIGNATURE
PERMITTEE .TACK R. ALLEN, SU RVISIN HAN.ICAL EN G'R..
PERMIT VALIDATION(V. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH .
Ar-1 4 4-6i; JUL15 5 0 8:.25N V