HomeMy Public PortalAbout6646 OAK AVE_Plumbing__ 7(MU--CM17-8-58
APPLICA'T'ION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER'
.BUILDING AND SAFETY DIVISION BUILDING s
_jOHN A. LANDIS, County Engineer ADDRESS �ooe
TT D.GRIFFIN.Sup t of Building LOCALITY
9' L°
FOR APPLICANT TO FILL IN NEAREST.
CROSS ST.
NUMBER FIXTURE O_ R ITEM
WATER CLOSET Owm
r ADDS y DAl, '�'�
r HATS TUB
SHOWER CITY TEL.NO. i J-3 3
LAVATORY CONTEACTOR K mss.
Sig ADDRESS V e W°'
DISHWASHER CITY . co'v 14,a, TEL..NO.O D f 9/r/
LAUNDRY TUB
CONTRACTOR'S `Ir ,s- STATE
REGISTRATION NO.. l COIINTY ❑
CLOTHES WASHER DISTF NO. G UP N ESSED BY
WATER HEATER
GASSYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
7214F /°Il :i. ,
APPROVALS
$1.08 PER ITEM
OR ggTURE 9 CoRR DATE INSPECTOR'S SIGNATURE
OL
UNDER SLAB WORK i
PERMIT $ 2. 0 ROUGHPLUMBIN 8—7 H _ njf/,►
TOTAL FEE GAS PIPING 8= 4 0R
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND. STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING. 3
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 - n
CALIFORNIA OR THAT I AM THE. LEGAL OWNER OF THEA .VE UTILITY CO.NOTIFIED
DESCRIBED RESIDE TI L PROPERTY.
t
SIGN
FINAL
ROBERT A.WOOD:
�v VALIDATION SUPERVISING MECHANICAL ENG'R
CR. Ed.O. CASH
14 0 18 -' 5 A. 9.00 ..
76A667(CE-817)- 5/79 City of Temple.w.uC3tyl
APPLICATION FOR PLUMBING 'PERMIT
DEPARTMENT OF COUNTY ENGINEER 8042
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING 6646 Oak St.
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST J
_
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSET 1,75 OWNERAIL George Faray.
BATH TUB 1.75 ADDRESS 6646Oa.k St: i
SHOWER 1,75 CITY Temple City' TEL:NO. 286-8774
LAVATORY 1,75 CONTRACTOR GENERAL INSTALLATION CO.
SINK 1.75 ADDRESS 6558 WEST BLVD.
DISHWASHER 1.75 CITY Los Angeles TEL. NO. pl, 3-2541
CLOTHES WASHER 1.75 STATE ' I LIC
LICENSE NO. C+ 36 151839 CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT-NP. GROUP I ZONE I P OCESSED B
'LAWN SPRINKLER SYSTEM 1.75
1 WATER HEATER 47, 3100 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS
5 PER S STTEMR .30 Ready for Inspection•Now. ,o
WATER SOFTENER
a.
• cn
Plan check fee See Reverse
:2 8;0
PLUMBING PERMIT ISSUING FEE $
'4'3 A
TOTAL FEE j 10 00 T o'o;o o"0 5
Plan check applicant APPROVALS DATE INSLECT0RjS SIGNATURE
UNDER SLAB WORK
Name ROUGH PLUMBING `0 0 0Q.0 0 X
Address GAS PIPING. , , I
I I.� 7
City Tel. NO. • GAS VENT
HOT WATER HEATER
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE 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 OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDE L ROPE Y.
FINAL
SIGNATURE
OF PERMITTEE VV
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH