HomeMy Public PortalAbout5423 SANTA ANITA AVE_Plumbing__ B
)BSS-17-17 `f0-SS APPLICATION FOR PLUMBING PERMIT
1
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DMSION OF BUILDING AND SAFETY
Deportment of County Engineer
County Of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5421 Double Drive
CASSATT D.GRIFFIN SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILLIN I NREAARES T. Freer St.
OWNER A Flinn DISTRICT,NDJ GROUP I ZONE READY FOR INSPECTION
MAIL -,15r
ADDRESS
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER Statewide Plumbing 00 INSPECTION RECORD
ADDRESS 10024E Valley Blvd rte/ 0, r .
CITY El Monte TEL.No.GI 4-3717
LICENSE NO. 160930 036
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) @ $1.00 $1 00
3. BATH TUB @ $1.00 1
SHOWER @ $1.00
1 LAVATORY (WASH BASIN) @ $1.00 1 00
1 KITCHEN SINK @ $1.00 1100
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
1 CLOTHES WASHER @ $1.00 1 00
WATER HTER @ $1.00
1 GAS SYSTEM @ $1.00 1 00
APPROVALS
/DA,T�E- S INSPPECTOR' SIGNA,T/U E
UNDER SLAB WORK •_!o `!J.T
PERMIT $ 1 00 ROUGH PLUMBING /"V/: ^ti�GH
1
TOTAL FEE a 00 GAS PIPING
GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER ?G��
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,:
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES -7'v� �+�y
I HEREBY CERTIFY THAT I 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 n
OF PERMITTEEZA%W911-1FINAL 71�`' ���• �f�_
IOHN A.LAMBIE,COUNTY ENGINEER 6AIMATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
C
IS.0. CASH
uto0 ]. 1. 0 6 JAN 6 3 A 8.0 0 2
10-55
APPLICATION FOR PLUMBING PERMIT 1
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles. BUILDING o�
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS ✓
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APP CANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS �+
C INDUSTRIAL
CITY TEL.NO#-t I WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
6-,
CITY TEL.NO
LICENSE X0.
NUMBER TYPE OF FIXTURE OR ITEMFEE
WATER CLOSET (.TOILET) @ $1.0.0 $
BATH TUB @ $1.00
SHOWER @- $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.0.0
DISHWASHER @. $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYS'CEM @ $I.00
r
CA 42:fld� 112-1
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 7 00 ROUGH PLUMBING �y.7 .+� �_, /�y✓,�i
GAS PIPING y r
TOTAL FEE D(�
GAS VENT
I .NEREBY ACKNOWLEDGE THAT•1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUNGING. i //M"
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST - r ,r~ �'� :/.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA ROP TY.
SIGNATUR
OFPERMITTEE FINAL 17K,;
OHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CL M.0. CASH
i 1.-6 4R. FE8 .13 3 A 2.00- M