HomeMy Public PortalAbout5427 SANTA ANITA AVE_Plumbing__ 7US87-CE817-8-50
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES 2
DEPARTNIENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION• FJOWDBM
A. LAMBDA, comely Engineer 5429 N. Double Dr.
TT D.GRnrFn�i.Supe of ,uldinq LOCA=. Temple City, Calif.
FOR APPLICANT TO FILL IN
KAIL
BESS
.
NUMBER FIXTURE OR ITEM
1
WATER
OWNER, Font a PlumbingContre
13329 East Ector Street. ,
BATH TUB ED 7-7226
SHowlm Industry Tm No.
1 LAVATORY C
OTTY"NANA PI-1-1h.49
1 anus ADDRESS 113,79 E_ gofw Preef
DISHWAMM Cnr , No.
LAUNDRY TUB co TE ❑
88GISTRATI COUNTY ❑
1 CLOTf�WAS DISTRICT NO. G OU ONE PROCESSED BY
WATER HEATES `�
1 GAS SYSTEM INDUSTRIAL
WASTE'APPROVAL
INSPECTION RECORD
�r �!
------------
4s- -
-�- C=
APPROVALS
7 @ 1ROOFUITP>UR$EM $ I �J-00 DATE INSPEC OR'SSIGNATURE
v UNDER SLAB WORK /,,. 7i✓� �- ��.
PERMIT 'S 1 2100 ROUGH PLUMBING
TOTAL FEE 9160 GAS PIPING
R f
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING. PLUMBING FIXTURES �_ --
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUI BY OS AN LES COUN AND STATE OF
CALIFORNIA OR 4i A THE GAL OW 1I� BOVE UTILITY CO.NOTIFIED 0_Y3 -t1 �— --•-��
DESCRIBED RESI //{{(tip
SIGNATURE FINAL
OF PERMITTER O-%o
ROBERT A..WOOD.
®p <gAMATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH
BCO 8 3 5 6 AJ .2 3 5 A 9.C)0 M
78A887-CE817-848
APPLICATION FOR PLU'MB'ING PERMIT
COUNTY OF LOS ANGELES
DEPAHndErTP OF COUNTY ENGINEER
BUDDING AND SAFETY DMSION BPING
LAMBM g� � ADDRESS
C SA A GEM=.
SS p $vilc!Lg
LOCALrry
FOR APPLICANT TO FILL IN NEAREST r
C8088.ST.:
NUMBER FIXTURE OR-ITEM
OWNER
WATER.CLOSET
MAIL
BATE TOB ADDRESS
SHOWER CITY TEL NO,
LAVATORY CONTRACTOR
SII�ig
ADDRESS
DISHWASHER CITY M.NO 3 (.S-
CO STATE
LAUNDRY TOB REGRSTBATION NO. Z U U 7 COUNTY
CLOTHES WASHER
DISTR!smNo. GROUP I ZONE OCESSED B
WATER HEATER :moi 0
GAS SYSTEM ' « IIRDUSTEML
WASTE APPROVAL
l4 INSPECTION RECORD
W .
APPROVALS
CSA OR8 PER ITEM $
FEUMDATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $L 1 2 00 ROUGH'PLUMBING'..
TOTAL FEE GAS PIPING
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
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST I d—I
LICENSED AS REQUIRED BY LOS ANGELES 'COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAYPROPERTnYY.
SIGNATURE ,//ae- r l// FINAL
OF PERMITTER.
ROBERT A.WOOD.
®P ALM ON SUPERVISING MECHANICAL ENG'R
CIL. M.0. CASH.
L �3 5 1 -OCT 5
3.00 w
t.