Loading...
HomeMy Public PortalAbout5835 TEMPLE CITY BLVD_Plumbing__ 76A867 (C6-817) - 1/79 APPLICATION FOR PLUMBING PERMIT 66NTY OF LOS ANGELES tp 'RTMENT OF COUNTY ENGINEER ILDING AND SAFETY DIVISION BUILDING 6 ' MAKE CHECKS PAYABLE TO: ADDRESS a COUNTY;ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST y CL�J� NUMBER FIXTURE OR ITEM @ FEE CROSS ST WATER CLOSET 0 �'• MAIL J� r BATH TUB 2 0 -ADDRESS .0 SHOWER 2 CITY �. TEL. NO LAVATORY 2, CONTRACTO � ��G SINK 2, ADDRESS . . {l�A� ,�dr� DISHWASHER 2. 0 CITY TEL. NO. �. CLOTHES WASHER zfio STATE 'LIC 2 O LICENSE NO. �((� CLASS SWIMMING POOL RECEPTOR DISTRICT NO.GRQUP ZONE OCE ED BY LAWN SPRINKLER SYSTEM A 0 � o�f Com. WATER HEATER INDUSTRIAL WASTE.APPROVAL GAS SYSTEM OUTLETS 00 &L INSPECTION RECORD OUTLETS OVER v 5 PER SYSTEM CD1... C.7 - W a y - Z Plan check fee See.Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant *7's-v UNDER SLAB WORK Name ROUGH PLUMBING , Address GAS PIPING vl City Tel. No. GAS VENT ° f HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION / 'AND- STATE THAT THE ABOVE 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 LICENSED AS RECIUIRED LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 M HE LEGAL 0 N R OF, ANG IATERD TO.. RESIDE IN THE ABOVE ESCR BED RESID 1 P .PERTYi. FINAL SIGNATU RE OF PE RMIrT--E:E PERMIT VALIDATION ck. M:O: ' 'CASH J. PLAN CHECK VALIDATION CK. X.O. CASH 17 5 Q A� _ i =76067 - CE817,5/70 ;y. ti ji APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUII.DING AND SAFETY DMSION ADDRESS ", ,, ' . JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W:JENKINS.SUPT. OF BUILDING LOCALrrY FOR APPLICANT TO FILL iN R NT OR TYPE NEARESTO NUMBER FIXTURE OR ITEM EA H FEE OWNER WATER CLOSET 1. 0 BATH TUB 1. 0 ADDRESS SHOWER 1. a CITY f TEL'NO. LAVATORY 1. 0 CONTRALTO ¢' SINK 1. 0 ADDRESS DISHWASHER 1. 0 CITY 'NO• Vp� CLOTHES WASHER 1. 0 STAT LIC LICENSE NO. (Y / CLASS SWIMMING POOL RECEPTOR i.. 0 DISTRICT NO. GROUP ZONE PRbCESSED BY LAWN SPRINKLER SYSTEM 2. 0 r C WATER HEATER 1, 0 INDUSTRIAL WASTE OVAL Q GAS SYSTEM OUTLETS 1. 0 INSPECTIOIS RECORD OUTLETS OVER 4.30 5 PER SYSTEM i Za 44, / o Plan check fee'2,.'i%'of above. See reverse. PLUMBING PERMIT ISSUING FEE.8 00 �~'f 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 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION PLUMBING FIXTURES AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I 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 1 AM THE LEGAL OWNER OFj AND INTEND TO RESIDE IN,THE SCRIBED RESIDENTIAL PROPERTY. F1N'PiL SIGNATURE .TACK R. ALLEN, SUPER SI G MECHANICAL £NG'R. OF PERM ITTE PERMIT VALED Cjc. M.O. r CASH PLAN.CHECK VALID ION CK. M.O. CASH CQ q ..2 5 1 sj f 26 5 47�JN 76'A667 (CF2-817)-8-71 Gam' APPLICATION FOR PLUMBING PERMIT HARVEY T. BRANDT, COUNTY ENGINE-M, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION sUILDING !�' �p ADDRESS o4114a LOCALITY J FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET 1.75 "OWNER MAIL BATH TUB 1.75 ADDRESS 00-1 ff SHOWER 1.75 CITY r TEL. NO. LAVATORY 1.75 CONTRACT i ! SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO. CLOTHES WASHER 1.75 STATE LIC LICENSE NO.. CLASS CLASS SWIMMING POOL RECEPTOR 1.75 •• DISTRICT NO. :FP ZONFJ Il�RESSED B'Y LAWN SPRINKLER SYSTEM 1.75 'ji J5.-O C/ WATER-HEATER 1.75 INDUSTRIAL 6 L WASTE APPROVAL 0 GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM 1 s _ H z o Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY • PLUMBING FIXTURES a .D WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I 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; AND INTEND TO _ RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE OF PERMITTEE ^ PERMIT VALIDATION < M.O. CASH PLAN-CHECK VALIDATI N CK. M.O. CASH !.Ar .000773 PEAR 15 5 D 4.7 5 Q