HomeMy Public PortalAbout5909 TEMPLE CITY BLVD_Plumbing__ •76A607-CE817 10-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTWM OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FAUD
,JOHN A. LAMBIE. COUNTY ENGINEER QWILLIAM A. JENSEN, SUPT OF BUILDINGFOR APPLICANT TO FILL INNUMBER FIXTURE OR ITEM WATER CLOSET BATH TUB
SHOWER `
LAVATORY CONTRACTOR �p
SING ADDRESS
DISHWASHER CITY
CONTRACTORcoriTRACTORs STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHES DISTRICT NO. GROUP ZONP SED BY
WATER HEATER cc—E
d.
GAS SYSTEM INDUS U.
WASTE APPROVAL
INSPEM70N RECORD O
s 8
W.
a
Z
0 $1.00 PER ITEM I a
OR FIXTURE APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT - 2100. s UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING—H 1 n �(
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THU ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF fi ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE 1
OF PERMITTETE
FINAL
ATION ROBERT A. WOOD
CK. M.o. • CASH SUPERVISING MECHANICAL ENG'R
7 4 6 7 AN 26 5 D
5.00
87
)B8.1S.17 10.99 APPLICATION FOR PLU.IVIB!NG PERMIT 1
DIVISION OF BUILDING AND'SAFETY
Department of County Engineer
County Of.TAS Angeles BUILDING
JOHN A..LAMBIE, COUNTY ENGINEER ADDRESS_ 'o
CASSATT D,GRIFFHy SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN 'NEAREST
CROSS ST.
OWNER a DISTRIC NO. GROUP ZONE READY FOR INSPECTION
MAIL d /�
ADDRESS'
INDUSTRIAL
CITY ' 'I N 6)_D WASTE APPROVAL
PLUMBE . INSPECTION RECORD
ADDRESS'
CI TEL.NO. . -dAfl-Ir
LICENS O
NUMBER TYPE.OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @. .$1 00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN). @ $1.00
KITCHEN SINK @ E.1.00
DISHWASHER @ $-1.00
LAUNDRY TUB'OR TRAY AM $1:00
CLOTHES WASHER @ ,$1.00 _
WATER HEATER @. $1.00
GAS SYSTEM @ $.I.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK.
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING .
• TOTAL FEE 1l O
OAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER NEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 REQUIRED LOS A COUNTY AND STATE OF
CALIFORNIA OR THAT M T LEGAL OWNER OF TH ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI. PRO TY.
SIGNATURE r
OF PERM ITT E FINAL
OHN A,LAMBIE:COUNTY ENGINEER. VALIDATION ROBERT A.WOOD.CHIEF PLSG. INSPECTOR
CR. X.C. CASH
4 4736P; FEB 4 3 2. 0, ,,m