HomeMy Public PortalAbout6111 TEMPLE CITY BLVD_Plumbing__ )BS-17,o-ss APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County Los Angeles-
JOHN A.LAMBECOTTYENGINEER ADDRESS 6 111 N. Temple V it
Blvd
.
CASSATTD.GRIFFIN,SUP'TOFBUILDING I:OCALITYTem le ():Ltyo
FOR APPLICANT TO FILL IN I CROSS STGarabaldi e
OWNER DISTRICT NO. GROUP jZONE READY FOR INSPECTION
MAIL
ADDRESS 3 ../�a F y a 1 l Alf "��•I I \ 2—
INDUSTRIAL I
s84 E• F�Athi- O � - -- ..
CITY PaSaderla TEL.NO. EL 84198 INDUSTRIAL
WASTE APPROVAL
PLUMBER 8a UarO COnStr .Ince INSPECTION RECORD
ADDRESS 6819 Eo' Whittier Blvd,
CITY ROOC a/� TEL.NO= 51617 - ��j
LICENSE NO.1455.61�-80 36 /`= 9�o—" K. "N."Cp 'ec-x "'t�/�9�� /d ./!
NUMBER TYPE OF FIXTURE OR ITEM FEE C Q• �L!�) R AIM& bQ A1211
1
WATER CLOSET (TOILET). @ $1.00 $ 1100
1 BATH TUB @ $1.00 1, '00 ?—t7-,j 9 CAllm ,r` . 9
SHOWER @ $.1.00 �b C'[.13.5 -%n..L��[1 E3 n �I�"
1 LAVATbRY (WASH BASIN) @ $1.00 1 OO . r 1t
KITCHEN SINK @ $1.00 1 00 9jQ0 `_ ' Ivro th 19rFR y�
DISHWASHER @ $1.00 PREPI/Mr 1 N �tjZR J IP-A--s
LAUNDRY TUB OR TRAY @ •$1.00 .. W6 N)za,7 r-A* 9 1 C
1CLOTHES WASHER _@ $1:00
1 WATER HEATER @ $1.00 1 ,
GAS$YS[EM @ $1,00 9 (""nje. I'.C'✓A.d d 3 n'[' g �(i/46
F(zyll e4lm 11fril /!114 Gia-A-•'r 0KN,07.`
130'r.S'/lLL. NO !ljF+=l e2 /N turll pir"r-S
APPROVALS
zAOR- DATE INSSrPECTOR'S SIGNATURE
UNDER 616AB WORK
I
PERMIT $ 1 00 ROUGH PLUMBING �.ZIl /1 • . l':w�`
GAS PIPING
TOT FEE• 8 0 .
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER i Q f
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES Y
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM -PROPERLY REGISTERED AND/OR GAS TEST �•
LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LE OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPERT .
SIGNATURE
OFPERMITTEE FINAL. h �/
OHN A.LAMBIE.COUNTY ENGINEERVALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
TO7 7 9 5 JUL 5 3 8.0 0 In
5
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