HomeMy Public PortalAbout6137 TEMPLE CITY BLVD_Plumbing__ E.
76AS67 -CE:W&7 2-62 i9 L l-l-V
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING _
FOR APPLICANT TO FILL IN . z_,
NUMBER FIXTURE OR ITEM EACH FEE
�j
WATER CLOSET $1.25 OWNERMAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
1 SINK 1.25 ADDRESS s o'
DISHWASHER 1,25 CITY TEL. NO. o"Z
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE Z;ZED BY
WATER HEATER 1.50 -1,-"Z) 0
/ GAS SYSTEM S OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 — INSPECTION RECORD d
U
exO
f-
LAJ
d
AuaO Cj APPROVALS DATE .INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE o L GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LRESIDE
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
.
Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
A OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
THE ABOV ESC D RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
REMITTEE A7 6�_�
FINAL
LIDATION ROBERT A. WOOD
CK. M. J. CASH SUPERVISING MECHANICAL ENG'R
F - . �f
7aadj#
'aT.cE �h7 z-ez
Il ::�$5�(� L.,�a PL . CR TY
APPLICATION :FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND. SAFETY DIVISION BUILDING. -�
JOHN-A.•LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO;FILL IN NEAREST.* L
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
/ BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25' I CITY gre TEL. NO._
CONTRACTOR'S STATE
LAUNDRY TUB 1.25
REGISTRATION NO. COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR SSED"BY
WATER HEATER 1.50 '
1 GAS SYSTEM S OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECO
RD' .®
•� f) •_il__l ezo,s."r�' � `ice ;�.
13
®e, ' APPROVALS DAT IN§P,4gTOR'S�S•I�4P ATURE
PERMIT Z "Qp UNDER SLAB WORK I tj/i�JI(Jjrri� „/
ROUGH PLUMBING j
TOTAL FEE GAS PIPING /
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE•TO- COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. :HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
CE
. LINSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND, INTEND TO GAS TEST
RESIDE IN,THE ABOV ESC D RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL' �
CLIDATION ROBERT A.WOOD
CK. J MCASH SUPERVISING MECHANICAL ENG'R
' L.AG0 4 112 QUI!