HomeMy Public PortalAbout6311 TEMPLE CITY BLVD_Plumbing__ 76AB67 ICE 6171-4/72
_ APPLICATI �BING"PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING q
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER LOCALI
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
ST
NUMBER FIXTURE OR ITEM ® FEE CROSS
WATER CLOSET 1 75 OWNER
MAIL
BATH TUB 1 75 ADDRESS
SHOWER 1 75 CI L NO
LAVATORY 1 75 CONTRACT
SINK 1 75 ADDRES _
DISHWASHER 1 75 CI TEL NO 7
CLOTHES WASHER 1 75 STATE i LIC
LICENSE CLASS
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP N PR ESS BY
LAWN SPRINKLER SYSTEM 1 75 O 1
USTpI e
WATER HEATER 1 75 INP TE APPROVAL
GAS SYSTEM OUTLETS 1 75 7 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM 30
W
a
� N
Plan check fee See Reversed•
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE 7
APPROVALS DATE INSPECTOR S BIrNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
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 REQ ULATI NO
PLUMBING GAS TEST
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSE DAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CILI PORNIA OR THAT I AME LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DE IB 0 RESIDENTIAL P Y FINAL
SIGNATU RE
OF PERMITTE -
" PERMIT VALIDATIONM o c4sH
cK '
PLAN CHECK VALIDATION CK M O CArjr_ 1 9 6 6731 JUL 2 5 D 04.75-
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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
RD)Dp.mDI(NG AND SAFE�T1YY DIVISION rigDIDBESS
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AurT Temple Cit California
FOR APPLICANT TO FILL IN REST
NUMBER FIXTURE OR ITEM CROSS or
NER
WATER CLOM? Ray rtner
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BATS SOB
SHOWER CIIT TEL NO
LAVATORY comAcroBFontana Plumbing Contr
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/ APPROVALS
/{a Oa PaB P
® DATE INSPFCT0RfISIqM4TURE
UNDER BLAB WORK
PERMIT $ 0 ROUGH PLUMBING
TOTAL FEE III OAS PIPING T
1 HEREBY ACANOWLEWE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT TNHABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTU EH
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REOU ED BY LOS ANGELES COUNTY AND STATE OF GAS
CALIFORNIA OR I AJI THE LEGAL OWN OF THE ABOVE UTI CO NOTI FI®
DESCRIBED 1 ML IIOPER
BIGNATURB
OF PERMITTER FINAL
OF ®VALIDATION ROBERTA WOOD
SUPERVISING MECHANICAL ENO R
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APPLICA ION FOR PLUMBINPG PERMIT
BUILDING AND SAFETY DIVISION T
FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING
ILDIN
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET LOCALITY
BATH TUB NAST
CROSSOSS ST
SHOWER OWNER
LAVATORY MAIL C
ADDRESS o3�
SINK CITY TEL NO
DISHWASHER CONTFAIDIFIC INSTALLERs
CLOTHES WASHER ADDRJ,V992
GRAM) Aix
SWIMMING POOL RECEPTOR n
LAWN SPRINKLER SYSTEM CITY TFMPI v rmv CAI E O
STATE �j LIC
WATER HEATER LICENSE NOpL CLASS
GAS SYSTEM OUTLETS
DISTRICT N7O GROUP ZONE OC ED BV V
OUTLETS OVER � 06 O
5 PER SYSTEM INDUSTRAL
WASTE A�PRO VAL MJ
CIL.
INSPECTION RECORD =
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE D
Plan check applicant
Name APPROVALS DATE INn Pcc Toe f nwuArG ec
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel NO GAS PIPING
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICE NBED AS REQUIRED BY LOS ANGELES 9OUNTY AND STATE DI GAS TEST
CALI IO RNIA OR THAT 1 AM HE LEGAL W R or, AND INTEND TO
RESIDE IN THE ABOVC DEf ) C ESIDjPTAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
PIAN CHECK VALIDATION K GY�• — 1014
CK 14PERMIT VALIDATION M o CASH
Ran READY mR R
3 4 6�JAr! 26 5 � / 75 0 eg?