HomeMy Public PortalAbout6449 TEMPLE CITY BLVD_Plumbing__ 76A667-CE817 8 57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGUMER
BUILDING AND SAFETY DIVISION DUU' /
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN c�oRss'si g 1-47Mo
NUMBER FIXTURE OR ITEM
Li
1 Erma Prosser
WATER CLOSET OWNER
1 BATH TUB 100 A1QAOD°aEss 2 Lemon Avenue
SHOWER CITTem le Cit TEL No
1 LAVATORY 100 cormeTikPbbins & Wann Plbg & Htg
1 snvE 1.00 ADDRESS 8725 Norwalk Blvd.
DISHWASHER CITY Los Nietos TEL No 01 2—
CANTNDHY EIB CONTRACTOR
NO 1 62 2 C- 6
cLorNlEs WARNER
DISTRICT NO GROUP I ZONE I BEADY FOR INFPSCTION
1 WATER HEATER
GAS SYSTEM 1.00 INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
O F
a y
APPROVALS
!I OB PER ITEM DATE INSPECTOR 9 SIGNATURE
'1 7 O8 FLel'URE B 700 UNDER SLAB WORK /
PERMIT R 1 DO ROUGH PLUMBING Q
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AY THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENK1,91L PROPERTY
SIGNATURE
OF PERM ITTEE FINAL
VALIDhTION ROBERT A WOOD
SUPERVISING MECHANICAL ENG R
Y CASH
fl p3543M Als 5 5 A 8.00 R
76AS67CES17 8 57 ^,h
-APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER IN ,ISTATE
BUILDING AND SAFdY DIVISION JOHN A LAMBIE CAUNTY ENGINEER `CASSATT D GRIFFIN 9Oh T oP BDILDIND LOCALITY FOR APPLICANT TO FILL IN C�EAR�gT r NUMBER PIXTURE OR ITEM OWNER rPWATER CLOSET BATHTUB DAD REBS SHOWER CITY /, G.i TEL NO LAVATORY CONTBACTO `SINE ADDRESS j Z.DISHWASHER CITY 4- 75 Z/ TEL NO G iLAUNDRY TUB CONTRACTORS r
REGISTRATION NO ! COUNTY
CLOTHES WASHER
DISTRICT O GROUP NE I 21140Y lox INSPECTION
WATER HEATER �
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
w INSPECTION RECORD
APPROVALS
3 @ 31 00 PER ITEM DATE INSPECTOR S SIGNATURE
OR FIXTURE JTOCOMPLY
UNDER SLAB WORK
ROUGH PLUMBING
PERMIT 00
GAS PIPING �
TOTAL FEEQ
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ CATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AOMPLY
WITH ALL COUNTY ORDINANCES AND STATE LLATING PLUMBING FIXTURES
PLUMBING
IHEREBY CERTIFY THAT I AYPROPERLY RENO/OR GAS TEST
LICENSED ASREOUIRED BY LOS ANGELES COUNTE OFCALIFORNIA OR THAT I AY THE LEGAL OWNEABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROSIGNATUREDOF PERMITTEE � ..� FINAL
®` r VALIDATION ROBERT A WOOD
SUPERVISING MECHANICAL ENG R
CN K 0 ex
LG5665 S OCT 10 5 A 5.00 n
Tu[ST ICs-nTI - t/TB
APPLICATION F PLUM G PERMIT
COUN OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION B
UILDING
MAKE CHECKS PAYABLE TO
HARVEY T BRANDT. COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TY PEI TST
NUMBER FI%TYRE OR ITEM Y FEE200 WATER CLOSET BATH TUB 200 S
SHOWER 200 CITY TEL MNO
LAVATORY 200 CONTRACTOR
SINK 200 ADDRES
DISHWASHER 2 00 !
CLOTHES WASHER 200 TATE NLIC
SWIMMING POOL RECEPTOR 2 LICEN O CLASS
DISTRICT NO G OUP NE PROC SEED BY
LAWN SPRINKLER SYSTEM 2 pp �$O7pIAq� �/ ty
WATER HE R 200 a U yNgSTE 4CP/PROVAL 1 y
GAS SYSTEM OUTLETS 2 00 INSPECTION RECORD v
OUTLETS OVER pp // /
S PER SYSTEM 30 iJ t ✓LS —O' 7D C,
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to
Plan check fee SEB RGYGr.R
PLUMBING PERMIT ISSUING FEE $ 3WJ
TOTAL FEE
APPROVALS DATE (NSP[ w n •IGNATURK
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING III" L
City Tel No GAS VENT
HOT WATER HEATER 6�tA"'
I HEREBY ACKNOWLEDGE THAT I HAVE READ "IS APPLICATION
AND
!TATE THAT THEOABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH
ALL COUNTY RDINANCE! AND STATE LAW! REGULATING
PLUMBI NO GAS TEST
I HEREBY CERTIFY THATLAM AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED A! REOU IRED BY LO! ANGELES COUNTY AND STATE OF
CALIFORNIA ON THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIA ROPER" FINAL
SIGNATU RE
OF PERMITYE
PERMIT VALIDATIONcK M o cABN
PLAN CHECK VALIDATION CK M o cAlx
1 6 8�/ry i6 5 0 7.55 0 &yfi