HomeMy Public PortalAbout9729 VAL ST_Plumbing__ ewe. A I1 I- T/16 �'—'�"�--`L 1 1/' v "_— / r "✓
i� APPLICA ION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FORAPPLICANT TO FILL IN(PRINT ORTYPEIADIDRING 9729 E. VAL ST.
NUMBER FIXTURE OR ITEM B FEE
WATER CLOSET LOCALITY TEMPLE CITY
BATF?TUB NEAREST
CROSS ST
SHOWER OWNER SoiIi�mj,Ijl ,� T.TAM
LAVATORY MAIL
ADDRESS SAM
SINK CTY TEMPLE QTY TEL ]—
DISHWASHER
CONTRACTOR TRANE Mr.CLOTHES WASHER ADDRESS 20,34 M. PECK RD.
SWIMMING POOL RECEPTOR
CITY S E., MSE TEL 579-79LAWN SPRINKLER SYSTEM 57ATE WATER HEATER LICENSE NO WO
L
GAS SYSTEM 1 OUTLETS 3 00 DISTRICT I.y� GROUP
SPER SYSTEM —77
INDUSTRIAL CL/!
WASTE APPROVAL 0
INSPECTION RECORD w ,
0
y�
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 4 50
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPEROR SSNiNATURE
Nome
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No GASPIPING
HEREBY ALANOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE AROW IS CORRECT MID AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING
I NCREBY C[RTRY THAT I AY PROPERLY REGBTEREO AND/Oft UCENSEO AS PLUMBING FIXTU ES
REWIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
.EGL OWNER OF AND INTEND TO RESIDE IN THE OW DESCRIBED RGAIDENTIAL
I XRTY UTILITY CO NOTIFIED
SIGNATURE
OF PERM DTEE AL 1
PLAN CHECK VALIDATION cK M o GSH PERMIT VALIDATION cK M O CASH
2 0 or-MAY 10 5 9 75 0
75AGS7 (CE-017)- 5/73 1
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
AIA KE CHECKS PAYABLE TO ADDRESS Val
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY �0 C1t
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM m FEE
OWNER Bfld@ Construction Co. Inc.
WATER CLOSET d MAIL
BATH TUB ADDRESS
SHOWER 1117
3 a� CITY Arcadia TEL N0446-1658
LAVATORY CONTRACTORQrgn BTOB• Plumbing, Ina.
SINK ADDRESS 26 No Baldwin Ave.
DISHWASHER 1 5 d CITY TEL NO
CLOTHES WASHER 1 5 Q STATE CENSE NO 231-741 LIC C36 0
CLASS
SWIMMING POOL RECEPTOR 1 5
DISTRICT NO GR0 P ZONE CESS D BY
LAWN SPRINKLER SYSTEM 1 75 —50,9 O 9
WATER HEATER 1 5 Qu 19A4TETAPALOV
GAS SYSTEM OUTLETS 1 7 3 INSPECTION RECORD U
OUTLETS OVER-
5 PER SYSTEM
U
W
d
h
Z
Plan check fee See R.Ve,Ee
PLUMBING PERMIT ISSUING FEE S 0
TOTAL FEE I Is r
APPROVALS DATE INSPECTOR D SIGNATURE
Plan check applicant UNDER SLAB WORK -ZZ-
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GASTEST1-
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUI REO BY L)5 ♦NGELED COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE <RI D RHDI DENTIAL PER TY
FINAL i
SIGNATURE
OF PERMITTEE
PERMIT VALIDATIONcN o CASHPLAN CHECK VALIDATION CK M 0 CASH
8 1 8 SEP 42 o 3 75 0 oyO