HomeMy Public PortalAbout9836 VAL ST_Plumbing__ OaS 1710„ APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
DsPor- wit of County EBglustr
County of Loa Angeles BUILDwa
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 9836. Val
CASSATT 0 GRIFFIN, SUP T OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
Rf nT� v CROSS ST
OWNER YI .R.E . Hadley DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS 1328 S . 1st 3
Arcadia INDUSTRIAL
CITY TEL NO WASTEAPPROVAL
PLUMBER PlumbingCO. INSPECTION RECORD
ADDRESS 11900 E. GarveyAve.
CITY El Monte TEL NO GI 89836
LICENSE NO 54932
NUMR•R WPM OF FIXTURK OR=M FEE
2 WATER CLOSET (TO ILET> a $100 E 2 00
1 BATH TUB a $100 1 .00
1 SHOWER a $1 00 1 .00
2 LAVATORY (WASH BASIN) 0 $100 2 .00
KITCHEN SINK a v 00
DISHWASHER a $1 00
LAUNDRY TUB OR TRAY a 4100
CLOTHES WASHER $100 1 0
WATER HEATER a $1 00
OAS SYSTEM 100
1 disposal 1 .00
APPROVALS
DATE 1 ECT SIGNATURE
UNDER SLAB WORK ir
PERMIT $ 1 00 ROUGH PLUMBING
12 00 GAS PIPING i
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLT if
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR IAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL NER 0 HE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDENT[ PROPERTY
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
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5 0 4% AUG 2 3 3 1 2 0 0 9
TeAeeT APPLICATION FOR PLUMBING PERMIT 1
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Ruummr. AND SAFETY DIVISION
Deportment of County Engmeer
County of Los Angel" BUILDING
JOHN A LAMBIE,CouNTY ENGINEER ADDRESS
CASSATTD GRIFFIN SUPTOFBUILDINO
LOCALITY
APPLICANT TO FILLIN NEAREST
O
OWNE DISTRICT NO GROUP I ZONE READY MR HISPICTION
MAIL
ADDR
CITY T INDUSTRIAL
WASTEAPPROVAL
PLUMBER INSPECTION RECORD
ADDRESS n
CITY TEL NO L
LICENSE NO ID
NUMRRR TYPE OF FISTORC ON RRM "It
WATER CLOSET (TOILET) 1 CO $ — —
BATH TUB @ it 00 —6--�1S f /�
SHOWER 1 00 LOOSE {/
-LAVATORY (WASH BASIN) @ •100
KITCHEN SINK @ $100
DISHWASHER Q 14? 0APt1vP4
11100
LAUNDRY TUDOR TRAY 1100 /
CLOTHES WABHCR it 00
WATfiR HEATER $1 00
OAS SYsum 100
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT ! 1 00 ROUGH PLUMBING /S
OAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT MATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PW MBING PIXTUREB
1 HEREBY CERTIFY THAT I AM PROPERLY REGI ED AND/OR OASTEST
LICEN99 AS REQUIRE OS ANGELES COUNTY AND STATE OF Q
CALIF0RKIA OR 7 I THE LEGAL 0 THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDSN IA PROP
SIOHATURS I
OF PBRMITFEE a FINAL
ROBERTA WOOD,
JOHN A LAMBIE COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL NO R
a E:■ 0 CARR
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