HomeMy Public PortalAbout4933 WILLMONTE AVE_Plumbing__ 16AS67-CE817-8-58
APPLICATION FOR PLUMBING PERMIT 1 ,
COUNTY OF LOS ANGELES
DEPARTNIENNT OF COUNTY ENGINEER
BUnDING AND SAFETY DIVISION SZ>iLDnpG
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CASILIATTLOCALITY -7.0M PL b 61 rY
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FOR APPLICANT TO FILL IN NEAREST -
CROss ST. 1.6 gZ ./7.
NUMBER FIXTURE OR ITEM
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7/ WATER CLOSET OWNER
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SIIYS ADDRESS
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CONTRACTOR'S Q _e i6 STATS [IREGISTRATION NO. /6/ C
CLOTS WASHER I GROU I ZONE Y
WATER HEATER
GAS SYSTEld INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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I APPROVALS
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DATE INSPECTOR'S SIGNATURE
UNDER 469SORK (p v/
PERMIT $ 7100 ROUGH PLUMBING ,
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER �+f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING.: PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROP REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LO NG U.N AIYD SST$ OF
CALIFORNIA OR I AHI G WN 0 Tx UTILITY CO.NOTIFIED
DESCRIBED RES N AL P '
SIGNATURE FINAL
OF PERMITTE
ROBERT A.WOOD.
®F VALIDATION SUPERVISING MECHANICAL ENG'R
(OCX.
H.0. CASH
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16AG67C (CE-81713) -9/75
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS 4933 Willmonte
WATER CLOSET LOCALITY Temple City
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER
Hitoshi Imai
LAVATORY MAIL
ADDRESS 4933 Willmonte
SINK CITY Temple City. TEL. NO. 448-2490
DISHWASHER CONTRACTOR
Bryant Heat & Air Cond Inc
CLOTHES WASHER
ADDRESS 1350 E. Las Tunas Drive
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY San Gabriel TEL. NO. 286-1141
STATELIC
WATER HEATER LICENSE NO. 221751 CLASS C20. C
DI TRICT NO. GROUP PROCESSED BY v
GAS SYSTEM OUTLETS 3 00- �^ z
OUTLETS OVER �V I IZONE1
"`-�' • �l� �
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL y
INSPECTION RECORD
Plan check fee
PLUMBING PERMIT ISSUING FEE S
i
TOTAL FEE 7 5.0
Plan check applicant
Name APPROVALS DATE INSPECTOR'S 5IGNATURE
UNDERSLAB WORK
Address ROUGH PLUMBING
Clty Tel. NO. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND. STATE THAT THE ABOVE 15 CORRECT ANDAGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT M PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L ANGELES COUNTY .AND S;T E OF GAS TEST
CALIFORNIA OR THAT I. A T LEGAL OWNER OF, AND IN ND TO -
RESIDE IN THE ABOVE D ED RESIDENTIAL PROP TY UTI fTY CO. NOTIFIED
SIGNATU RE P
OF PERMITTE / •-AL
PLAN 6ffCKC/7xL1i}AFF9 �' �� � g PERMIT VALIDATION CK. M.O. CASH
POL,6CYNIOLDER:
POLICY NUNgSER: CC