HomeMy Public PortalAbout9124 WOOLLEY ST_Plumbing__ 76fi767A HVA SII
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APPLICATION F R PLUM NG PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @FEE ADDRESS 9124 Wooley Way
WATER CLOSET LOCALITY Temple City
NEAREST D
BATH TUB CROSS ST. V
SHOWER OWNER Albert Haste
LAVATORY MAIL ADDRESS 9124 Wooley Way
SINK CITY Temple City TEL.N0. 285-3739
DISHWASHER CONTRACTOR Br ant Heat. & Air Cond.
CLOTHES WASHER ADDRESS
1350 E Las Tunas Drive
SWIMMING POOL RECEPTOR CITY San Gabriel TEL.NO. 286-1141
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. `L CLASS
GAS SYSTEM OUTLETS 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
@3
HOT WATER HEATER
.PLUMBING FIXTURES 9
GASTEST A s�� LLLL�
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 7100
TOTAL FEE lol OO FINAL a'—
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel.No.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS '
REQUIRED BY LOS ANGELES OUNTY AND STATE OF CALIFOR OR THAT I AM THE
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVKDEIBED RESIDENTIAL
PROPERTY. OIV �.O' O OSIGNATURE //� 1 L�/ A,N N O O O
OF PE RM ITT� ��r� li9 �(�r� O. -t-
- O
DISTRICT NO. PROCESSED BY
in Q O bi-
Sn 7p-oDR-Ili e.� v o 0 0 �
ao o,o crl r
INDUSTRIAL CH
WASTE APPROVAL
76A667 - 011817 5/70 City ofTemple City
APPLICATION * FOR PLUMBING PERMIT
COUNTY OF LOS .ANGELES 33412-.0--
DEPARTMENT
34 2DEPARTMENT OF COUNTY ENGIN
BUII.DING AND SAFETY DIVISION nes 912 TaToo Ile S t o
JOHN A..LAMElIE. COUNfY ENGINEER
COLEMAN Wr JENKlNS. SUPT.OF E1.UILDtNG I.00ItLTTY Temple Git
NEARESFOR APPLICANT TO FILL IN PR OR TYPE) CR fir.
NUMBER FIXTURE OR ITEM EACH FEE
OwNEA Haste
WATER.CLOSET 1.50 "
BATH TUB 1.50 ZDADRESS S ame
SHOWER 1.50 Crry TET.NO.
LAVATORY 1.50 CONTRACTOR GENERAL INSTALLATION CO.
SINK 1.50 ADDRESS 6558 WEST BLVD.
DISHWASHER 1.50 ctrl' Los Angeles TEL.No. PL 345AI
STATE LIC
CLOTHES WASHER 1.50 LICENSE NO. C 36 151839 CLASS
SWIMMING POOL RECEPTOR 1.50DISTRICT NO. GROUP GINE PRQ ESSED Y
LAWN SPRINKLER SYSTEM 2.00 - 1
WATER HEATER 1.50 1 7� r
1 waSTE�ApPRovltz
OAS SYSTEM OUTLETS 1.50 INSPECTION RECORD -
5
OUTLETS
ER SYSTEM 30 Ready for Inspection Now
WATER SOFTENER g�
0.
to
z
Plan check fee 25% of above:See.reverse.
PLUMBING PERMIT ISSUING FEE.S
TOTAL FEE 4175
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan.check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
'GAS VENT'
City 'Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION `PLUMBING FIXTURES
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
'WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST _
PLUMING. .
I HEREBY CERTIFY THAT I AM'PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED As REQUIRED BY LOS ANGELES COUNTY AMC STATE OF AI
CALIFORNIA OR THAT I AM THE LEGAL OWNER OR AND INTEND TO
RESIDE IN,THE ABOVE.6111SCRISED REST I PR6 Y. ;'FINAL
SIGNATURE JACK R. ALLEN, SUP Rv1slNa EC HICAL.ENG'R.
OF PERMITTEE PERMIT VALIDATION j CK. .O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
��,, 1 2' 5 473 My 2 2' 5 D 4.7 5 ;Z' .