HomeMy Public PortalAbout8620 WORTHINGTON DR - Plumbing - 1972-06-19 76A661-CE#817 2-66
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS VISION BUILDING '862o L'. Worthington
COLEMAN W. JENKINS. SUPT. OF BUILDINGUR
LOCALITY San Gabriel
FOR APPLICANT TO FILL IN CSO E ST. Burton
NUMBER FIXTURE OR ITEM EACH FEE
owrlER R. Anderson
WATER CLOSET 51.25 ADDRESS Same
BATH TUR 1.25
SHOWER 1.25. CITY TEL. NO.
LAVATORY Lu CONTRACTOR Aquatic Pools Inc.
SINK 1.25 ADDRESS' 311 E® Live Oak Ave.
DISHWASHER 1.25 crff ArcadiaTEL. NO.4"-4661
STAE LIC
LAUNDRY TUR 1.25 LICENSE NO. 263283 CLASS C53
CLOTHES WASHER 1.25 DISTRICT NO. G OUP ZONE PESSED BY
WATER HEATER 1.50 R
GAS SYSTEM OUTLETS 1.50 INDUSTRUWASTE LOYAL o
OUTLETS OVER 5 PER SYSTEM[ ,90 ca
INSPECTION RECORD �
1 Swimming pool p&pe ng 1 75 s/(�--7� '� � r�
a
y
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE �� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE.TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ,GAS TEST
CALIFORNIA OR&THAIM THELEGAL OWNER OF,AND INTEND TORESIDE IN,TME SC ED REBID TIAL: ROPERTr. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMI
t�
�UDATION JACK R.ALL'EN
M.O. GASH SUPERVISING MECHANICAL•ENG'R.
L4&65- 4. 9-8.. ' 1. R y 4.75
7SM87--CES17-M8
.� APPL,ICATION FOR. PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ffissaSAT. aCISSATDGRMW County w � a��,6/i� i®•�
�I
LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.NUMBER FIXTURE OR ITEM OWLS
WATER CLOSET NfAIL
BATE TOB ADDRESS
SEOWEB CITY TEL NO.
LAVATORY CONTRACTOR13327 E CONTRACTORS
snug
for tree-•
DISEWASEER CITY CNY o n u ry ED. 7-7226
L1lUNDRY TUB CONTBACTOR'S STATE ❑
ffiGdMATION NO. COUNTY
I CLOTRES WASHERDISTRICT O. GROUP ZONE PROCESSED BY
WATER HEATEB GAS SYSTEM SYSTEM INDUSTRM
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
I® 0 gg 8gEgITEM $ ^ DATE INSPECTOR'S SIGNATURE
® (/ UNDER W RK
PERMIT S 2100 ROUGH PLUMBING'
TOTAL FEE 40 GAS.PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I40T WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES 7 c- rO 7.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 7►7-GC � 3,er✓
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE
UTILITY CO.NOTIFIED 7 9�.G0
ID
DESCRIBED RESENTIA OPE
SIGNATURE FINAL ��/�CI�
OF•PERMITTE
OF VALIDATION SUOPBER ISIN MecHANICAL ENG'R
CR. 61.0. CASH
LACo 8 9 5. 5 a APR 7 5 A 1 2.0 0