HomeMy Public PortalAbout5222 BALDWIN AVE_Plumbing__ (2) DBS
17 9 59 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County of Los Angeles
WM J FOX COUNTY ENGINEER BUILDING
CASSATT D GRIFFIN SUP T of BUILDING ADDRESS
I
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT.NDJ GROUP �Z , READY FOR INSPECTIONMAIL �j_ iADDRESS u3�
u
INDUSTRIAL
CITY TEL NO J WASTE APPROVAL
PLUMBER/ INSPECTION RECORD
ADDRESS
CITY �s��jw J��I TELaO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
' WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO O eo O APPROVALS
GAS SYSTEM OUTLETS @ 1 00 DATE INSPECTOR S SIGNATURE
WATER HEATER
@ 1 00 UNDER SLAB WORK
ROUGH PLUMBING ♦�J
PERMIT S 1 00
.2 �♦J GAS PIPING
TOTAL FEE GAS VENT
i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES •7''� 6i1. .a+v
PLUMBING _
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABODE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY Q
SIGNATURE ZY I OF PERMITT /^ ,/p FINAL F /p�jl,y
E �+'
WILLIAM J FOX COUNTY ENGINEER VALIDATION R A WOOD CHIEF PLBG INSPECTOR
&6636 AUG15 3 260
76A66
DBS-17 AP-PLICATION FOR PLUMBING PERMITDBS. 12-54APPLICATION
OF BUILDING AND SAFETY �.
Deportment of County Engineer
County of Los Angeles
BUILDING J o
WM. J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS 1/fj. �✓ I� r
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL. NO.
LICENSE NO. Z// 2, /
NUMBER TYPE OF FIXTURE OR ITEM I FEE _
WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.60 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00 _L
_UNDER SLAB WORK
WATER HEATER @ 1.00
ROUGH PLUMBING
PERMIT S qtr 00 _GAS PIPING
TOTAL FEE +C GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _UTILITY CO. NOTIFIED
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. .,
SIGNATURE - 7 - -
OF PERMITTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
BY
DEPUTY
�7i ,