HomeMy Public PortalAbout5326 BARELA AVE_Plumbing__ 75AG67-CENS17 5/69
APPLICATION FOR PLUMBING PER14iT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY.ENGINEER
BUILDING AND SAFETY DIVISION ADDBUILDINGRESS kS— (a
JOHN A. LA..MBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING 'LOCALITY
FOR APPLICANT TO FILL IN ' ' ROSS ST. +
NUMBER FIXTURE OR ITEM EACH EE
OWNER
WATER CLOSET 51.25 Z dIL
1 BATH TUB 1.25 ADDRESS
SHOWER 1.25 a 3� TEL. NO.
LAVATORY 1.25
CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 rZs CITY TEL. NO. -7,0,07,r
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. / COUNTY p
CLOTHES WASHER 1.25 DISTRICT N G Z E PROLCESSLED BY
WATER HEATER e� 1:500 61<0
GAS SYSTEM_2--`OUTLETS_OUTLETS 1.5.0 INDUSTRIAL a
WASTE APPROVAL -0
OUTLETS OVER 5 PER SYSTEM .50 U
• SPE ..CTION RECOD
+� �ri.• W
a
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' Z
APRT S PATE I INSPEG OR'S 549WURE
PERMIT 5 2 00 UNDE WORK /
ROUGH PLUMBING TIOU. gylw."
TOTAL FEE Gas PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE -LAWS REGULATING HOT WATER HEATER /(�/ v
PLUMBING. /f/ I
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES .v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �[ r
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO.NOTIFIED
SIGNATURE y ,
OF PERMITTEE FINAL ter_-
LIDATION ROBERT A?WOOD
' cK. M.O. CASH SUPERVISING MECHANICAL ENG':R
L.�C0 5.' 8••3 9% FEB 2 4 5 0 1 8.7 5N b'
. 70NS67 17 U-50 I® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY q
•!_ COUNTY OF LOS ANGELES A
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT ONO.
f/O
PLUMSE ,• RECFEIVVEEEDBY READY FOR 7;A7ISSUED/
FIRST INSPECTION
ADDRESS .!w 7 �� f[ ' g� 7�r
DING
CITY A TEL. NO. A%'S �+ �
Y �y ,,j
COUNT JP O I'I EXPIRES ? 'tP�l F�CALr _
LICENSE NO. r r
� v NEAREST
PERMIT FEES /r CROSS ST. ��//
OWNER rr/G
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL
WATER CLOSET (TOILET) 0.50 S ADDRESS
i
-1 BATH TUB @ 0.50
CITY NO.
SHOWER @ 0.50 1 HEREBY A NOWLEDGE T AT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AN STATE THAT T ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL OUNTY ORDINANCES AND
KITCHEN SINK 0.50 STATE LAWS REGULATING PI-11 BING.
I CERTIFY THAT I POSSESS. THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDEXROPEP/ tT DESCRIBED ABQ"g.
GAS SYSTEM OUTLETS C0) O.SOI SIGNATURE OF ,[
WATER HEATER ® 0.5.0 PERMITTEE
SLOP SINK 0.50 I INSPECTION RECORD
FLOOR SINK C� 0.50•
FLOOR DRAIN C� 0.50
DISHWASHER ® 0.501 • �� r �/ C .rte `
DRINKING FOUNTAIN 0.50
URINAL ( 0.501 -J
HOUSE SEWER @ 0.501 Q
Z
MISCELLANEOUS C7
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
v�
GAS PIPING
GAS VENT
CESSPOOL (8) 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT . .
I 1.00 GAS TEST
I G UTILITY CO. NOTIFIED r _ef
TOTAL FEE ✓4/II l�
g dJ4 I
� FINAL �