HomeMy Public PortalAbout9031 BROADWAY_Plumbing__ 7GA667-CHB I ZB 57
COUNTY OF LOB APPLICATION FOR PLUMBING PERMITANGELES
1
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ��.L� Rd
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALIT t 7-
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. SR Q
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS W
SHOWER Cl TEL.NO,
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTRICT NO. GflOUP jCO RE.'FOP INSPECTION
WATER HEATER �[JT/
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
1. A J
APPROVALS
$1.00 PER ITEMATE INP4TOR-S SIGNATURE
OR FIXTURE $ S-zv UNDER SLAB WORK
ROUGH PLUMBING
'PERMIT 4 1 00
GAS PIPING 77 �
TOTAL FEE GAS VENT
IHEREBY 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. L
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 5
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF \
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED 1
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OFPERMITTEE FINAL
ROBERT A. OD,
VALIDATION
y SUPERVISING MECHANICAL ENG'R
CN. M,O. ASH
A0233-9R MAY 28 3 A 6,00
TBAGBT -CERBIT 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS O
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALI
G
FOR APPLICANT TO FILL IN NEAREST
CROSS ST A4
NUMBER FIXTURE OR ITEM EACH FEE
OWNER p 1 Sp
WATER CLOSET 71.25 MAIL
BATH TUB1,25 ADDRESS A�4 LtJ
SHOWER 1.25 CI C TEL. NO. / E2
LAVATORY 1,25 CONTRACTOR ow - p
SINE 1.25 Z ADDRESS 0• aEIEP
DISHWASHER 1.25 TEL. NO. 62
LAUNDRY TUB 1,pg CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 S O -3
CAS SYSTEM-OUTLETS- 1'50 J V INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .00 I INSPECTION RECORD A V
W
✓F Z
APPROVALS DATE INSPECTOR'S Sm NATURE
PERMIT S 2 00 UNDER SLAB WORK _�/� A
r/ ROUGH PLUMBING /4nJ�s,�j _ w .i
TOTAL FEE / GAS PIPING W y 4* r ,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT I
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AB REQUIRED BY L05 ANGELES COUNTY AND STATE OF GAS TEST _-
CALIFORNIA OR THAT I AM TME LEGAL OWNER OF.AND INTEND TO
RESIDE IH. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED I ,
SIGNATURE C /�
J1 • I�
OF PERMITTEE FINAL
VALID ROBERTVT
CK. M.k. GSH SUPERVISINGNG MECHANICAL ENG'R
LriLo 5 9 0 3 NOV 16 5 D 4.75-