HomeMy Public PortalAbout9426, 9422 BROADWAY_Plumbing__ o.s-rx S_I%loss APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles "'LOIN
JOHN A. LAMBIE, COUNTY ENGINEER
ADORESSy
CASSATT D. GRIFFIN, SUPT OF SUILOING
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER qq
STRICT NO, GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS I II�1
STRIAL
CITY A TEL. NO EAPPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY ^TEL. NO
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM' FEE
WATER CLOSET (TOILET) - @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00 '
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ SI.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
v APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
` GAS PIPING A
TOTAL FEE OO ` GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I 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 ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PROPERT 1
SIGNATURE 1,11
OF PERMITTE FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CY K.0. CASH
��7 5 5 8 6 APR 26 2.0 U In
96A0010
705-07 10-99 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Depaxtment of County Engineer
County of Los Angeles BUILDwc ,^'
JOHN A. LAMBIE, COUNTY ENGINEER ADORES$ V 1'
CASSATT 0. GRIFFIN, SUPT OF BUILDING - ]�' /'
,. _..... - - .. LOCALITY I t l�
FOR APPLICANT TO FILL IN I NEAREST G
1 �A) •��/�� pp CROSS ST. d
1 OWNER. L '4 L E V�\ S DISTRICTN. GROUP 7.GJJ E. I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO.
"� WASTE APPROVAL
PLUMBER A^ 1 VV nl I pT /INSPECTION RECORD
ADDRESS ) - (��''7���5���—•. El/ hTY�iST
CITY I eorr q TEL. NO. --ZZV�
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE iY ISS(_-ra e.lC L y.
WATER CLOSET (TOILET) @ S1.00 $
BATH TUB @ SI.00
SHOWER @ S1.00 �
LAVATORY (WASH BASIN) @ S1.00
KITCHEN SINK @ S1.00 I P
DISHWASHER @ S1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHESWASHER @ $1.00 tl�` F �
�9I'V._c �,i_Wl AAA L.
WATER HEATER @ $1.00 {{ _�_'• �
GAS SYSTEM @ SI.00 1
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK _
PERMIT $ 1 00 ROUGH PLUMBING J/4- ,.G-L -
GAS PIPING
TOTAL FEE GAS VENT
AN1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PPLICATION
D STATE THAT THE ABOVE IS CO RRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. I PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE
CALIFORNIA OR THAT 1 AM THE LEGA OWNER OF THE ABOVE UTILITY CO.NOTIFIED 11
DESCRIBED RESIDENTIAL 0 ERT
SIGNATURE
OF PERMITTEE FINAL ') O SI A n l A
JOHN A. LAMBIE. CoUN Y ENGINEER ALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK Y.6. CASH
Ado 7 0 8 0 APR 11 3 8.0 O to