HomeMy Public PortalAbout9720 BROADWAY_Plumbing__ 76AS67-CE4817 4-64
APPLICATION FOR PLUMBINGMIT
COUNTY OF LOS ANGELES �E R
DEPARTMENT OF COUNTY ENGINEER ppp
BUILDING AND SAFETY DIVISION 7BiDDDAEss /"y�q/`� SBR
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
TII
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 81.75 rd lO
MAIL
BATH TUB 1,35 ADDRESS T97o6Rn4jq&zodV
II
SHOWER 1,35 CITY TEL. NO. S2U
LAVATORY X 1,35 CONTRACTOR A��R
SINE 135 ADDRESS
DISHWASHER 1.35 CITY TEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB 1.35 REGISTRATION NO. COUNTY u
CLOTHES WASHER LIS DISTRICT NO. GROUP ZONE PR CESSEO BY
WATER HEATER 1.50 � 1 /lf. L-
CAS SYSTEM OUTLETS 1'50 INDUSTRIAL y
WASTE APPROVAL O
OUTLETS OVER S PER SYSTEM .30 ,INSPECTION RECORD A V
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• � 1
APPROVALS DATE IHSPECi R'S SICNATUREi
PERMIT $ '2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE .� J GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT \ v
AND STATE THAT TME ABOVE IS CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE (D
FINAL M-V —( /_•i7 !JY'^�//
VALIDATION ROBERT A.'W000
cK N.O. CASH SUPERVISING MECHANICAL ENG'R
L,Iuo 9 0 7 6� 1-m P, 3 5 0 4.5 0
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APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS O
JOHN A. LAMBIE. COUNTY ENGINEER _
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST -1 r
CROSS ST. / 1=
NUMBER FIXTURE OR ITEM EACH FEE OWNER T
WATER CLOSET $1.25 2_3 e&ba
MAIL
BATH TUB 1,25 ADDRESS q R OA h Ula
i' CITYe( Y TEL. NO.
SHOWER 1.25 / �-TMEIE
LAVATORY 1.25 Zj CONTRACTOR C3 t1
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY C ( r yTEL. NO.
LAUNDRY TUB I25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY D
CLOTHES WASHER 1.25 2
DISTRICT NO GRO E P O QV
WATER HEATER 1.50 l'
i GAS-SYSTEM OUTLETS 1'50 ,S D INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD e U
1FAV TA-1 »A ..a��
_ APPROVALS _ DATE IINSPECTOR'S SIGNATUNE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI$ A LIGATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING, HOT WATER HEATER
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1 HEREBY CERTIFY' THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES {Oc.(Fry}ry' �v/1q!3'N 1)_ z
LICENSED AS RE ANGELES AND STATE TO GAS TEST
CALIFORNIA OR THAT HAT I BY THEHE LEGAL OWNERER .1,TY OF AND INTEND
RESI OE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ` UTILITY CO. NOTIFIED / v
SIGNATURE w A
OF PERMITTEE FINAL .!'
VALIDATIO ROBERT A:WOOD V
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
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7OA667.CE9819 .9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER r
LDING
BUILDING AND SAFETY DIVISION DRESS p
JOHN A. LAMSIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING CALITY
FOR APPLICANT TO FILL IN ARESTOSS ST.
NUMBER FIXTURE OR ITEM EACH FEENER ( C[CWATER CLOSET $1.25 16
IL
HATH TUB 1.25
ADDRESS f T
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR t
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1,25 CONTRACTOR'S STATE
REGISTRATION N _ COUNTY ❑
CLOTHES WASHER 1,25 DIS/TRIy�T NO. I GROUP ZONE MCESSCD BY
WATER HEATER 1.50
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GAS SYSTEM OUTLETS 1'50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .20 INSPECTION RECORD
U
k en is ��-rt o
w
Z
APPROVALS DATE INSPECTORSSIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
S� ROUGH PLUMBING f
TOTAL FEE GAS PIPING 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 / \
PLUMBING.
HEREBY CERTIFY THAT 1 S PROPERLY REGISTERED ATE OF PLUMBING FIXTURES
LICENSED A6 REQUIRED I BY LOS ANGELES ER OF, AND STATE TO GAS TESTCAL
RESIDE IN. E THAT SC THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE _
OF PERMITTEE I` ..1 L I� 1
FINAL
VALI `I��208ERT A. WOOD
M.0, (
CK. M.o, cash UPERVSNG MECHANICAL ENG'R
L�il 5 6 2 8 Go NOV 5 5 D 3_50-