HomeMy Public PortalAbout5341 BUTTONS AVE_Plumbing__ ,BS-17,D.RS APPLICATION FOR PLUMBING 'PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING � {
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT-D. GR I FFIN, SUPT OF BUILDING „•/
LOCALITY is(E
FOR APPLICANT TO FILL IN NEAREST �-
CRO55$T. .i I
OWNER DISTRICT NO. GROUP ZONE REDYFCRINSPECTICN
MAIL
MAILADDRESS
Zfl
INDUSTRIAL �>v
CITY t Q NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADORE S
LICENSE NO. z�
NUMBER TYP OF FIXTURE OR ITEM FEE.f V
WATER CLOSET (TOILET) @ $1.00 $ a
BATH TUB @ $1.00 a _
SHOWER @ SI.00
LAVATORY (WASH BASIN) @ SIOO t�t
KITCHEN SINK @ $1.00 4'•
DISHWASHER @ SI.00 .0
LAUNDRY TUBOR TRAY @ 51.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $LOO
GAS SYSTEM @ $1.00
APPROVALS .
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING 2e �6 Tr}+•TnQ 1......_..
4
TOTAL FEE
/� ,. GAS PIPING
r/ GAS VENT
1 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. PLUMBING FIXTURES RES
_
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST H
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED N lI
DESCRIBED RESIDENTIALOPERTY.
SIGNATURE / \ (/
OF PERMITTEE FINAL
JOHN A. LAMBI COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK H.B. CASH
4303t� mAR20 3 1 1 .0 0
76A 667 (CE-B 17)-4/72
APPLICATION FOR PLUMBING PERMIT .
COUNTY OF LOS ANGELES "
DEPARTMENT OF COUNTY ENGINEER G, c.
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: IV
Lh
BUILDING
ORE ss YI NK
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER /f
MAIL
BATH TUB 1175 ADDRESS �
SHOWER 1,75 CITY WAEL.
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 ' CITY �C / 'TjiW EL. N0. 7-.e7rJ
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1,75
DIS RICT NO. fiED NE FR CES$ D BY
LAWN SPRINKLER SYSTEM 1,750 /J Q T /f
WATER HEATER 1.75 INDUSTRIAL Cl �!�
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 ' INSPECTION RECORD U
OUTLETS OVER C
5 PER SYSTEM '30 -
U
W
d
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00`
TOTAL FEE 75 -
APPROVAL$ DATE cro0's ICNATUBF
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No.
GAS VENT
HOT WATER HEATER S-3o74/ X71 91"7;A
HEREBY ACKNOWLEDGE THAT HAVE READ GRE APPLICATION
AND STATE THAT THE ABOVE Is CORRECT TE LAWS E COMPLY PLUMBING FIXTURES
WITH ALL COUNTY OPOINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGCOUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LE L HER OF, ANO INTEND TO
PESI DE IN THE ABOVE DESCRIBED R 510 TIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT,VALIDATION CK. M.Q. <Asn
PLAN CHECK VAVDATION CK, M.O. _ CASH
2, 2 3ri triAY 30. . 4.7 5 A98