HomeMy Public PortalAbout5608 CAMBURY AVE_Plumbing__ De._17 10.55 APPLICATION FOR -PLUMBING PERMIT- 1
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DIVISION OF BUILDING AND SAFETY
Department of County Engineer =
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS -(r �� ' "P.
CASSATT D. GRIFFIN, SUPT OF 6UILOINO
LOCALITY
FOR APPLIC T TO FILL IN NCRoss T . ✓'
OWNER - W DISTRICTO. GROUT ZONE I READY FOR INSPECTION
MAIL
ADDRESS
CITY (EL/ TE PNO. 7 INDUSTRIAL
WASTE APPROVAL
PLUMBE // INSPECTION RECORD
ADDRESS p'
CITY
LICENSE N O
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ 51.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
1 GAS SYSTEM @ $1.00 d()
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
T GAS PIPING
]OTA L'FEE 1 V GAS VENT
I 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 FIXTURES
PLUMBING, p C
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 7 O
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWN R OF THE VE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
b
SIGNATURE
OF PERMITTEE VOL` FINAL �J
JOHN A. LAMBIE, COUNTY ENGINEER ALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. H. 0. CASH
1 0 4.OAR FEB 7 3 A 2.0 0 M
76A567-CE*817 �-,�p� ;may
APPLICATION FOR PLUMBING PERMIT U
COUNTY OP LOS ANGELES
DEPARTMENT'OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fAD'DLDING Q
JOHN A. LAM HI E, COUNTY ENGINEER flESS OC COLEMAN W. JENKINS. SUPT. OF BUILDING ALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST. p C
NUMBER FIXTURE OR ITEM EACH FEE
OWNER _E
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS p✓
SHOWER 1.50 CITY '—� C e 7— TEL. NO. 20 (J�
LAVATORY L50 CONTRACTOR `
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY - TEL. NO. -
CLOT14ES WASHER 1.50 STATE LIC
LICENSE NO. CLASS -
SWIMMING POOL RECEPTOR 1.50 I
DI6TRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 d
O
WATER HEATER 1.50 INDUSTRIAL - U
WASTE APPROVAL C
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U
0 E �
PERSYSTEM 5 .30 ('G . ` G C F.0 t�/W1
Plan check fee 2Si� of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR s SIGNATURE
Plan check applicant UNDER SLAB WORN: - -- -
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
Cl[Y, Tel No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE-THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES -WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST .- .
PLUMBING.
1 TIF
HEREBY CERY THAT I AM PROPERLY REGISTERED ANDIDR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROP EN FINAL
SIGNATURE JACK-R.. ALLEN, EUPERVI ING MECHANICA G.', _.
OF PERMITTEE
PERMIT VALIDATION CK. M.o CASH
PLAN CHECK VALIDATION CK. M.o. CASH — - —