HomeMy Public PortalAbout5623 CAMBURY AVE_Plumbing__ 76A6
DBS.1APPLICATION FOR PLUMBING PERMIT 1
DIVISION 'OF BUILDING AND SAFETY
Depaxtmenl of County Engineer - -
County of.Los Angeles BUILDING �� 2`� �f
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS c
CASSATT D.GRIFFIN, SU P of BUILo IG
FOLOCALITY
R APPLICANT TO FILL IN NEAREST A
I CROSS ST. ��� �Lt
'. , ME�,j,
OWNER '/o� E/�/ DISTRICT NO. GROUP ZONE x(e nx�I NNSS PPE�ECCTIOIOON�
AIL
ADDRESS /J/V.
CITY P7l! / Cif TEL. NO. t3 l/ W INDUSTRIAL
APPROVAL
PLUMBER T. L. f1AMr9AV P%;iA INSPECTION RECORD
ADDRESS 'c L•J /'UJ j' 'I It ,{p.
CITY a- eO1 R1/Cm Ile TEL. NOF' � /✓
LICE 6E N � �
NUMBER YPE OI IXTURE OR ITEM FEE
I WATER CLOSET (TOILET) @ 81.00 $
BATH TUB @ $1.00
SHOWER @ $1.00 G'pJ% 1/
s;cr /F// o
(j.
LAVATORY (WASH
BASIN) @ $1.00
KITCHEN SINK @ .51.00 ZX/rl
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 /n.�,3� �� /?,c AAg�p
CLOTHES WASHER @ $1.00 ^'
"
WATER HEATER @ $1.00' 'f
GAS SYSTEM @ $1.00 �yC7/�.A- i4moy
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APPROVALS
1F-[p0R DATE IINNSPP{ECCTOR'S SIGNATURE
UNDER SLAB WORK J O (lCQ /7t/ hxh7h.t
rr/� orf r
PERMIT S00 ROUGH PLUMBING p
Z
- GAS PIPING
TOTAL FEE cws veNT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY
WITH ALL COUNTY ORDINANCES
PLUMBING. AND STATE LAWS REGULATING PLUMBING FIXTURES / (C /�
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
CE _
LINEED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LE AL OWNER OF THE ABOVE UTILITY CO.NOTIFIED Z
DESCRIBED RESIDENT PROP Y.
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBI`. COUNTY ENGINEER VALIDATIo ROBERT A. WOOD, CHIEF PLSG. IN
CK. N. 6 <-9H
Lt CO 6 0 Op 'va 7 5 A 5.0 0
76AB67 CE'#RIT 2-62 TEMPLE CHTY
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 3
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT DF B.ILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS
SHOWER 125 CITY RL. NO.
LAVATORY 1,25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY
LAUNDRY TUB 125 REGIS RATION NO. /G �Cf Cp gyp' COUNTY NTRACtOR'S STATE 0
CLOTHES WASHER 1.25 DISTRICT NO. GROU ZONE P SSED BY
WATER HE 1.50 2A
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD - A d
u
_ O
u
W
a
Z
APPROVALS DATE INSPECTORs SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING 1 `
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD THIS AA GAS VENT
AND STATE THAT THE ABOVE IS CORflECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT AM THE LEGAL OWN OF.AND E O TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENT. PROPERTY UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE i a�/4� �.
FINAL
LIDATION ROBERT A. WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
1615E GOT 18 5 D 3.50"