HomeMy Public PortalAbout5931 CLOVERLY AVE_Plumbing__ 76A887-CE817-BSB
APPLICATION FOR -PLUMBING PERMIT
COUNTY OF LOS ANGELES .S?3 3/60
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION HUII.DING
JOHN A LAMBIE, County Engineer ADDRESS
CASSATT D GRIFFIN,Supt of Build�ag LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MALL
zz BATHTUB - ADDRESS
SHOWER CITY TEL NO
LAVATORY CONTRACTOR
SDVB ADDRESS
DISHWASHER CITY TEL NO
CONTRACTORS TATE
LAUNDRY TUB REGISTRATION NO 7h�/3 COUNTY El
CLOTHES WASHER DISTRICT NO GROU ZONE PROCESSED B
WATER HEATER S .
GAS SYSTEM INDUSTRM
WASTE APPROVAL
INSPECTION RECORD
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APPROVALS
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FIX vRE $ Q? 610 14-z -&o DATE INSP CTOR S SIGNATURE
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PERMIT $ 2100 ROUGH PLUMBING - �a _ Q
TOTAL FEE-H .2 DO GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT 1A.1 4 /J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER L
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST L 6- D DO
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �J
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED p bjfj
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
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OFPERMITTEF L?af _ ACL� FINAL 0� ��
ROBERT A WOOD
Or VALIDATION SUPERVISING MECHANICAL ENG R
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76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING�ND�SAgTY RMSION BUILDING r- //,���/�
JOHN A MBI OUNTY NGINEER ADDRESS
WILLIAM A JENSEN, SUPT_OF BUILDINGS LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO
CONTRACTOR' Ly�`
LAVATORY �
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DISHWASHER CITY l�iy2 �i�TEL NO
CONTRACTORS / r COUNTY ❑
STATE
LAUNDRY TUB REGISTRATION NO �-6
CLOTHES WASHER DISTRIX NOUP 7I ZONEP��QCESSED BY `
WATER HEATER p`l l/
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
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OR FDC= $ APPROVAL DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE—H ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED LOS ANGE E$ COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT /A THE L AL OWNER OF THE ABOVE
DESCRIBED RESIDE'} PROPERTY C:? UTILITY CO NOTIFIED
SIGNATURE f
OF PERMITTEDN FINAL
®a Crl� AUDATIO ROBERT A WOOD
Cs m 0ensx SUPERVISING MECHANICAL ENG
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APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND�S FETY IVISION D S G
JOHN A LAMBI OUNTY NGINEER
WILLIAM A JENSEN SUP T OF BUILDING i
-- LOCALITY
FOR APPLICANT TO FILL IN NSS NEAREST
NUMBER FIXTURE OR ITEM OWNER
C^ I A-1
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL NO A
SHOWER �
LAVATORY CONTRACTOR
ADDRESS
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DISHWASHER CITY TEL NO
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CONTRACTOR �/ 3^ STATE
LAUNDRY TUB REGISTRATION NO ( / � COUNTY ❑
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CLOTHES WASHER DISTRICT NO GROUP I ZONE PR CES BY
WATER HEATER
! GAS SYSTEM INDUSTRIAL
/ WASTE APPROVAL
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REITEM
$ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE I ��} ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST _/ (rZ
CALIFORNIA OR THAT 1 AM THE LEGAL OW R O THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEa�llewFINAL
OF, VALIDATION ROBERT A WOOD, V /
ca m 0 CASH SUPERVISING MECHANICAL ENG R
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