HomeMy Public PortalAbout5102 DALEVIEW AVE_Plumbing__ TGAF,T
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- APPLICATION FOR PLUMBING PERMIT .1
aE IT BUILDING AND SAFETY DIVISION1
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Department of County Engineer -
County o3 Los Angeles euaDlNc �/D 34
JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS CYC 1
CASSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST '
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS Q CL) ✓e j - I L I A—/
`.I INDUSTRIAL
CITY LP TEL. NO. �•I ✓ WASTE APPROVAL
PLUMBER INSPECTION RECORD
' ADDRESS
CITY TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $I.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK ,
PERMIT $ 7 OO ROUGH PLUMBING •�
TOTAL FEE
GAS PIPING
GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAUATION
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGGAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNT
CALIFORNIA OR THAT I AM THE LEGAL OWNERUTILITY CO.NOTIFIED
DESCRIBED RESI I ROPE -
SIGNATURE /` t
OF PERMITTEE FINAL l
ROSERTA.WOOD.
JOHN A. LAMBIE. COON Y NGINEERATION SUPERVISING MECHANICAL ENG'R
' IN
A 5 0 ",R� JUL 19 3 2-.00 u; .
pBS.IT�;��<•
APPLICATION FOR PLUMBING PERMIT .
`prV SION OF BUILDING AND SAFETY
• Depmhaent of County Engineer
+ County of Los Angeles
WM. J. FOX, COUNTY ENGINEER ADDRESS el LCX.QA/-(PiLC•Y�
CASSATT D.GRIFFIN,.SUP'T OF BUILDING -' -
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. f GROUP h2pN xEn.l Fa R�InsrECTM
MAIL Tom` I
ADDRESS .r..(?u
INDUS
RIAL
. CITY .TEL. NO. 1 D WASTETAPPROVAL .
PLUMBER n / INSPECTION RECORD /
ADDRESS l y ��7 S`�j„I'� !R �i �,•Ml' Y'-7 1 u [{{'_
CITY TEL. NO. 3 79 - 'f__=C..-iT.T O' C
LICENSE NO.
NUMBER TYPEOF FIXTURE OR ITEM FEE 4- '
WATER CLOSET (TOILET) S L f
BATH TUB
- SHOWER
LAVATORY (WASH BASIN).
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRA cz
00 .
Tf
Ji / .fiL•! .�ttA�P/11.0 J' li!C .
TOTAL NO. @ 0.80 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00 -
/ - IL UNDER SLAB WORK
WATER HEATER ® 1.00
ROUGH.PLU MSING � • /�y�t,:F
PERMIT g 7 00 GAS PIPING
TOTAL FEE GAS VENT A
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER II L
AND STATE THAT/THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES. AND STATE LAWS REGULATING PLLMBING FIXTURES q
PLUMBING./
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST /�P
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO'. NOT)FI ED CALIFORNIA OR THAT I AM THE LEGAL OWNER OF T E ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMTEE
_ FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION (j[.fJZLd GGLy��
6 8 5'31P- .AUG18 3.. 9.4 0
By
J �j�/��J�]�y/�j ��[� �DEPUTY.