HomeMy Public PortalAbout5112 DALEVIEW AVE_Plumbing__ T6A66T 1, APPLICATION FOR PLUMBING PERMIT
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'.G_17 DIVISION OF BUILDING AND SAFETY
Department of County Engineer / -
County of Los Angel" BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS %/S �'���•; 7atfdl/?[y %`
CASSATT D. GRIFFIN, SUPT OF BUILDING �� r
-.> .,: LOCALITY
FOR APPLICANT TO FILL IN _ I NEAREST
4' �f a N CROSS IT, �"..Z✓ ll/'GY /1��
OWNER �ij!./IPp',n "f ,,_/I��/A DISTRICT NO. GRIO�IP ZONE 1i READY FOR INSPECTION
MAI L
AODREEESy //p"/�/f R�/1✓�'IV; a 5 I `
/ C�YI J?•?/ C' C�//OEL. NO /, INDUSTRIAL
• CITY �a �l WASTE APPROVAL
PLUMBER '�e�1".�d INSPECGTION RECORD
ADDRESST�,
CITY ,C.•..,.r.<�.y.�yf -.I.T.E L. NO. (.� /1•¢AA !!—IDB � -q/
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LICENSE NO. � '� �-
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ �+ /
J�/dr1,a�� _J�,'�,•�1 .� ..moi�.,-..}i /I.2�-n61 ;9/
BATH TUB @ $1.00 a y
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00
.DISHWASHER - @ $1.00
LAUNDRY TUB OR TRAY @ .SI.00
OLOTHES WASHER @ $1.00
WATER HEATER @ SI.00 /�� b•aLw�
GAS SYSTEM @ $1.00 -//•E'd-/IrZ// Z"&-"o �
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APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK ��]]
PERMIT $ 7 00 ROUGH PLUMBING �'y �� �If_n•, ./.+•^I
GAS PIPING F
TOTAL FEE
fff GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST /A yGl .• wfist�"t'yvO C'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ? � '
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PROP RTTT,
SIGNATURE �• r,
OF PERMITTEE �9� FINAL
JOHN A. LAMBIE. COUNTY.ENGINEER - VALIDATION ROBERT A. WOOD, CHIEF PLSG. INSPECTOR
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&r- :i 9 .1 os SEP 3 3 8.0 0 IN
76A667-CE1817 6-65
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APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETYDIVISION fAD
LDING
JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING ALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FENTURE IT EACH FEE
OWNER
WATER CLOS 31.25 MAIL
BATH TUB 'LLLT� 1,25 ADDRESS '
SHOWER 1.25 CITY TEL. NO. -I .e
LAVATORY 1,25 CONTRACTOR
e 050c'-
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE PROLES
WATER HEATER 1.50 ,S O
GAS SYSTEMOUTLETS 1.50 / C INDUSTRIAL y
WASTE APPROVAL O
OVERW5 PEA
OUTLETS OVESYSTEM .30 INSPECTION RECORD V
O
F
V
w
a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 2 00
D ROUGH PLUMBING
r
TOTAL FEE GAS PIPING
♦� G.^
1
HEREBY ACKNOWLEDGE THAT LIG
HAVE READ THIS A ATION GAS VENT
ANO STATE,THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSEO AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO '
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PRO^ERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
FINAL �
OIDATION
M:O. CASH
LA-03) 246E JUL 1 5D 7.5
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