HomeMy Public PortalAbout5204 DALEVIEW AVE_Plumbing__ A 14
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ' _
BUILDING AND SAFETY DIVISION BUILDING �{{
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS �(J
COLEMAN W. JEN KINS, SUP T. of BuaDING LOCALITY Lei
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM rEACH FEE
OWNER
WATER CLOSET MAIL
BATH TUB' ADDRESS QSHOWER - CITY TEL. NO. �a-9696
LAVATORY CONTRACTSINK ADDRESS 3 q
DISHWASHER 1.50 CITY TEL. NO.p._$0-
CLOTHES WASHER L50 STATELIC
LICENSE NO. /Q 'CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZONE
LAWN SPRINKLER SYSTEM
2,00 O
WATER-HFATER 1.50 / INDUSTRIAL U
WASTE APPROVAL Z
GAS SYSTEM OUTLETS L 050 INSPECTION RECORD �
OUTLETSOVER
5 PER SYSTEM .30 �1
I 1 �
1 1
i Z
'A'V l
Plan check fee 2igb of above. See rrvcrse.
PLUMBING PERMIT ISSUING PEE 4 2 00
'TOTAL FEE
'APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING _
Address GAS PIPING
GAS VENT
Ci[v Tel. N, HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1, AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE BOVE DESC IBED RESIDENTIL,11 2 AL OPERTY. FINAL
SIGNATURE' .PACK R. ALLEN, SUPERVISING HPNIC AL EN G'R.
OF PERMITTEE
PERMIT VALIDATION fc K./ M.o. CASH
PLAN CHECK VALIDA N CM. M.o. CASH -1 �•� _ r�
PAA ,.$_,.7.,C} 8iti 1 1 4• O D 3..5 0D 1 a
' W/V
CE RI1.-56 APPLICATION FOR PLUMBING PERMIT 1
UILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING ��
JOHN A.LAM BI E,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUE OF BUILDING T2/Y//'! C
LOCALITY /Y, /1-i
FOR APPLICANT TO FILL IN I NEAREST �—
CROSS ST.
OWNER O3 r DISTRICT[40. I GROU I Z'ONE I ReARY PON INSPECTION
MAIL Off{✓ _
ADDRESS •�
-INDUSTRIAL
CITY TEL. NO. WASTEAPPROVAL
PLUMBER .. ,3 INSPECTION RECORD ✓
FONTANA PII't.16ING CONTZACTORS Esq! t �Glri,w dPv
ADDRESS �/
CITY PUENTErpA 'g"'w '
•# 96496 C 3112
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 @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 A I �[
CLOTHESWASHER @ $1.00
WATER HEATER @ $1.00 Z-z —i< q
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
4 UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING 9 �77�I�(. !xllrlefsflt/!e
D GAS PIPING • O? G
TOTAL FEE GAS VENT �^C
ANDHS TATE THAT THE EBY EABOVE DGE H ST CORRECT AND AGREEI HAVE READ THIS TOCOMPLY HOT WATER HEATER 7-/0 IL
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ PLUMBING FIXTURES �(0 p
PLUMBING.
TE OF
I HEREBY CERTIFY THAT 1 AM PRO ERLY REGISTEREDI-I AND/OR GAS TEST
CALIFORNIACENSED $ORTHATREQUIRED I BYLOS
T A EG OWNER OkErELE.1 COUNTY F THE AABOVE - UTILITY CO.NOTIFIED
DESCRIBED RESIDE
NTI Be Y.
SIGNATURE
OF PERMITTEE FINAL rl J .fLY
1—— 1.11 — [1 ROBERT A.WOOD.
JOHN A. LAMBIE.COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
` CR. B.0. CASH
�(,1885m .mAR 5 3 A 1 8.00 C