HomeMy Public PortalAbout5220 DOREEN AVE_Plumbing__ 76A607-CE817 10-60
APPLICATION FOR PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF But LOINS LOCALITY
A
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITyM 1
OWNER
WATER CLO / S� MAIL
ADDRESS
l BATH TUB 1j
CITY TEL NO.
SHOWER / yS
LAVATORY % S CONTRACTOR
SINE ADDRESS
DISHWASHER CRY CTO . NO. n�j
CO 'S
RE( ION /� / STATE
LAUNDRY TUB eEION NO. / (p COUNTY
CLOTHES WASHER / �,5 DIST NO. GROUP Z NE P50CEVED 13Y
1. WATER HEATER „j r) / O GoJ
FRACAS SYSTEM. INDUSTRIAL
WASTE APPROVAL }
WSPECrION'RECOHD / D.
O
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® S1FB�PER ITEM / Z �.,.
OWRI FIXTURE S `J 'APPROVALS 14J' TEf INSPECTOR'S
SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
!Z'
TOTAL FEE C-D ROUGH PLUMBING
GAS PIPING -p• �v `�
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION •r
ANE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT j
ALL
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER t(D �4 i-y•FJ �,
BY CERTIFY THAT I AM PROPERLY REGISTERED ANO(OR PLUMBING FIXTURES1.AB REQUIRED BY L09 ANGELES COUNTY ANO STATE OFG.A$ TE$T VIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE �/D RESIDENTIAL PROPERTY. UTILI /'RE RMITTE FINAL
JALIDATION ROBERT A. WOOD
cK. M.0. CASH SUPERVISING MECHANICAL ENG'R
X0 2 6 5 8 AUG 7 5 D 15.00,
]6P66]-EER 617 6-66 �� 1\�1� �Y`
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APPLICATION FOR PLU BING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS 77-
SHOWER 1.25 CI TEL. NO. S,
LAVATORY 1,25 CONTRACTOR
SINE 1,25 ADDRESS
oen
DISHWASHER 1.25 CISY STATE /� /} TEL. NO.
LAUNDRY TUB 1.2$ LICENSE NO, p/�/ y CLASS —/
CLOTHES WASHER 1.25 DISTRICT NO. GRP_ ZONE P C D BY
WATER HEATER 1.50
r
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL ORD O
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECU
u
u
w
a
h
Z
APPROVALS DATE INSPECTORSSIGNATURE
PERMIT S E2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED A$ REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABOVE OESCRIIIBB/LED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE ' Au�
OF PERMITTEE Y y2
FINAL
0CN. ALIDATION
M.O. CASH
Lht7 3 2 3IZ FEB 27 5 D 3350 v
1.