HomeMy Public PortalAbout5202 FARAGO AVE_Plumbing__ 78A887 CE#817 10 82
APPLICATION FOR PLUM ING PERMIT
COUNTY OF LOS ANGELES
.DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION FNEAREST
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING Y `
FOR APPLICANT TO FILL IN T
NUMBER FIXTURE OR ITEM EACH FEE OWNER f
WATER CLOSET $125
- MAIL
BATH TUB 12S ADDRESS O/ f
SHOWER 125 CITY TEL NO
LAVATORY 125 CONTRACTOR
SINK 1125 ADDRESS
DISHWASHER 125 CITY TEL NO
LAUNDRY fUB 1 25 CONTRACTOR S STATE El
REGISTRATION NO COUNTY ❑
CLOTHES WASHER 125 DISTRICT GROUP ZONE SEED BY
WATER HEATER 150 ,���10®® �D/
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL WASTE APPROVAL Q
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
GL
O
F
V
W
d
1/f
Z
APPROVALS DATE INSPECTOR SISIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK A
ROUGH PLUMBING
TOTAL FEE GAS PIPING J ! J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION / J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT j f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES { _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO GAS TEST
RESIDE IN THE ABOVE DESC IBED RESIDENTIAL P OP_ERTTYY A UTILITY CO NOTIFIED
SIGNATURE ��^L [ ' k ,I i'� ✓� ..4.-��
OF PERMITTEE( FINAL ����
VALIDATION ROBERT A WOOD v
CK M o ( CASH/ SUPERVISING MECHANICAL ENG R
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION rNEAREST
LDING C O ��
JOHN A LAMBIE COUNTY ENGINEER DRESS �J
WILLIAM A JENSEN SUPT OF BUILDING CALITY
FOR APPLICANT TO FILL IN T
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �
WATER CLOSET $125 Sl^ MAIL
BATH TUB 1 25 ADDRESS
SHOWER 125 CITY TEL NO
Z LAVATORY 125 24-6 CONTRACTOR n I S
SINK 125 1 xS- ADDRESS /w,
DISHWASHER 1 25 CITY tD�y.� TEL NO
CONTRACTORSSTATE
1217 p S e ' COUNTY ❑
LAUNDRY fUB 125 REGISTRATION NO
CLOTHES WASHER 1 25 ( Z Sy DISTRICT NO GROUP ZONE PR C.€SSED BY
J WATER HEATER 1 50
GAS SYSTEM OUTLETS 150 s-� INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 r INSPECTION RECORD +�7
ix
' 4,4� W
z
3
APPROVALS DATE INSPECTPR S SIGN TU
PERMIT $ 2 00 UNDER SLAB WORK
r, ROUGH PLUMBING
TOTAL FEE / GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1 n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Y f + w
LICENSED 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 RESIDENTI PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL idTJ� 7 ��`JfIY•9
ALIDATION ROBERT A WOOD
�cK M O CASH SUPERVISING MECHANICAL ENG R
LALO9695r; JAN 16 5 D 1375 - T