HomeMy Public PortalAbout5203 FARAGO AVE_Plumbing__ 76 A 667—CE 817 8/68 r
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APPLICATION FOR �LUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS /G-
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST n
CROSS 3T 2�
NUMBER FIXTURE OR ITEM EACH FEE /! ���
Gym
WATER CLOSET 1 50 OWNER
MAM
BATH TUB 1 50 ADDRESS
SHOWER 1 50 CITY TEL NO
LAVATORY 1 50 CONTRACTOR R r
SINK 1 50 ADDRESS O
DISHWASHER 1 50 CITY TEL NO �I
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO 71r CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT NQS GROUP ZONE P O ES
I AWN SPRINKLER SYSTEM 2 00 �ff�� �
O
WATER HFATER 1 50 V INDUSTRIAL U
WASTE APPROVAL z
GAS SYSTEM OUTLETS 50 _ INSPECTION RECORD 0�
OUTLFTS OVER 1 V
5 PER SYSTEM 30 , a
V)
I Z
Plan check fee 2-)% of abo,,e See revere
PLUMBINC PERMIT ISSUINC N LF S 2 00
I
I OTA( FFF I APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applic Int [UNDER SLAB WORK
r
Name. ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No (HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 'UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF I
CALIFORNIA OR THAT I AM THE LEGAL OWNER O AND INTEND TO
RESIDE IN THE ABOVE D;Y7ED REBID TIAL P O E Y (FINAL
SIGNATURE JACK R ALLEN SUP RVI 17CK
CHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION M o CASH
PLAN CHECK VALIDATION CK M o CASH
5 D ✓ 5 V r� h .^�7
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76A667 CE817 12/59 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT
NNO]��F COUNTY ENGINEER ^^.. _ n
BJOHNIAGLAM 31E COUNTYTY NGISEON ADDRESS 5 sZ.03 k %4oerld cJ A v�
WILLIAM A JENSEN SUPT OF BUILDING
LOCALITY `TE 114 PC- E @ / 7`Y
FOR APPLICANT TO FILL IN Coss STS
NUMBER FIXTURE OR ITEM
OWNER ,%'N #0/U v r— PA R Bq j2/A
WATER CLOSET WRESS
mos at �ARAGo A�'�
BATH TUB
SHOWER CITY 7r -M pt_C C`/7'F'TEL NO 6r-
LAVATORY CONTRACTOR uj
SINS ADDRESS
DISHWASHER CITY TEL NO
CONTRACTOR S STATE ❑
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICT NQ_ GR Z NE ESSED B
WATER HEATER D
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
P.
O
U
M
O
F
U
W
a
U)
z
/ O 00 PER ITEM
APPROVALS DATE INSPECTOR S SIGNATURE
R FIXTURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEEV v ROUGH PLUMBING
V�` GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE-LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE /L
OF PERMITTE FINAL
OF ALIDATION ROBERT A WOOD
cs m 0 CASH SUPERVISING MECHANICAL ENG R
�f
j M11rI6 3 n ;rn i 4 5 p 3 GG
76A667 CFf817 12/59
J`
APPLICATI N FOR LUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND ,SAFETY 12IVISION BUILDING
JOHN A BI COUNTY NGINEER ADDESS 0 ���
WILLIAM A JENSEN SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER `` Q
WATER CLOSET KAIL
BATH TUB ADDRESS
CITY TEL NO
SHOWER
' LAVATORY CONTRACTOR
! SINK ADDRESS 13933 So . Crenshaw Blvd .
DISHWASHER CITY Hawthorne TEL NO Os 9-3691
CONTRACTOR S STATE
LAUNDRY TUB REGISTRATION NO 168479 C-36 COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP ZONE! PR CESSED BY
WATER HEATER 0Q
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
n a
i d �1
x-41'-.ate] 3
U
a
C�k...... lb
$1 00 PER ITEM
OB FIXTURE $ APPROVALS DATE INSIJECTOR S SIGNATURE
PERMIT $ 00 UNDER SLAB WORK ^C DSI II v L
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
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 GAS TEST l>(
CALIFORNIA OR THAT 1 AM THE LEGA OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER f)F) UTILITY CO NOTIFIED /
SIGNATURE ���
OF PERMITTEE
FINAL
®F V LIDATION ROBERT A WOOD
cK m O CASH SUPERVISING MECHANICAL ENG R
% L 4 1 7 6 JJL �g 5 D Q 0 0