HomeMy Public PortalAbout5206 FARAGO AVE_Plumbing__ 76A667 CE0317 9/63
7
APPLICATION FOR PLUMEIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS O
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY 7jv/tiJJ�� �T
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE s
OWNER 0L � ti UCJ
2 WATER CLOSET $125 S-D MAIL
Z BATH TUB 125 ADDRESS
SHOWER 125 CITY TEL NO
LAVATORY 125 a CONTRACTOR G L
SINK 125 Z,.S ADDRESS
DISHWASHER 125 CITY ���7. TEL NOCONTRACTOR S STATE
LAUNDRY TUB 1 25 EGISTRAATION NO 6/ COUNTY
CLOTHES WASHER 125 2 • DISTRICT NO GROUP ZONE P OCESSED BY
WATER HEATER 1 50 Q::+-
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL
AS E APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD (J
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a TnLLI
v� �.� Q z
APPROVALS DATE INSPECTOR TIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE O GAS PIPING �—
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF u
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO GAS TEST
RESIDE IN IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
/--4LIDATION ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
L,'It�O50021-0 OGT 19 5 D 15.00- 11
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
OF COUNTY ENGINEER BUILDING
BUILDING JOHN A AND SAFETY DMSCOUNTY EON ER ADDRESS o�Q FiO
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER d� _
2 WATER CLOSET S1 25 SD MAIL
BATH TUB 1 25 �D ADDRESS
SHOWER 125
o� CITY TEL NO
^ LAVATORY 125 ;zD CONTRACTOR Alert Plumbing & Heatin
j SINK 125 ADDRESS 13933 So. Crenshaw Blvd.
DISHWASHER 125 CITY Hawthorne TEL MOOS 93691 ❑p
LAUNDRY TUB 1 25 REGISTRATION CONTRACTOR
NO COUNTY CJ
CLOTHES WASHER 1 25 p($ DISTRICT NO GROUP ZONECESSED BY
WATER HEATER 150 Q Q 3
GAS SYSTEM OUTLETS 150 INDUSTRIAL ) a
WASTE APPROVAL / O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTIONS CORD
I . fl u
W
CL
1j All" N
Z
WY d-', '
nv
APPRO ALS V DATE INSPECTOR S SIGNATURE
PERMIT S2 00 UNDER SLAB ORK
6-d ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLLDGE THAT I HAVE READ THIS APPLICATION12GAS VENT
AND 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 I AM R ERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS LES COUNT AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE OWNER AND INTEND TO
RESIDE IN TME ABOVE DESCRIBE IDENTIAL P PERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
Mod FINAL
0CKALIDATION ROBERT A WOOD
M o CASH SUPERVISING MECHANICAL ENG R
L�t�Jo 5 0,5 ,7 G OCT 2 0 5 D 15.00- 11