HomeMy Public PortalAbout5221 FARAGO AVE_Plumbing__ 76A667A ICED 17B) 11/76
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) " BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE ' QAA4-1
WATER CLOSETS 0
LOCALITY U
BATH TUBNEAREST
3 Q CROSS ST cr
SHOWER OWNER
o
LAVATORY MAILADDRESS Z )
SINK CITY J Q0 C,,L'ZA TEL NO [I
DISHWASHER CONTRACTOR j0MA 14
CLOTHES WASHER ` L(�
ADDRESS
SWIMMING POOL RECEPTOR n
CITY l- TEL NO VqqqW
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER +1JOAOL LICENSE NO n )CLASS
GAS SYSTEM OUTLETS `7 rDISTRICT NO GROUP ZON m��
OUTLETS OVER J
S PER SYSTEM INDUSTRIAL d
WASTE APPROVAL 0
INSPECTION RECORD u
0
p-
m
h
Plan check fee
PLUMBING PERMIT ISSUING FEE$ �}
TOTAL FEE 1 1570
Plan check applicant
Nome APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
Address 2 'TeLi ROUGH PLUMBING
City C Tel No �k� GAS PIPING 16
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITYCO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL JA
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M O CASH
8 4 6 b 5 tt 1 9.5 0 ,&,-Ib
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X817 12/59
9 APPLICATION FO PLUM INC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENG7;7f
BUILDING AND SAFETY DIVISION- �ESS ,:5_ING
,L 1
JOHN A LAMBI COUNTY ENGIN
WILLIAM A JENSEN SUPT OF BUILDOCALITY
�7 7�,e
FOR APPLICANT TO FILL IN EAREsrROSS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL NO
SHOWER
LAVATORY CONTRACTOR
SINS ADDRESS d a Ol/
DISHWASHER CITY Q� G�/ TEL NO b
CONTRACTOR S STATE []�
LAUNDRY TUB REGISTRATION NO 6 COUNTY ❑
CLOTHES WASHER DISTRICT�O _CaClU.W Z NE PR CESSED BY
WATER HEATER C
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
/Q INSPEC ON RECORD >.
a
O
w .e U
03
A a
Q $1 00 PER ITEM 4s,/" �As,V ra---
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OR FIXTURE $ I - / 6-00 AISPROVAa DATE INSPECTOR S SIGNATU E
PERMIT $ 2100 UNDER SLAB WORK Ntn41N I/
TOTAL FEE ROUGH PLUMBING / Tam ��y(j •. -_
1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS GAS PIPING
APP (CATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT Al
WITH ALL PLUMBING COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER $—6a
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
L
SED ASREQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TESTORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVERIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
ATUREPERMITTEE
FINAL n- $'-to
OF �y - ATION ROBERT A WOOD
/ Ca m 0 CASH SUPERVISING MECHANICAL ENG R
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76A667 CE817 12/59 TEMPLE CRTV
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING ANDSAFETY RIVISION BUILDING -� Q
JOHN A L MBI COUNTY NGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
MAIL
BATH TUB ADDRESS
SHOWER CITY L NO
LAVATORY CONTRACTOR
SINS ADDRESS 6
Kl-
DISHWASHER CITY EL NO 79
CONTRACTOR S STATE ❑
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICTNO GROUP ZONE P OCESSED BY
WATER HEATER
GAS SYSTEMA 1 INDUS IAL
WASTE APPROVAL
I 4A INSPECTION RECORD
P.
O
U
PC
O
F
U
w
a
0 $1 00 PER ITEM I 1
OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
-H PERMIT $ I 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
, � GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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
OF PERMITTE 6
FINAL �V ACV
®�
VALIDATIPN tOBERT A WOOD
CK m 0 Clz�--
UPERVISING MECHANICAL ENG R