The URL can be used to link to this page

Home My Public Portal About5333 FARAGO AVE_Plumbing__ c� 76A667 CE817 8 Si 1' APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING 2 BUILDING AND SAFETY DIVISION ADDRESS p�c?/Lt2�g JOHN A LAMBIE COUNTY ENGINEER �y CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM ?� OWNER WATER CLOSET MAIL BATH TUB ADDRES SHOWER CITY TEL NO Y LAVATORY CONTRACTOR alley Plumbing Co SINK ADDRESS 442 W. Fleetwood P1 DISHWASHER CITY ®nckora TEL NO Ed 5—l2S� LAUNDRY TUB CONTRACTORS 084iY STATE v REGISTRATION NO COUNTY ❑ CLOTHES WASHER DISTRI T O G P ZONE READY FOR INSPECTION WATER HEATER A—/ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS Qa $100 PER ITEM DATE /INSPECTOR S SIGNATURE OR FIXTURE $ q0 UNDER SLAB WORK ROUGH PLUMBING PERMIT $ 1100 GAS PIPING TOTAL FEE �$ GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING / I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST A /I 6f LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY SIGNATURE r OF PE RMITTEE FINAL I / ROBERT A WOOD os ALIDATION SUPERVISING MECHANICAL ENG R CK M 0 CASH LG40631 AUG20 5A 1000 I 76A667 - CE817 5/70 APPLICATION FOR PLUMBING PERMI �- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS COLEMAN W JEINKINS SUP T OF BUILDING LOCAL FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST ' NUMBER FIXTURE OR ITEM EACH FEE CROSS ST / OWNER 1 WATER CLOSET 1 50 MAIL '1 BATH TUB 1 50 ADDRESS �J SHOWER 150 CITY17 L NO LAVATORY 1 50 CONTRACTOR SINK 1 50 ADDRESS �C DISHWASHER 1 50 C !T�EL!NO 'O CLOTHES WASHER 1 50 STATE LIC LICENSE NC � CLASS SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GRO ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2 00 /� WATER HEATER 1 INDUSTRIAL WASTE APPROVAL t GAS SYSTEM OUTLETS 1 50 INSPECTION RECO 0 OUTLETS OVER u 5 PER SYSTEM 30 / W a CnZ Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE 8 00 TOTAL FEE 41-7 APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel No GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS AS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DE RIBED RESIDENTIAL PROPERTY FINAL 72— SIGNATURE SIGNATURE OF PERMITTEE JACK R ALLEN SUP RVISIN 1 ANICAL ENG R ammumom PERMIT VALIDATION CK 0 CASH PLAN CHECK VALIDATION CK M 0 CASH