Loading...
HomeMy Public PortalAbout4825 FIESTA AVE_Plumbing__ f 76A667 -CE#617 2-62 t\ I APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ,R WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY C� FOR APPLICANT TO FILL IN NEARES1 CROSS ST. 17,4S)23 NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 51.25 MAIL BATH TUB 1.25 -� ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR ADDRESS `SINK 1.25 aAe DISHWASHER 1.25 CITY / TEL. NO.F CONTRACTOR'S liSTATE COUNTY El I / O� LAUNDRY TUB 1.25 REGISTRATION NO. 10 CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROC ED BY WATER HEATER 1.50 C� GAS SYSTEM J OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD - {CL OC O UJIU a Vf Z 00 APPROVALS DtNTE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK 71 1 r ROUGH PLUMBING TOTAL FEE 15- ,06 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 HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �- LICENSED AS REQUIRED BY LOS AE- FINAL S COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEWNER OF,AND INTEND TO RESIDE IN, THE ABOVE D SCRIBED RTIAL PROPERTY. UTILITY CO. NOTIFIED 4. SIGNATURE r J OF PERMITTEE GJ .r¢ /--V411DATION ROBERT A. WOOD cK. M.M.0.O. CASH SUPERVISING MECHANICAL ENG'R 4 1 pct 6 -5 D 1 5.0 0- ` 76A667A CE 817(REV 6/78) 1 ©S APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES r BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING / ADDRESS e�4j NUMBER FIXTURE OR ITEM ® FEE LOCALITY WATER CLOSET NEAREST ` BATH TUB CROSS ST 7 , SHOWER OWNER MAIL LAVATORY ADDRESS SINK CITY—t;, TEL NO DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY' C TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE r OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT v 99 HOT WATER HEATER O PLUMBING FIXTURES 9 GAS TEST -1115,-?9 In Plan check fee UTILITY CO NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEE U FINAL Plan check applicant L HE VALIDATI Name ;2608,4A Address Gt � Tel No ,00 o 0 0 0 0 rj 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE 2 O O Q O 0 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION 10,0 0 10 0 0 I HEREBY CERTIFY THAT I AM P ISTERE A R LICENSED AS REQUIRED BY LOS ANGELES COLIN TAT F CALIF R A THAT I AM THEO p z tJ 4?9 LEGAL OWNER OF AND IN RES E G BOV CRIBED RESIDENTIAL 7 PROPERTY SIGNATURE OF PERMITTEE DISTRICT N � ESSED 8Y INDUSTRIAL WASTE APPROVAL