HomeMy Public PortalAbout4907 FIESTA AVE_Plumbing__ I
76A607 CES17 10 60
APPLICATION FOR PLUMB NG PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
B�I NG AAND E SAFETY DNIVGII.SNEON B ER ADDRESS 4 9 0 7 N F i e s t a
WILLIAM A JENSEN SUPT OF BUILDING rNEAREST
CALITY TEMPLE CITY
FOR APPLICANT TO FILL IN T
NUMBERFIXTURE OR ITEM NERWATER CLOSET MAIL
KINNEY
nRESS SAME
BATH TUBY TEL NO
SHOWER
LAVATORY CONTRACTOR A L C AD IA P l B G. CO.
1 SINS ADDRESS 11349 Miolann St
DISHWASHER CITY Arc TEL No HI 67588
CONTRACTOR S 1 7 912 2 STATE
LAUNDRY TUB REGISTRATION NO COUNTY
CLOTHES WASHER DISTRICT NO GROUP ZONE I PRPC D BY
WATER HEATER S/Q T �' I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD D_
Riv,
uG
d / W
N
$I GPER ITEM / 2,
ooffH FlxTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS TO
HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED B OS AN CES COUNTY AND STATE OF GAS TEST n
CALIFORNIA OR THAT AM TH EGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT L PROP UTILITY CO NOTIFIED /
SIGNATURE n
OF PERMrrr;rFr
FINAL �g�I� r—wvw
VALIDATION ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
LAGO 4 4 1 3% SEP 1'7 5 0 325- a
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76A667 CE817 458
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVSION BU LDING
JOHN A LAMBIE County Eagg��nneer ADDRESS
CASSATT D GRIFFIN Supt of Buildmg LOCALITY
FOR APPLICANT TO FILL IN NEAREST U
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
BATH TUB ADDRESS
SHOWER CITY ( TEL NO
LAVATORY CONTRAC OR
Smx ADDRESS j .;� ,
DISHWASHER CTTYft
TEL NOef
CO ORS 1y� STATE 49
LAUNDRY TUB REGIS TION NO / COUNTY ❑
CLOTHES WASHER DISTRICT O GR UP ZONE P SSED BY
WATER HEATER 00
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
EM
OE FIXTTURPER E $ s DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE DO GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTI P ERTY
SIGNATURE Q FINAL
OF PERMITTE
ROBERT A WOOD
OF VALIDATION SUPERVISING MECHANICAL ENG R
CK M 0 CASH
� o 1 0 4L NOV2 5 5 A 3 00 N