HomeMy Public PortalAbout4930 FIESTA AVE_Plumbing__ 76A667 CE*817 5/69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 4930 Fiesta
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY Temple ity
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE j
1. WATER CLOSET $l zs 1 25 OWNER Don Rogers
MAIL
BATH TUB 125 ADDRESS
1 SHOWER 125 1 25 CITY TEL NO
1 LAVATORY 125 1 25 CONTRACTOR Valley Plumbing Co.
SINK 125 ADDRESS 442 W. Fleetwood Place
DISHWASHER 125 CITY Glendora TEL No Ed 51293
STTE
LAUNDRY TUB 125 CONTRACTOR S COUNTY C�
REGISTRATION NO 209431 U
CLOTHES WASHER 125 DI ICTNO GROUP NE CESSED BY
1 WATER HEATER 1 50 1 50 1„1 v 1 >_
GAS SYSTEM OUTLETS
150 INDUSTRIAL 1 0-
W APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 V
INSPECTION RECORD
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F-
CL
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Z
APPROVALS DATE INSPECT R S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK .24
ROUGH PLUMBING -elle?
TOTAL FEE 7 25
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST `
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE „r
OF PERMITTEE
FINAL
LIDATION ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
d LAo 5 7 1 4 IS FEB 19 5 D 7 ',-' 5
r
76 S A6 177 f0 55 APPLICATION FOR PLUMBING PERMIT
DB
DIVISION OF BUILDING AND SAFETY
Deportment of County Engmeer
County of Loa Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
A244-4-
FOR APPLICANT 10 FILL IN NEAREST
/p CROSS ST
OWNER Cry� Af n /► + DISTRICT NNO GROUP I ZONE READY FOR INSPECTION
MAIL
ADDRESS / �/ r t� J �/
C INDUSTRIAL
+
CITY G TEL NO WASTE APPROVAL
PLUMBER . /
.1 INSPECTION RECORD
ADDRESS
CITY ( �J TEELLj NO 1 ✓ `� '®0�
LICENSE
NUMBER TYPE OF FIXTURE OR ITEM FEE
Iz WATER CLOSET (TOILET) @ $100 $
BATH TUB @ $1 00
SHOWER @ $100 6
LAVATORY (WASHBASIN) @ $1 00 b�J
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
APPROVALS
DATE IN PECTOR S SIGNATURE
UNDER SLAB-WORK
7
PERMIT $ 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
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 �+
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
V
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL 0 ER OF TH ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL P PERTY
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK M 0 CASH
LAC03 4 6 1i-no FES 24 3 400
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