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HomeMy Public PortalAbout5024 FIESTA AVE_Plumbing__ 78A887A (EE 8178) 4/77 - - APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �� n ` ^ ✓�` NUMBER FIXTURE OR ITEM ® FEE ADDRESS o[ WATER CLOSETO LOCALITY ft BATH TUB NEAREST CROSS ST Q �� SHOWER 0 O OWNER / LAVATORYMAIL U ADDRESS SINK CITY G TEL NO DISHWASHER CONTRACTOR /9,gAo/i,�� PLA76 IYI6 f /9�/2 CLOTHES WASHER ADDRESS ,3 4(,490,e,j//0 SWIMMING POOL RECEPTOR MOU CITY DA/R �//I GA TEL NO �ys 711.C1/ LAWN SPRINKLER SYSTEM STATE LIC � WATER HEATER LICENSE NO JOY O G- CLASS SII�- C 2 0 GAS SYSTEM OUTLETS DISTRICT NO GROUP ZONE PRO SED BY OUTLETS OVER �� U � CD �! 5 PER SYSTEM INDUSTRIAL V WASTE APPROVAL INSPECTION RECORD CD U a- d N Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING 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 TA—D17g .,.-.� REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST a c LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED SIGNATURE r OF PERMITT 9. FINAL p-/ I t , PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M o —`� Q Q Q L-<- rz CIAq_Q Ce . ��e c, L a �p�� ���cY� �� ' © 3 N SEE, b 5 1 5 �►` 1 Y� 4 D'IABS61755 APPLICATION FOR PLUMBING PE 1 DBS I�(DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING MOM LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST MAIL OWNE rDISTRICT NO GRP I ZONE I READY FOR INSPECTION ADDRESS � :�"�/ INDUSTRIAL CITY TEL INO WASTE APPROVAL PLUMBER INSPECTION RECORD /� ADDRESS iZluf 0 (� � Vl ,`&Az,`�G bJ SL- CITY A&MEA&9L41L NO 3 LICENSE NOLICENSE NO�/o NUMBER TYPE OF FIXTURE OR ITEM FEE f WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ $1 00 SHOWER @ $1 00 IZ LAVATORY (WASH BASIN) @ $1 00 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 INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 1100 ROUGH PLUMBING O Q X19 a� 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 PLUMBING FIXTURES t I HEREBY CERTIFY THAT I AM PROPERLY R GISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COU Y TATE OF CALIFORNIA OR THAT I AM THE L GAL OW R E ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL P TY SIGNATURE A OF PERMITTEE FINAL JOHN A LAMBIE COUNTY ENG( EE VALMATION ROBERTA WOOD CHIEF PLBG INSPECTOR 0 CASH 0763A SEP28 3 400 n rJ