HomeMy Public PortalAbout10315 FREER ST_Plumbing__ 76A987
D9,5-17 10-55
APPLICATION FOR PLUMBING PERMIT .1
IIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS s Q
CASSATT D,GRIFFIN SUPT OF BUILDING .
LOCALITY /Yt
71
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. P Al
OWNER DISTRICT NO, GROUP ZONE READY FOR INSPECTION
MAIL J
ADDRESS p a
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER OC IP- �n y rr- r���7— .. Z INSPECTION RECORD
i
ADDRESS
Z
1
CITY /J'+ t(J [i`y�—J/ - TEL. NO. -4'ef ,
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE f
WATER CLOSET (TOILET) @ $1.00 $ Cr ,c•s;r-
BATH TUB @ $1.00
SHOWER @ $1.00
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
ROUGH PLUMBING +a 9y stir a�
PERMIT $ 1 00 y Y.
GAS PIPING
TOTAL FEE a
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
D
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY. REGISTERED AND/OR GAS TEST
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 OP TY. ,
SIGNATURE APAI
OF PERMITTEE AFINAL
JOHN A. LAMBIE, COUNTY ENGINEER ---VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
tl:340�1 FB 2 3 3 8.0 0 to
76A667-CE#'017 2-62 -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS S
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Gj
FOR APPLICANT TO FILL INi ' NEAR STCROST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER OWNER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY EL. NO.
LAVATORY 1.25 CONTRACTOR /
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO. SO
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P ESSED BY
WATER HEATER 1.50 (/� GL�2
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECORD JJJA �
(P
W
CL
V1
z
APPROVALS DA jE INSPECTOR'S SIGNdTWE
PERMIT $ 2 00 UNDER SLAB WORK f41 I( � t yyv
ROUGH PLUMBING of� A fN
TOTAL FEE GAS PIPINGf��
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 6
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
Al ✓A A
/
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES AG3 _
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 ABOV ESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
�LIDATION ROBERT A. WOOD
M O. CASH SUPERVISING MECHANICAL ENG'R
Lko 6 779%-0 NOV 9 5 jb 7.2 5,