HomeMy Public PortalAbout10669 FREER ST_Plumbing__ 1
76A667-CE817 6-60
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APPLICATION FOR PLUMBING PERMIT �
COUNTY OF
F COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING�® jTEL.
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITYFOR APPLICANT TO FILL IN NEARESTCROSS ST.NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
ADDRESS
BATH TUB vCITY NO.�P�SHOWER LAVATORY CONTRACTORADDRESS
SINK
DISHWASHER CITY NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER D
ISTRICT !rOP N E BY
WATER HEATER
GAS SYSTEM
VAL
INSPECTION RECORD
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$1.00 PER ITEM
/ OR FIXTURE / APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 51 2100 y UNDER SLAB WORK
TOTAL FEE ��/ ROUGH PLUMBING r7,4&-
V v GAS PIPING
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUj
HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STGAS TEST
CALIFORNIA OR�T-H4T 1 AM THE *EGL OWNER OF THE
DESCRIBED RESDENTLsPROPERTY. UTILITY CO. NOTIFIED
SIGNATURE `` llf' A
OF PERMITTE FINAL
®r VALIDATI1—D.-
ROBERTA. WOOD,
®.0. SUPERVISING MECHANICAL ENG'R
LACO a 4 :3 8 -0 DEC 5 5 D' 3.0 C M
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76A067-CE817 12/59
APPLICATION FOR .PL MBING PERMOT
COUNTY OF LOS ANGELES
DEPARTMENT OF, COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING //--
JOHN A. LAMBIE, COUNTY NGINEER ADDRESS /DF/pP�/l� S T
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY T'� e
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER �d
-� WATER CLOSET - MAIL '
BATHTUB ADDRESS
CITY TEL. NO.
SHOWER -
LAVATORY CONTRACTOR
SINS ADDRESS " S I A 40- Is
DISHWASHER CITY �j h/, . �'TEL. NO.
CONTRACTOR'S v STATE
LAUNDRY TUB REGISTRATION NO. G Q J� COUNTY ❑
CLOTHES WASHER ,DDIIS"TRI T NO. GR P ( ZONE I P CESSED BY
WATER HEATER' '_-s• '
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD i
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Ci $1.00 PER'ITEM
OR FIXTURE $ /O .00 APPROVALS IPATE.
INS ECTT,OR'_S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING 9/2t A'�
I� 1C� 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 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED Cid
SIGNATURE •�' .+32 ,yPby11
OF PERMITTEE FINAL
®P ALIDATION ROBERT A. WOOD,
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
i ?.O 9 6 i,;�U 1 5 D 12 .0 0 a r
7 667 ( -817)- 5/73 (I /I T I �Ji i r,
APPLICATION FOR P •' MBING •
_ LU NG PERMIT
COUNTY OF LOS ANGELES L�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION _
MAKE CHECKS PAYABLE TO: LDING
ADDRESS
HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST /
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.' /
WATER CLOSET 1.75 OWNER yJ—
MAIL.
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NOI.� d �/
LAVATORY 1.75 ' ' C STALLERS
SINK � 1.75 A •
DISHWASHER '1.75 !,CI L.
CLOTHES WASHER 1.75 / I (r7 C
LICENSE-NO ! /' / LASS.••
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ONE ROC ESSED BY
LAWN SPRINKLER SYSTEM 1.75 /J J
1 WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL y'
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD o
O
OUTLETS OVER
5 PER SYSTEM .30
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL.FEE �
APPROVALS DATE INSPECTOR'S SIGNATURE '
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
1 �'
I HEREBY ACKNOWLEDGE THAT, I HAVE READ THIS APPLICATION HOT WATER HEATER 4
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST ,
' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO Lac• �'+L:
RESIDE IN THE ABOVE D//E//S�h}//jjRIBED RES DdNTIAL PROPERTY.
�Le
]� FINAL
SIGNATURE /fir /�-'� 7
OF PERMITTEE v`L
PERMIT VALIDATION cK. .0. CASH'
PLAN CHECK VALIDATION CK. M.0. CASH
3 8 2 CZ APR 5 5 . 0 4.7 5 A�8