HomeMy Public PortalAbout10055 GREEN ST_Plumbing__ 795.17 3.55
DBS•17 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING M
WM.J. FOX, COUNTY ENGINEER ADDRESS 10055 E, Green St.
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY Tulp A City
FOR APPLICANT TO FILL IN NEAREST Baldwin
,,, y� A4e
T CROSS ST. Bald t
OWNER Moreno Lorenzini DISTRIr O. I GROUP ?ONE, READY FOR INSPECTION
MAIL /L///1
_ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
_PLUMBER Earl 0. Sties St
3_�L.�f INSPECTIO/N RECORD
ADDRESS 852 W. Doran St,s
CITY Glendale. 3 TEL NWH 5 3641
LICENSE NO. 6436
NUMBER TYPE OF FIXTURE OR ITEM FEE
91, WATER CLOSET (TOILET) Z
I_ BATH TUB
SHOWER
LAVATORY (WASH BASIN)
1 KITCHEN SINK
1 DISHWASHER _
1 LAUNDRY TUB OR TRAY 1 00
1 CLOTHES WASHER 1 00
TOTAL NO. @ 0.80 _ APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
UNDER SLAB WORK
WATER HEATER @ 1.00
3- OOL-
ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING
TOTAL FEE 13 00 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 ORDINANCES15 STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. /1 '
1ICHEREBY CERTIFY THAT I.AKS OROPERLY REGIS. ER AND/OR GAS TEST
LENSED A REQUIRED GEL
S EOU RED BY C ;�-GN ES COUN A STATE OF
1 +"•
LEGAL
ONOTIFIEDCALIFORNIA OR THAT 1AM W
DESCRIBED RESIDENTIAL PAP ..
SIGNATURE
OF PERMIT TE FINAL
WILLIAM J. F COUNTY E GINEER VALIDATION A.WOOD, CHIEF PLBG. INSPECTOR
DBS-17 10-55 APPLICATION FOR PLUMBING PERMIT 1
DBS-17
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING 10055 E• Green St•
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN SUPT OF BUILDING
LOCALITY ,,1 P=I-P. City
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST. BaJ ut+ln Ave
OWNER DIST
RIC NO. GROUP ZONE READY FOR INSPECTION
MAILr A
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER Earl 0. Stice Company INSPECTION RECORD
ADDRESS 859 No Doran Ste e
CITY Cleniale TEL. NO. CH 641
LICENSE NO. 6436
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
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 INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING D �•
GAS PIPING
TOTAL FEE 2 DO GAS VENT
1 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 ORDINANCE ND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES 7 ' -✓S,.^
IHEREBY CERTIFY THAT PROPERLY REGI RED D/OR GAS TEST
LICENSED AS REQUIRED B L NGELES COUNT ND ATE OF
CALIFORNIA OR THAT 1 LEGAL OWN OV.E. UTILITY CO.NOTIFIED
DESCRIBED RESIDENT A Y
SIGNATURE
OF PERM ITTE FINAL
JOHN A. LAMBIE, COUNTY/ GINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
/ CK. M.0. CASH
L, 04 7 2 9 5 MAY 9 3A 2.0 0 x
1