HomeMy Public PortalAbout4826 HALLOWELL AVE_Plumbing__ 7EA667-CE61712/59 TEMPLE CHT '
APPLICATION POFD PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND.5P FETY RIVISION BUILDING
JOHN A. LAMBI OUNTY NGINEER ADDRESS
WILLIAM A. JENSEN, SUP'T'OF BUILDING I�.
LOCALITY � (�Y T`
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB
ADDRESS
CITY TEL. NO. a
SHOWER
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CHT TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY Cl
CLOTHES WASHER DISTRICTNO. GR I ZONE EDB
-/
WATER HEATER �-jo
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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/ O1.00 PER R FIXTURE $ ev
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE I ...3 ROUGH PLUMBING /1
GAS PIPING /� !o _ A
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
Ale-
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
CE
LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST '
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENJCFAt PROPERTY. 1 UTILITY CO.NOTIFIED
SIGNATURE c
OF PERM ITTEE FINAL
®n VALIDATION ROBERT A. WOOD,
CK. le.0. cnsH SUPERVISING MECHANICAL ENG'R
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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIION L�. 2�' (I
JOHN A. LAMBIE, County EnerCASSATT D. GRIFFIN. Supt of ding LOCALITY
FOR APPLICANT TO FILL IN NEAREST
• NUMBER FIXTURE OR ITEM CROSS ST. _
f- o.
• WATER CLOSET OWNER
BATH TUB
ADDRESS �Z H6t f'_/
SHOWER CITY T m NO.
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTAA1iON NO. COUNTY
CLOTHES WASHER DISTRICT NO: GROUPZON READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WJWTE APPROVAL
INSPECTION RECORD ,
APPROVALS
@ $1.00PER IT $ I I P O DATE INSPECTOR'S SIGNATURE
OR UNDER SLAB WORK
PERMIT $ 1100 ROUGH PLUMBING
TOTAL FEE 2 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
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
1 HEREBY CERTIFY THAT 1 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 PROS RTY.
-SIGNATURE C
;OF PERM ITTEF FINAL 7 / �!i'7�•_•
ROBERT A.WOOD.
®� VALIDATION SUPERVISING MECHANICALENG'R
CK. M.0. CASH
M.5 -260US SEP 29 5 2.00 M :
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"6A 667 -CE-j$817 2-62
APPLICATION FOR PLU PING P rMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING J
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER r
-
WATER CLOSET $1.25 MAIL
` BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.). _
(Z-&,
LAVATORY 1.25 ) CONTRALTO
SINS '1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LCONTRACTOR'S STATE
LAUNDRY TUB 1.25 ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER - 1.25 DISTRICT NO. GRO Z NE P / D BY
WATER HEATER - 1.50• �' O �., �
50 INDUSTRIAL
GAS SYSTEM OUTLETS- 1. �- WASTE APPROVAL '
OUTLETS OVER 5 PER SYSTEM 30 f INSPECTION RECORD
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OAPPROVALS DAT INSPECTOR;S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
qROUGH PLUMBING
(-r�r�
TOTAL FEE L �� GAS PIPING �Y w
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT r �I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY •.<yU
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 1U4e, T
PLUMBING.
a r.
I HEREBY CERTIFY THAT I 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,AND•INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO. NOTIFIED
SIGNATURE R a
OF PERMITTEE }� a
FINAL
VALIDATION ROBERT A. WOOD s
CK M O CASH SUPERVISING-MECHANICAL ENG'R
LAL:o6603%�'a` NOV . 7 5 D 1 0.00~