HomeMy Public PortalAbout5942 HART AVE_Plumbing__ 76A667 (CE-817)-4/72 Zy
APPLICATION F PLUMBING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION "ADDRESS
MAKE CHECKS PAYABLE TO:HARVEY T. BRANDT, COUNTY ENGINEER
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST f
GROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER �
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS e
15
SHOWER 1.75 CITY ' JL TEL. NO.
LAVATORY 1.75
CONTRACTOR
SINK 1.75 ADDRESS Q�
DISHWASHER 1.75 CITY ' TEL. NO.
CLOTHES WASHER 1.75 STATELIC
L
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS
DISTRICT NO. G�"P I ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75
O " a
WATER HEATER 1.75 / INDUSTRIAL d
WASTE APPROVAL
O
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER .30 O
5 PER SYSTEM
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE S
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. 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 PLUMBING FIXTURES
WITHALL 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 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIIBBE'7D RESIDENTIAL PROPERTY. FINAL _ ,l
SIGNATU RE
OF PERMITTEE
PERMIT VALIDA N • CK. M.11. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
Af, 1 9 8 273- JUL ? 5 D 4 .7 5 6 c
76AB67-CE817 3-59
APPLDCAT#ON FOR PLUMBRNG* PERMIT
COUNTY OF LOS*ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONI BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN, Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER liveAel
WATER CLOSET MAIL
BATH TUB ADDRESS / 7
CITY % EL. NO.
SHOWER
CONTROTOR. Awi_
LAVATORY
SINS ADDRESS '
DISHWASHER CITY <rL u�G!� EL. Ntlf t.,4 ��ft
CON RA OR'SSTATE B-o
LAUNDRY TUB REGISTRATION NO. 1'o,1 ,77
COUNTY ❑
CLOTHES WASHERDISTRICT NO. GROUP ZONE PROCESSED BY
/ WATER HEATER
m GAS SYSTEM INDUSTAL
WASE APPROVAL '
INSPECTION RECORD
r
i
@ $1.00 PER ITEM °
OR FIXTURE $ I ¢ APPROVALS DATE INSPECTOR'S SIGNATURE-
PERMIT $ 2100 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE I�Q '
GAS PIPING
AHEREBY ACKNOWLEDGE THAT I•HAVE READ THIS APPLICATION >'
STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY GAS VENT '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA 'OR THAT I THE^LEGAL OWNER OF THE, ABOVE -. GAS TEST
DESCRIBED RESIDENTIAL ROPE TY. / UTILITY CO. NOTIFIED
P. SIGNATURE
-OF PERM ITTETr -�° FINAL !i•'/ �-($� ) C/LJr�� _�I,/ i _-
®? VALIDATIO ROBERT A. WOOD,
CK. M.o. CASH SUPERVISING MECHANICAL.ENG'R
i
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