HomeMy Public PortalAbout6021 HART AVE_Plumbing__ ;6A667.
S-1 7. J"'�0 11 ��C A 0 ION 8 ®k 'P L-U g U u l��•0` G PERMIT-
DIVISION.
l' E V7 0 I tl .
DBS-17 3-55 _ _
DIVISION.OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING 7 �"r
WM.J. FOX, COUNTY ENGINEER ADDRESS l�-
t� CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST.
CROSS ST.
dOWNER /� ' 1 �� Rr' DISTRICT O., GRO .�,Q ISI IyAAREADY FOR INSPECTION
MAIL
ADDRESS.
INDUSTRIAL I .
CITY TEL. NO. WASTE APPROVAL
PLUMBER J , A I l`r- INSPECTION RECORD
ADDRESS//"q i(-✓�� S � G � r I /i D � V )
CITY � , I + TEL. NO.
'_L A2
LICENSE NO. c— •s V(�r' 4 7✓•� .J
NUMBER. TYPE OF FIXTURE OR ITEM, FEE
I
` WATER CLOSET (TOILET-)
/ • BATH TUB -
SHOWER
`L LAVATORY'(WASH BASIN) / �t o
f KITCHEN SINK U U 'f..�Ii."( i� J/ •�C•F i�f E� �7
DISHWASHER
LAUNDRY TUB OR TRAY )
J L
CLOTHES WASHER '
.I
TOTAL NO. @_ 0.80 V APPROVALS
DATE , INSPECTOR'S SIGNATURE.
GAS SYSTEM---�?-OUTLET,S a 1.00.
WATER HEATER Cal 1.00 UNDER SLAB WORK
/Q(7 - /F -/�,�-
- ROUGH PLUMBING `�0'/t L� r "77
_�
PERMIT S 1 00 '
-Y GAS PIPING
TOTAL'FEE GASVENT
I"HEREBY ACK'NOW'LEDGE' THAT 'I HAVE READ THIS APPLICATION HOT WATER HEATER 7�C� ,� A
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY - r
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 OPERTY. -
SIGNATURE
OF PERM ITTEE �� FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR
�J
O✓ " rI•,_
76AAPPLICATION FOR PLUMBING PERMIT
DIV1
DBS-17 DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of LOS Angeles BUILDING 7
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �,�J
CASSATT D. GRIFFIN,SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL INI NEAREST
CROSS ST.
OWNER �' ��MAI DISTRICT NO. GROUP 'ZONE 1 READY FOR INSPECTION
ADDRESS �,r I /C I/ ✓ dm0
INDUSRIAL
CITY -cc L� —TEL. NO. WA TE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY
LICENSE NO. ^7 y �%
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 INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
} GAS PIPING
TOTAL FEE 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 ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
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 RESIDEN AL PROPERTY4La'-,"M
SIGNATURE
OF PERMITTEE "L'` FINAL I ''` '
JOHN A. LAMO". COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. U..0,
L7 MJCASH
2 8 5 7�p FB 1 Y 2.00 0J n
Y