HomeMy Public PortalAbout6025 HART AVE_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �0a5 /h
t 4t'
JOHN A. LAMBIE, County, Engineer ADDRESS
CASSATT D. GRIFFIN, Sup t of Building LOCALITY
a.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
/ BATH TUB ADDRESS ya o,3
/ SHOWER CITY TEL. NO. 47-- b- 1731 T
LAVATORY CONTRACTOR , V
J SINK ADDRESS /'m/7
/. DISHWASHER CITY�u(� a,,,,F-, TEL. NO.CONT
/ LAUNDRY TUB REGISTRRAT ON NO. 114 ,5-3.0 STATE
COUNTY
-„ CLOTHES WASHER DISTRIgT NO. GROUP ZQIJ% READY FOR INSPECTION
WATER HEATER Jr�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
/ INSPECTION RECORD
' SIW SA) P/Al ilflfl�l
APPROVALS
`7 @ $1.00 PER ITEM
OR FIXTURE $ f 7, c D / 0 Q DATE INSPECTOR'S SIGNATURE
UNDER S B WORK
PERMIT 1,100 . t ROUGH PLUMBING -0 ' +a,g &1/D-59
TOTAL FEE / GAS PIPING
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION •- �L.rEG
`a AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
ti 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 PROPERTY.
SIGNATURE
FPERMITTEE �" "'- — -FINAL
7777777777:: n: '' ROBERT•A.WOOD.
OF VALIDATION SUPERVISING MECHANICALENG'R
M.0. CASH n
I
itL'O 3 7 4 ..0'U" iiA 2 0 5 A 1 9.00
7&Aq,67 (CE-817)-8-71
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER m°
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS (f
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE). NEAREST
CROSS ST. GfJf vtiy r I /1 Sf /�si'�`
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER r� �
MAIL
BATH TUB 1.75
ADDRESS GOA ,p 7 J/,
SHOWER 1 .75 CITY T/, `G_ Cj� TEL. N0.
LAVATORY 1 .75 CONTRACTOR G 0
SINK 1 .75 ADDRESS
DISHWASHER 1.75 CITY `i �jh/�- TEL. NO. .ODSc
CLOTHES WASHER 1.75 STATE 7G Q�,�/ LIC /
LICENSE NO. (7 // CLASS [/
SWIMMING.POOL RECEPTOR i 1.75
D16), ar UP NE P
LAWN SPRINKLER SYSTEM 1 .75 s
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER 30
5 PER SYSTEM
P
1 - �
Plan check.fee . See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 000
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 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED SY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF; AND INTEND TO
RESIDE IN THE ABOVE DE CR BED RESIDENTIA I�/fjROPERTY. FINAL 7
SIGNATURE ��
OF PERMITTEE.
PERMIT VALIDATION CK. o. CASH
PLAN CHECK VALI ATION CK.. M.O. CASH
"' 7432_= ; AUG1Q � D 4.7 g
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