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HomeMy Public PortalAbout6241 HART AVE_Plumbing__ 76r?667 -v.E 817 7-69 APPLICATION FOR PLUM ING PE; T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDINGY FOR APPLICANT TO FILL IN (PR NT OR TYPE) �O K NUMBER FIXTURE OR ITEM EACH FEE 01 OWNER ^`` �� A 4x.1 l) WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS ,�_ Q SHOWER 1.50 CITY 77TEL. NO. a - D6�b LAVATORY 1.5 0 CONTRACTOR AV SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. 6G�LP ZONE PR E ED B LAWN SPRINKLER SYSTEM 2.00 - Q. WATER HEATER 1.50 INDUSTRWASTE I APPROVAL AL u GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER 30 O 5 PER SYSTEM W C.. N z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE ' APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS 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 AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND 1 TEND TO RESIDE IN,THE ABOVE DEGCRISED`RESIDENTIAPERTV. FINAL SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH' PLAN CHECK VALIDATIO CK. M.O. CASH tp► 4654�-- APR 24 5 D 3.5 0. ♦76A667-CE817 12159 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ANDS FETY IVISION BUILDING i JOHN A. LAMBIE. ouNTY tNGINEER ADDRESS 7 7 ZVAZ� T WILLIAM A. JENSEN. SUPT OF BUILDING _ LOCALITY FOR APPLICANT TO FILL IN NEAREST s CROSS ST. NUMBER FIXTURE OR ITEM WATER CLOSET - OWNER 14 MAIL I BATH TUB ADDRESS -7 SHOWER / CITY , EL. NO. LAVATORY CONTRACTOR L 1�/ SINS ADDRESS DISHWASHER CITY TEL. NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. /-� COUNTY ❑ / WATER HEATER CLOTHES ER D,_RC'T I GROUP I/ ZONE I 7P;ROCEY GAS SYSTEM INDU TRIAL WASTE APPROVAL INSPECTION RECORD y a O U P6 0 F U W a N z $1.00 PER ITEM / OR FIXTURE $ / G' APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 200 UNDER SLAB WORK TOTAL FEE / �'`�) I - ROUGH PLUMBING 1 ' GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER L CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES S REQUIRED BY LOS ANGELES COUNTY AND STATEOF GAS TESTOR THAT I AM THE LEGAL OWNER OF THE ABOVE RESIDENTIAL PROPgRTY. UTILITY CO.NOTIFIED:E ' 'ITTE FINAL ®. ALIDATION ROBERT A. WOOD. cs. B.O. CASH SUPERVISING MECHANICAL ENG'R FEE' ��. . i COUNTY OF LOS ANGELES BUILDING AND SAFETY f FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS 6241 Hart Street NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET � "LOCALITY T.em l e C i t (f NEAREST BATH TUB CROSS ST. Ny/r//�''" SHOWER PRE Ozzie Belzer LAVATORY S, 5012 Fiesta Ave. SINK Xemple Cit TEL.NO.285-3986 DISHWASHER CTOR en ros. Plumbing, Inc. CLOTHES WASHER S 4265 N. Baldwin Ave. SWIMMING POOL RECEPTOREl Monte, CA TEL.NO.443-0078 LAWN SPRINKLER SYSTEM .WATER HEATERSTATE LIC. E NO. 23� .741 0 CLASS C36-20 GAS SYSTEM OUTLETSAP V Az_ DATE NSPECTOISSIGAJATURE OUTLETS OVER $17 d K Si a55 PER SYSTEM H PLUMBINGIPING 0 ENT HOT WATER HEATER PLUMBING FIXTURES �✓�". C' °'�-<�+.c GAS TEST Plan Check fee UTILITY CO.NOTIFIED ) PLUMBING PERMIT ISSUING FEE$ TOP ©V TOTAL FEE o X21FINAL ✓l- Plan check applicant LAN CHECK VALIDATION Name . C 45 -3 3."� Z Address A)C ` 7 g 4 6 7 05901 R lrJgU # aoaaoGj City Tel.No. / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE. 2•O - 22,00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 0 0 0 2 2 0 0 0 I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR LICENSED AS o REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 0 V,02—79 LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY- SIGNATURE' ROPERTY.SIGNATURE OF PERM ITTEE 1 ISTRI�T�10. PROC SS BY to C� INDUSTRIAL WASTE APPROVAL