HomeMy Public PortalAbout4903 HELEO AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMOT APPLOCATHON
COUNTY OF LOS ANGELES BUILDING
WILLIAM 3:. FOX, COUNTY ENGINEER ADDRESS '
FOR APPLICANT TO FILL IN LOCALITY '7�9)7�J�J��'s'�
ADD EBUILDISS .-d �f'1;`. NEAREST
CROSS ST. L✓�
/�" DISTRICT N0. GROUP �ZONE PERMIT NO.
LOCALITYf{ '
NEAREST v /,
CROSS ST. „ RECEIVED-BYV- Ready for Inspection s D TE ISSUED
OWNER .te
MAIL IV om ,ter / WASTE APPR-
ADDRESS r bj �/1 �-`� �p.� //((� �� //''�� � WASTE APPROVAL
q!!!/l, R INSPECTION RECORD
CITY � J Yy?A�,f11Y�� � TEI/./P)0� Y7 Q ?A ?
PLUMBER /sTv� k /�� �l /.� ��'S�' N/D itn w s -A o-r'
r
ADDRESS •�� � i
CITY TEL.N0.
` []STATE
LICENSE NO. n COUNTY J
PERMIT FEES Q
z_
4UMBER TYPE OF FIXTURE OR ITEM FEE ten; ID
WATER CLOSET(TOILET) @ 0.80 $ X � 0
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80 e
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80 ® s
SLOPSINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
u WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
Q Pr v, 4 A.%-V DATE, INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING ,BI° fP 'fid
GAS PIPING
TOTAL FEE ?d
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
gg CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS -
REGULATING PLUMBING. a PLUMBING FIXTURES A16 1^/ V7 yT9F7--
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM,THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
� � . FINAL
76A667 DBS 17 Cd b 12-53 - -
'CE 817 B-55 A Il P U C!r't!T MN FOR P L U 11 U II�M IJ YJ G P E Il 1!M T II
4BUILDING AND SAFETY DIVISION X116
Department of County Engineer
County of Los Angeles j BUILDINGG V//,
JOHN A.LAMBIE,COUNTY ENGINEER h ADDRESS
CASSATT D GRIFFIN SUPT OF BUILDING
g. - LOCALITY
FOR APPLICANT/jT,,O FILL IN NEAREST
CROSS ST.
OWNER �p���_ ,�,'1 „ ..�y},yr�� DISTRICT N GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS / ��j � � "
fi INDUSTRIAL
CITY Y' ,.0,` ,,r7`EL. NO. 10 `. WASTE APPROVAL I '
17
PLUMBER i INSPECTION RECORD
ADDRESS
CITY TEL. NO.
LICENSE NO. I.
NUMBER TYPE OF FIXTURE OR ITEM FEE '
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00 ri
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00 /
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 '
CLOTHES VJF HER @ $1.00
s WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
t{ .
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
�ryy GAS PIPINd
TOTAL FEE v 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. `_ PLUMBING FIXTURES
-
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y
` CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT PROPERTY.
a SIGNATURE
OF PERMIE �YI i d
..: FINAL
ROBERT A.WOOD,
JOHN A.LAMBIE, COUNTY ENGINEER VALIDATIO SUPERVISING MECHANICAL ENG'R
'CK. M.0. CAS
mho g o AUG 2,2 :3:0