HomeMy Public PortalAbout4949 HELEO AVE_Plumbing__ 76A667-CE#817 2-66 e,
APPLICATION FOR. PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS Aype
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.2S e
MAIL
BATH TUB 1.25 ADDRESS
CIT TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR kT
SINK 1.25 ADDRESS1_0
DISHWASHER 1.25 CITY `(� TEL. NO.
STATE 4 // �/� LIC
LAUNDRY TUB 1.25 LICENSE NO "Y` L CLASS
0
CLOTHES WASHER 1.25 DISTRICT O GR Z P BS BY
WATER HEATER 1.50 4
1.
GAS SYSTEM OUTLETS 50 INDUSTRIAL >_
WASTE APPROVAL
OUTLETS OVER 5comb
SYSTEM .30 INSPECTION RECORD v
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z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
0
I HEREBY ACKNOWLEDGE THAT I HAVE 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
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO E
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATU
OF P ITTE
FINAL /
LIDATION JACK R. ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R.
Li o0-8 0 3� SEt'2 0 3.50N
76A667-C Fia81}7 10-62
APPLICATION OR PLUABING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE.''COUNTY ENGINEER ADDRESS
' WILLIAM A. JENSEN, SUPT OF BUILDING
. LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 . OWNERMAIL
BATH TUB 1.25 L ADDRESS
SHOWER 1.25CITY TEL. NO.
ZS
LAVATORY 1.25 O CONTRACTOR
SINK 1.25 Z ADDRESS r
DISHWASHER 1.25 CITY 9 TEL. NO. ' 3
LAUNDRY TUB 1.25 CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.257:&- DISTRICT NO. GROUP ZONE P O S D BY
WATER HEATER 1.50 r b og. 1
r 1.50
GAS SYSTEM-OUTLETS d INDUSTRIALWASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u
Im
f-
/ l W
W90 1-0,A
APPROVALS v ATEJ INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
yyft //�I ROUGH PLUMBING v
TOTAL FEE / V V GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND 'AGREE TO.COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. ,
'I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
.LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM..THE LEGAL OWNER OF,AND INTEND TO GAS TEST /�'� :/' S®I4(r'✓�
RESIDE IN, THE ABOVE DESCRIBED RES D NTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE -
.. _ ,,..- FINAL
'OALIDATION ROBERT A. WOOD
M.0. CASH SUPERVISING MECHANICAL ENG•R