HomeMy Public PortalAbout5635 HELEO AVE_Plumbing__ 76AG67 -CE§en 12.64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERjDING
BUILDING AND SAFETY DIVISIONRESS S ELEO VEJOHN A. LAMBIE. COUNTY ENGINEERCOLEMAN W. JENKINS, SUPT DF BULLo1NGALITY MY E ISiryFOR APPLICANT TO FILL IN RESTSS ST. A1
NUMBER FIXTURE OR ITEM EACH FE //��'NER W9A)CG �C%O M ASWATER CLOSET $1.25 L 1BATH TUB 1.25 RESS AJ G U V E
SHOWER 1,25 CITY P I TEL. NO. 8 _1'33
LAVATORY 1.25 CONTRACTOR ALQeFAJGE GeOM/AS
SINK 1,25 ADDRESS
DISHWASHER 1,25 CITY . NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRIICLNO. GROUP ZONE P E SED BY
WATER HEATER 1.50 ��7 /(J�'
GAS SYSTEM k, OUTLETS 1.50 INDUSTRIAL Y
WASTE APPROVAL a
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD
V
0
O
F
V
W
CL
h
Z
A ROVALS 'ATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT HAVE READ THI$ APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE CRISEO RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED /
SIGNATURE
OF PERMITT
E
FINAL
VALIDATION ROBERT A. WOOD
CK. M.o� cASHSUPERVISING MECHANICAL ENG'R
�'1., b e 4 1.L^ S� 3 0 5 D 3.50-
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76A667-CE817-B-58
APPLICAON FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER / f
BUILDING AND SAFETY DIVISION BUILDING
a�C 3J /�' L �=
JOHN A. LA 1. County Engineer
CASSATT D. GRIFFIN, Sup f of Building
LOCALITY
FOR APPLICANT TO FILL IN NEAREST 1
CROSS ST. �Ls
NUMBER FIXTURE OR ITEM i
O`er w o o C O/1�
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO.
CONTRACTOR '�'�'�•� Y UB] in 0 .
Q�
LAVATORY - -
SINK
ADDRESS 442 YY, v B@ WOO ,
DISHWASHER
CITY Glendora a TEL. NO. �1
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY El
CLOTHES WASHER DISTRICT NO. GROUP Z NE PR CESSED BY
WATER HEATER J
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
i
APPROVALS
O �H UFIP7tT'U S -O DATE/ INSPE T R'S SIGNATURE
VV UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING �07�
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY HOT WATER HEATER
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 A GELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M TH LEGAL OWNER OF THE AB VE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA PER /
SIGNATURE FINAL
OF PERMITT
4
ROBERT A.WOOD.
®P ALIDATION SUPERVISING MECHANICAL ENG'R
M.O. CASH
( ` 6088 FEB 4 5 A 12.00