HomeMy Public PortalAbout5639 HELEO AVE_Plumbing__ VBABBT -CE#819 5/63 �l*��/' �
APPLICATION FOR PLUMB NG PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING L�
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS/
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST ,n
CROSS ST. V'
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL �j r/
BATH TUB 1,25 ADDRE (r
CITY TEL. NO.�1G- ',-37
SHOWER 1.25
LAVATORY 125 CONTRACTOR
SINE 1,25 ADDRESS
DISHWASHER 1.25 CITY �— TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE 0
REGISTRATION NO. COUNTY
CLOTHES WASHER IAS DISTRICT NO GIR B- ZON I P O E SED BY
WATER HEATER 1.50
/ GAS SYSTEM OUTLETS 1'50 INDUSTRIAL 0-
WASTE
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .20 INSPECTION RECORD U
v ac
r � N
Z
APPROVALS DATE INSPECTORSSIGNATURE
PERMIT S 2 00 UNDER SLAB WORK.]
ROUGH PLUMBING
TOTAL FEE .�� GAS PIPING /ji;�%;.� • % �__;,^,�'
HEREBY ACKNOWLEDGE THAT HAVE READ THIS RPPLICATION GASVENT
ANp STATE THAT THE ABOVE IS CORRECT ANp AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES I ��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF X117
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST ,;�•'i/..�/ .�J J{�
RESIDE IN,THE ABOVE RIB RESIDENTI PROP RTY. UTILITY CO. NOTIFIEDSIGNATURE
OF
OF PERMITT FINAL ///y'/�� JL/r✓j
VALIDATION`—) ROBERT A. WOOD
CK. M.0. CASH )SUPERVISING MECHANICAL ENG'R
Lli� o'9 2 .5:0 ZZ :MAY'2'5 5 D 3.50- 'V,
76A667-CE817
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COUNTY OF-•LOS ANGELE
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ]—VV
CRSSATTD.L GRIFFINSuP(ol B.HdiBLOCALITYFOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER � CO.i/S
WATER CLOSET MAILBATH TUB ADDRESS
SHOWER CITY NO.
47 LAVATORY CONYBACTOA lumbing G°O.sINXADDRESS eetwood Pl .
DISHWASHER CITY GlenNO. Ed 5-1 9.>
LAUNDRY TUB CONTRACTOB'S STATE ❑REGISTRATION NO. COUNTY ❑CLOTHES WASHER DISTRICTNO. NE PR CESSEO BY
WATER HEATER —
/ GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
/O @ O1.00 PERTEEM
R FIXTURE $ / C>-a DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /'0
PERMIT $ 2 bc
00 ROUGH PLUMBING q��
TOTAL FEE y p a GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITYCO.NOTIFIED
DESCRIBED RESIDENTIA ROPER T
SIGNATURE
OF PERM ITTE FINAL LiYIY
ROBERT A.WOOD.
®P ALIDATION SUPERVISING MECHANICAL ENG'R
CK. tl.0. CASH
i!?l 0 6 0 9 0" FEB 4 5 A 1 2.0 0