HomeMy Public PortalAbout6166 IVAR AVE_Plumbing__ 76A607-CE817 10-60
APPLgQAT➢O l FOR PLUMBING . PERMIT
COUNTY OF LOS ANGELES . .
DEPARTMENT OF COUNTY-ENGI EER _: s• s, :;
BUILDING AND SAFETY DIVISION 8 BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST.-
CROSS ST.
-NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
MAIL
BATH TUB ADDRESS 't•' �G U u�Z—
CITYvtC.-Y TEL'NO.it,..
SHOWER ..
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CITY i�s.�,CA—�+ 2:E3LTEL' No
.
LAUNDRY TUB REGISTRATION NO. Gs7�� COUNTYJ;�A
❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE Pk SED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL �.
INSPECTION RECORDCL
O
tv
@ $1.00 PER ITEM t
OR FIXTURE APPROVALS DATE w5croR s SIGNATURE•
PERMIT $ L_2' "00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 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
PLUMBING. HEATER HOT WATER - '
'
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES -
LICENSED AS REQUIRED-BY L03 ANGELES COUNTY AND STATE.OF I.
CALIFORNIA OR. THAT A AM THE LEGAL OWNER OF..THE ABOVE " GAS TEST
DESCRIBED RESIDEN7IAL PROPERTY. s UTILITY CO. NOTIFIED
• SIGNATURE , - -
OF PERMITTE K17-1.3
/�
FINAL y( -1n':/ /d^r�",�
ALIDATION ROBERT A. WOOD
SCK.
M.O. CASH SUPERVISING'MECHANICAL ENG'R
76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FBUILDING
0 /v A. DSLRICASATT D.GFFDv Sup f of Building LOCLOCLITY
Al9.
FOR APPLICANT TO FILL IN COS ST . °
NUMBER FIXTURE OR ITEM - }
OWNER •. L y4.f/
WATER CLOSET /_
BATH TUB ADDRESS__CCJ C ("e,
SHOWER CITY TEL. NO.
/ LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER C45
- TEL. NO. .F<�p,j
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRd-elON NO.' COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE P ESSED BY
WATER HEATER $.
GAS SYSTEM
INDUSTRIAL
WASTE APPROVAL
NSPECTION RECORD
APPROVALS
OR FIXTURE $ ® DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 ` ROUGH PLUMBING q"
TOTAL FEE ,S ®�,: 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 > 1/
PLUMBING. PLUMBING FIXTURES r
I 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 GAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RE TIAL PRO PERT �'
SIGNATURE �/ FINAL v
OF PERM ITTE
..ROBERT A.WOOD.
OF VALIDATION UPERVISING MECHANICAL ENG'R
CK. H.o. ASH