HomeMy Public PortalAbout9430 LEMON AVE_Plumbing__ ,76Af567-CE#817 9/63 *C•" �1r�� • /
APPLICATION , FOR'- PLUMBING PERMIT
COUNTY-OF LOS ANGELES `
DEPARTMENT OF COUNTY ENGINEER BUILDING'
BUILDING AND SAFETY DMSION ADDRESS -
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SuP•T OF BUILDING •�� �J T '
LOCALITY ` L
FOR APPLICANT TO FILL IN ROSSSST.' C✓< �,F
NUMBER FIXTURE OR ITEM EACH FEE ✓ r,
: OWNER _ � � -
WATER CLOSET $1.25 -
BATH TUB 1.25 ADDRESS 14J
SHOWER 1.25 CITY Ci L. NO.-I
LAVATORY 1.25 CONTRACTOR 40f'
' SIN$ 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION COUNTY Ep
CLOTHES WASHER ' 1.25 -DISTRICT NO. GROUP ZONE ;P CESSED BY
WATER HEATER '1.50
GAS SYSTEM_�' OUTLETS 150 INDUSTRIAL a
WASTE APPROVAL• •Q'
OUTLETS OVER-5 PER,SYSTEM - .300 INSPECTION CORD' - U
e ) r Llfyl4'7/ `0
l `l:.- Lu
CL
Z-
'
>--•a-.��....».-.--..mow--'----'....�....��..� a...e e„m-�..}a,a.��_ -- -- - — ......._.
- APPROVALS, DATE INSPECTOR'S SIGPATUR§
PERMIT S 21-00 UNDER SLAB WORK
ROUGH PLUMBING - r�� a J_
TOTAL FEE I GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY \ ,
WITH ALL COUNTY ORDINANCES AND STATE' LAWS REGULATING- HOT WATER HEATERr -
PLUMBING r,
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �' ,v` - - - •'
LICENSED AS, REQUIRED BY LOS ANGELES COUNTY AND STATE OF / r '
GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER,OF,AND"INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED xa l�
SIGNATURE - -
OF PERMITTEE
FINAL
LIDATION ROBERT A WOOD
cx M D CASH SUPERVISING MECHANICAL ENG'R
LA 0 42' 3 JUN 2 4 5 a ,. 15-00N .,"
76A667 .CE0817 4-64
APPLICATION FOR PLUMBIN 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 Si.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS f
SHOWER 1.25 CITY TEL. NO.�
LAVATORY 1.25
CONTRACTOR Lv
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
CONLAUNDRY TUB 1.25 R GIISTRAi ON NO. COUNTY CTOR'S STATE Q
CLOTHES WASHER 1.25 DISTRICT NO. GR PNEBYP
WATER HEATER 1.50 J Q
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL 0.
WASTEAPPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
ce
O
H
U
Lu
D_
N
Z
APPROVALS DATE INSPECTOR'S S1,914ATU E
PERMIT S 2 00 UNDER SLAB WORK
OUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �� I
PLUMBING +
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 1 I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DEDCRIBED EBIDENTI L PROP Y UTILITY CO NOTIFIED (� v t
SIGNATURE
OF PERMITT FINAL
DATInD
ROBERT A'WOOD
CK M O SUPERVISING MECHANICAL ENG'R
8 1 0 6 Go FEB 1 5 D 3.2 5- d