HomeMy Public PortalAbout5350 MCCULLOCH AVE_Plumbing__ 7OU67-CES17-B-N -
APPLICATION FOR. PLUMBING PERMIT 1
COUNTY OF LOS ANGELES i
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION .
JOHN A. LAMBIE, County iaeer
TT D.GRII'FR�i,Supt o!Su91dmg LOCALITY M
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. �
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
��A p /J
RATE TUB ADDRESS 3 yr� / d'K e.L�.Iw+G.�t. -
SHOWER TEL NO.
LAVATORY CONTRACTOR
g ADDRESS4o 1
DISHWASHER CITY
CONTEACTOR'S �j 3 , �^� STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER D13TR!=NO. GROUZ ZONE P CESSED
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
/ APPROVALS
@ 08 uF�I1TEM $ I d d
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 2 00 ROUGH PLUMBING
TOTAL FEE , GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND. STATE. THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
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 I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI�PROPERT .�
SIGNATURE
OF PERMITTE FINAL
ROBERT A.WOOD.
®P ALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0: CASH
LAC0 4 10 ��A5 a3.00
76A667-CE817-8-57
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(25)+)
APPLICATION ORIfPL.UMBING PERMIT 1
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER, BUILDING
BUILDING AND SAFETY DIVISION ADDRESS: McCullo.c -
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,'SOP'T OF BUILDING LOCALITY
Temple Clt .A.CO
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER Wavilene -M. Calkins
WATER CLOSET MAIL
BATH TUB ADDRESS
I�
SHOWER _ CITY TEL.NO.
f_ LAVATORY CONTRACTOR Hartshorn. Brothers Plum ng
SINX ADDRESS 9816 E• Compton Blvd.
DISHWASHER CITY Bellflower TEL.NO.TO-7-LP+71
LAUNDRY TUB CONTRACTOR'S 1.2 7'71 STATE
REGISTRATION NO. COUNTY
/1 '.CLOTHES WASHER
!DISTRI.CT O. G�f 'P jo(ONE READY FOR INSPECTION
WATER HEATER II
GAS SYSTEM , INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
' a. 16 c •a.. L
AA-
;r
APPROVALS
DATE INSPE TOR'S_SIGNATURE
,ry @ $1.00 PER ITEM ,
/ OR FIXTURE UNDER SLAB WORK
PERMIT
ROUGH PLUMBING
5 00
GAS PIPING
TOTAL FEE -GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER 6
AND STATE THAT THE ABOVE IS CORRECT AND. AGREE,To COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES.
PLUMBING.
1 HEREBY,CERTIFY THAT d AM PROPERLY REGISTERED AND/OR GAS TEST ea
LICENSED AS REQUIRED BY LOS ANGELES; COUNTY AND STATE OF
CALIFORNIA OR THAT I AM. THE LEGAL OWNE OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBcD' RESIDENT • PEJ Y .
SIG NAT U:FZ-E:' r
OF PERMITTEE o FINAL , f
es va ROBERT A.WOOD,,,,
�yraT ATION SUPERVISING MECHANICAL ENG'R
C.K M.'O. CASH
j of
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