HomeMy Public PortalAbout5357 MCCULLOCH AVE_Plumbing__ 76AG67C (CE-61713) -9/7S
APPLICATION FOR PLUMBING PERMIT
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BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
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NUMBER FIXTURE OR ITEM @ FEE
ADDRESS ��JJ67
V WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST. I"
SHOWER OWNER
LAVATORY MAI L
d`(� ADDRESS
SINK CITY TEL. NO.
' DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS r
SWIMMING POOL RECEPTOR
CITY TEL. NO.
LAWN SPRINKLER SYSTEM
STATE. - LIC
WATER HEATER LICENSE NO. CLASS yo_
GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE 0 SED BY C
OUTLETS OVER �� all I
5 PER SYSTEM
INDUSTRIAL
WASTE APPROVAL LL,
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INSPECTION RECORD
Plan check fee
PLUMBING PERMIT ISSUING FEE $ --0
TOTAL FEE
Plan check applicant
1 Name APPROVALS DATE I.NS'PECTOR'S SIGNATURE
UNDER SLAB WORK 6
Address
ROUGH PLUMBING
City Tel. NO. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
f, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
r' 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 DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
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SIGNATU RE
OF PERMITTEE ' FINAL
PLAN CHECK VALIDATION Ck. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 8 S PNOV 8 1 3.5 0 Ayr,
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76A667-CE*j317 4-64
APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER DING
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BUILDING AND SAFETY DIVISION ADIDL
JOHN A.LAMBIE. COUNTY ENGINEER Bi
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
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FOR APPLICANT TO FILL INE E T. � r
NUMBER FIXTURE OR ITEM EACH FEE
_ OWNER �
WATER CLOSET $1.25 MAIL
BATH TVR 1,25 ADDRESS
CITY L. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRALTO99
SINK 1,25 ADDRESS
DISHWASHER 1.25 CITY
LAUNDRY TUB 1.25 REGISTRATION NO.^ rf � Ip COTUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GR ZONE P O ESS B
WATER HEATER 1.50 .
GAS SYSTEM OUTLETS 1'� INDUSTRIAL, p�
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK EA
ROUGH PLUMBING ��!TOTAL FEE GAS PIPING , ,1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LIC ION GAS VENT ' �(0AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWITH. ALL COUNTY ORDINANCES AND STATE LAWS' REGULATING HOT WATER HEATER JPLUMBING.
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ,LICENSEDASREQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TESTJCALIFORNIA'OR THAT 1 AM THE LEGAL OWNER OF.AND 1 D TO
RESIDE IN.THE'ABOVE DESCRIBED RESIDENTI L ROPERTj UTILITY CO.NOTIFIED
SIGNATURE 'n
OF PER MITT �' FINAL 1rQ([�
ALIDATION ROBERT A.WOOD
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M.0. CASH SUPERVISING MECHANICAL ENG'R
LALO 0 4 0 2'%ma= W 11 5 D 4.75- 1
76A667-CE#617 2-66
APPLICATION rOR PLU BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /�
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Ale G 4l-zz 0
COLEMAN W. JENKINS. SUPT. OF BuILDING LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR(se `o/' //
SINS 1.25 ADDRESS /�0 f
DISHWASHER 1.25 CITY ` �� TEL. NO,?&/.-
LAUNDRY TUB 1.25 STATE LIC
LICENSE NO. 5�6 CLASS C
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE =pCELSs_Eo
WATER HEATER 1.50 j l O l
GAS SYSTEM_OUTLETS 1'50 WASTPP
E APPROVAL a
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD v
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N
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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 HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANG LES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LE L OW ER OF,AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED SIDEN L PROP RTY. UTILITY CO.NOTIFIED '
SIGNATURE
OF PERMITTEE -
FINAL 'r '` -lop 11
VALIDATION JACK R. ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENGIR.
L 8' 5 7 3%10 MAY 16 5 D 3.50N W