HomeMy Public PortalAbout5411 MCCULLOCH AVE_Plumbing__ FSA667• APPLICATION FOR P LU��IdI B I N G PERMIT
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DMSION OF BUILDING AND SAFETY 1
Deportment of County Engineer
County of Los'Angeles BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS ✓ a� CjL+
CASSATT D,GRIFFINS SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN '
I NEAREST
CROSS ST. f C
OWNER o�..�� ® is I� DISTRICT NO. GROUP ZO E READY FOR INSPECTION
MAIL 0
ADDRESS 0
CITY 77=-,,97 is 7~ 4"r a. TEL.NO. I.A. (�, a ®�h�, INDUSTRIAL
WASTE APPROVAL
PLUMBER P� e-e INSPECTION RECORD
ADDRESS
CITY TEL.NO. l� U 1✓� •�l'' d "�%
172f i',�O�t a�A Td .T�V f
LICENSE NO. 7
NUMBER TYPE OF FIXTURE OR ITEM - FEE 0 ,w,C,/y
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN.) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00/
APPROVALS
DATE INSPECTORS SIgNATUR
l
UNDER SLAB WORK
PERMIT $ I ROUGH PLUMBING
1 00 I
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 O,�NNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. �1
SIGNATURE
OF PERMIT
FINAL
QHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. R.G. CASH
Co3 42 �% M23 3.00 m
,e^687. APPLICATION FOR PLUMBING- PERMIT 1
DMSION OF BUILDUM AND SAFETY
Department of County Engineer
County Of TAB Angeles BUILDING
JOHN A.L.AMBIE. COUNTY ENGINEER ADDRESS -
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS'ST.
OWNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL `
ADDRESS /
CITY ' EL. N v (0INDUSTRIAL.
WASTE APPROVAL.
PLUMBER INSPECTION RECORD
.y�
ADDRESS 0—A� 'S/yc tv eA �Y -/ TD
. L
CITYAWV��_�TEL.NO. L
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER.CLOSET (TOILET): '@ $1.00 $
BATH TUB @ $I.00
/ SHOWER @ $1.00 s
I LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ 81.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1..00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 " ROUGH PLUMBING -
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .
WITH ALL COUNTY ORDINANCES AND--STATE LAWS REGULATING PLUMBING FIXTURES ��f l [?-its✓
PLUMBING.
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 OW ER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED R SIDENT"LPROPF. ^. / ry y r '
SIGNATURE
OF PERMITTEE FINAL
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERTA.WOOD,CHIEF PLBG. INSPECTOR
cxj M.D. CASH
;��0 8 6 4 5 JUL 2 7 3 4.0 O N