HomeMy Public PortalAbout5444 MCCULLOCH AVE_Plumbing_8/19/1957_ 76AG57-CE0817 10-62
APPLICATION FOR PLUMBING PERNKIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS McCulloch
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'T OF BUILDING
LOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Daines
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER H Lomai
MAIL
BATH TUB 1.25 ADDRESS Same
SHOWER 1.25 1 CITY Sarrie TEL. NO.Gy 8 8560
LAVATORY1.25 CONTRACTOR pacific Installers
SINS 1.25 ADDRESS 3-0920 E. Grand.
DISHWASHER 1.25 CITY City TEL. NO. W 6905
COI(TSTATE
LAUNDRY TUB 1.25 REGISTRATION p 8 COUNTY
REGISTRATION NO. 211898
CLOTHES WASHER 1.25 DISTRICT O. GROUP ZONE PROCESSED BY
1 WATER HEATER R lacen0ft A o5ot—oulcl
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
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APPROVALS DATE • INSPECTOR'S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 1 3150 GAS PIPING I
I
1 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
PLUMBING.
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES r 1�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 4
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO t
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIA PROPERTY. UTILITY CO.NOTIFIED 1
SIGNATURE
OF PERMITTEE FINAL
ALIDATION ROBERT A.WOOD dg
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LI IIJ0 l7KU 4 6',j jUN 5 O 3,5 O^' t
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DBS-17 f0-SS APPLICATION FOR PLUMBING PERMIT
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DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles B.UII:DING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESSl ,�f'®FI p�'fel VX IL;eve
CASSATT D..GRIFFINS SUPT OF BUILDINGLOCALITY � (a--t4ala c /�
FOR APPLICANT TO FILL IN NEARS sCROSS1r. bA rsll ,1+' vA
OWNER
DISTRICT I GROW I /ZONE
I READY FOR INSPECTION
MAIL I l /�j
ADDRESS
INDUSTRIAL I
CITY/ "llTEL.NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS IONTANA PLUMBING CONTRA—C10-M
CITY 13329 !jgaOlt
pBEIQ ,
LICENSE NO. * 96496
NUMBER I TYPE OF FIXTURE OR ITEM sFEZ
}, WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00 f
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $i.00 /
DISHWASHER @ $1.00
'r LAUNDRY TUB OR TRAY.. @ $1.00
p CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
v--
APPROVALS
DATE I CTOR'S SIGNATURE
UNDER SLAB WORK ,
PERMIT $ I 1 00 ROUGH PLUMBING
GAS PIPING C ..
TOTAL FEE A9 —
• 4T
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AHD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY a HOT WATER HEATER ��,` ✓ , �,� vL Y•.�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .• PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST D=q
LICENSED AS REQUIRED BY LOS GELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM T F--THE ABOVE ,•.UTILITY CO.NOTIFIED ✓ v-, .(iFL�rL'js,rv./
DESCRIBED RESIDEN IAL P OP t r
SIGNATURE
OF PERMITTEE A FINAL N- -7;7 f�.� '�rrp !i•�1���
'OHN A.LAMBIE.COUNTY ENGINEER ATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
GK. T--;�
0. CASH
1.287 AUG.19 3 1000 2