HomeMy Public PortalAbout5614 MCCULLOCH AVE_Plumbing__ 76A667•CE#817 2-62
APPLICATION FOR PLUMBI- G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING G
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS62
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY //
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FOR APPLICANT TO FILL IN NEAREST ; G
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 51.25
MAIL
BATH TUB 1,25 ADDRESS . D
SHOWER 1.25 CITY TEL. NO.
M
LAVATORY 1,25 CONTRACTOR
SINS 1.25 ADDRESS Yjq7I.IG IV
DISHWASHER 1:z5 CITY , '�� W I V`
TEL NO.
CONTRACTOR'S -f A STATE
LAUNDRY TUB 1.25
REGISTRATION NO. Z / D9-ro COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT N GROUP ZONE P OCE D BY
WATER HEATER 1.50 6
GAS SYSTEM_4_/ OUTLETS 1.50 INDUSTRIAL.
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTIOg RECORD w
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5 (I
APPROVALS AT INSPEC 0R'SBIGNAT.URE) 1
PERMIT $ 2 00 UNDER SLAB WORK 17 ;,t
ROUGH PLUMBING
TOTAL FEE - I?., GAS PIPING .
f
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
N GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH BALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMING. HOT WATERHEAR
Q J
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES, �� � �1
LICENSED A. REQUIRED .BY LOS ANGELES COUNTY AND STATE OR
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST F,61 _
RESIDE IN.THE ABOVE DESCRIBED RESIDE IAL P PERTY. .UTI.LITY CO.NOTIFIED r 't
SIGNATURE At
OF PERMITTEE.
MMATION ROBERT A.Woe OD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
UtCo 8 0 DEC 7 5 D 1 3.7 5- c_
78A867-CE.#817 2-62
APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7EAE
BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEERWILLIAM A.JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN 7 NUMBER FIXTURE OR ITEM EACH FEE
`
WATER CLOSET $1.25
BATH TUB 1.25 ADDRESS D I
SHOWER 1.25. CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 ,CITY TEL.NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE [I
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1:25 DISTRICT N GROUP I ZONE I P CES D,BY
WATER HEATER 1.50 s
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD,, _
•/ w iii , T r'.w- .., a 0
IV
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I 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
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEEa4zo4���
c
FINAL ef'OG'6� "•��a+1.r'•I
VALIDATION ROBERT Je WOOD
cK M.O. CASH SUPERVISING MECHANICAL ENG'R
LAU10 8 0 6 5 DEC 7 5 D 3 5 30- N