HomeMy Public PortalAbout5708 MUSCATEL AVE_Plumbing__ IBS-17 10.89 APPLICATION FOR PLUMBING PERMIT
•17
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING X� j
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS cJ / ?
CASSATT D.GRIFFIN,SUP'T OF BUILDING �'
LOCALITY (moi 2
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE
�j READY FOR INSPECT IDN
ADDRESS ' -� �'Z I C
INDUSTRIAL
CITY ) �� TEL. NO. WASTE APPROVAL
PLUMBER / / s INSPECTION RECORD
ADDRESS ( e rq /J P/-ac Alar
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CITYAtl- 6 22 TEL.NO.. .� C /'�� ��/ �`�'✓�E'r'� e�e //ti �/✓�ro a�
LICENSE NO. 12 0 9,1 :2 /f--rA ..SC ef44 A .G9ZYr.S �l Al .t�t MAE-
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 e�--.% "eve, r" ew."Bc c
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 r
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 INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I 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
PLUMBING. --22-•s
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 9WNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RES IDENTIA PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
OHN A.LAMBIE.COUNTY ENGINEER (VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CK. / M.D. CASH
L} 02 0 6 in VO4 7 3 7.0 0
7SA667A
CE 8771REV.6/781
APPLICATION FOR LUMBI PERMIT
COUNTY OF LOS ANGELES BUILDING-AND SAFETY
FOR APPLICANT TO FILL IN(PRINT ORTYPEI. ADDRESS 5708 N. Museatel'
NUMBER FIXTURE OR ITEM , @ FEE.
WATER CLOSET LOCALITY, TempiCity
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER Dr. BE:vli
LAVATORY MAIL,
ADbRESS Sa Me
SINK CITY TEL.N0. 285-7449
DISHWASHER CONTRACTOR Universal Plumbing
CLOTHES WASHER ADDR.EsS 2631 Lee Ave.
SWIMMING POOL RECEPTOR.
CITY So. El Monte TEL..N.O — 6
LAWN SPRINKLER SYSTEM STATE, 38667$ LICA &20.
WATER.HEgT.ER //'� LICENSE NO. .
cG C, C co
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
'GAS PIPING 77
GAS VENT
@5
HOT WATER NEATER
PLUMBING FIXTURES
GAS TEST `]-30 7_1716-V 6
Plan check feeUTILITY CO.NOTIFIED � , g
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL,
Plan check applicant PLAN CHECK VALIDATION 7
Name
Address
City -Tel.No. A
8 p n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Z 9.4 1.
THAT THE ABOVE IS CORRECTAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS.REGULATING PLUMBING. PERMIT VALIDATION
# ccs 5
1 HEREBY CERTIFY THAT I AM PFkOPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COU D STATE OF CALIFORNIA OR THAT I AM THE 2 5 p 0 0 •
LEGAL OWNER OF.AND INTEND T R IDE IN THE ABOVE DESCRIBED.RESIDENTIALUV
PROPERTY. '
' .Oo05600:
SIGNATURE r
OF PERMITTEE 0 5 1 9-80.
• DISTRICT NO. P CESSED.
INDUSTRIAL
WASTE APPROVAL