HomeMy Public PortalAbout6132 MUSCATEL AVE_Plumbing__ 78A867,. r
CE 817}}(RIEV.(3/.7,8)
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=1 APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR.APPLICANT TO FILL IN IPRINT:OR TYPE) BUILDING.
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST;
SHOWER OWNER G
LAVATORY MAIL
ADDIRLSS
SINK,, CITY TEL,N
DISHWASHER CONTRACTOR ,
CLOTHES WASHER 14DDR
SWIMMING POOL RECEPTOR
CIT TEL.Nb
LAWN S.P,RI.NKLER SYSTEM STATE LI.C.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS• DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
@S
HOT WATER-HEATER
PLUMBING FIXTURES
GAS TEST 7fj Q,
Plan check feeUTILITY CO.NOTIFIED g
PLUMBING PERMIT ISSUING FEE$ i
'l
TOTAL FEE FINAL ?�
Plan check applicant PLAN CHECK VALIDAT . N
Name. U
Address
City Tel.No. %Zd -r �j•-�S�9�3'T��l�+;eG�G�C6���
I.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ,
THATTHE ABOVE:IS'CORRECT AND AGREE T.O'COMPLY WITH ALL COUNTY ORDINANCES 1
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 5 93.6 A
REQUIRED BY LOS ANGELES COUNTY AND STATE OF.CALIFORNIA OR THAT I AM THE
LEGAL OWN OF,AND INTE TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY.
O O O O o
-
2o01300
SIGNATUR ..
OF PEFEMI 0 O. o 1. 30c,
DISTRICT N P D BY 0 O 3_ f
INDUSTRIAL
WASTE APPROVAL
•�78A667A(CE B77B)-11/76
sAPPLICATION FOR PLUMBING PERMIT
Eby FOR A MAL
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL.IN(PRINT OR TYPE) ADIDRIESS LOO
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET LOCALITY ` IIIJ
� (� 1C-L
NEAREST y
BATH TUB CROSS ST. pk V.Z/ L
SHOWER - OWNERMAIL "
LAVATORY ? J ;""�` ^ti; ADDRESS 7 A
t'" 2SWaK,'1, ° "* y•tr7 CITY TEL.N V
DISH..W&4E'R `�I• j, CONT INSTALLERS
CLOTHES WASHER ADDR 920 E. GRAND AVE.
SWIMMING POOL RECEPTOR CITY TEMPLE Ci O+-4)_•r7p9d
LAWN SPRINKLER:SYSTEM
STATE "') 1 ( LIC.
WATER HEATER LICENSE NO. C `-1 l 'CLASS
GAS SYSTEM OUTLETSDISTRICT NO. GROUP ZONE PROCESSED BY
OUTLETS OVER I �✓
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD 9 ,
us
Pldn check fee
PLUMBING PERMIT ISSUING FEE$ 0
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK -
Address ROUGH PLUMBING
City. Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE:THAT I HAVE READ THIS APPLICATION'AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT.1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO:NOTIFIED
1
SIGNATURE.
OF PERMITTEE FINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION f cK. M.O. CASH
5 6 7 tiFtB 8 5 A
as
76A667-CE817-8.57
1
APPLICATION FORT PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fNEA
UILDING
IOHN A. LAMBIE. COUNTY ENGINEER DDRESS VI J
CASSATT D. GRIFFIN, SUPT OF BUILDING OCALITY
FOR' APPLICANT TO FILL IN RESTROSS ST.
NUMBER FIXTURE OR ITEM I
WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS
I
SHOWEB CITY TEL. O.
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. "60-T COUNTY ❑
CLOTHES WASHER
DISTRIC GROUP O READY FOR INSPECTION
WATER HEATER .1
I . i ,GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
JAI YA!�nr�gztovvr
16 F S G4f c • footclr-
VS< F sl-c- 4,10. Gc
APPROVALS
$I.00 PER ITEM DATE INSPECTOR'S SIGNATURE
3 OR FIXTURE $ UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING
TOTAL FEE I It IDL) GIAS VENT
1 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
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES. COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OW R OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL.PROPERTY.
SIGNATURE
OF PERMITTEE PINAL ��Q
ROBERT A. WOOD,
Os RETORT fION SUPERVISING MECHANICAL ENG'R
CK. M.O. .1 CASH
j,ACi
jl• 9 l 68R JUm 16 3 A 4.0 0