HomeMy Public PortalAbout6538 OAK AVE_Plumbing__ 76A867d(CE-81713) -9/78 '
APPLICATION FOR PLUMBING PERMIT
P 4
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE): BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS !G'��� ��/' 0.k �d2/Lu
WATER CLOSET LOCALITY
BATH TUB NEAREST
CROSS ST. &/"►'L'&-1 L-
SHOWER OWNER JViC-k lel/'l ajd
LAVATORY MAIL
ADDRESS tr6'3 /�� Iv- 00—L j1a1LV—
SINK C ITY4v TEL. NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY 1AIV TEL. NO.
LAWN SPRINKLER SYSTEM
STATE LIC
1 WATER HEATER LICENSE NO. CLASS
DISTRICT NO. I GROUP IZXE OC ED BYGAS SYSTEM OUTLETS � ,9 ?
OUTLETS OVER !J V _� CD
5 PER SYSTEM INDUSTRIAL.
WASTE.APPROVAL y�
f ,�,✓//gyp �' �%' I {� aL
INSPECTION RECORD
c✓/ F 'L.��, T
I
v
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INS PE OR•s SIGNATURE
UNDER SLAB WORK 3'9%77 /
Address ROUGH PLUMBING
•I A
City Tel. NO. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICEN
SEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF., AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATU RE
OF PERMITTEE FINAL
I
PLAN CHECK VALIDATION C C4"H PERMI�VA6I� ON CK. M.D. CASH
9 ZI V5-v-RAW • 5 a A
7GA667 C:E0517 4-64
• ~ -APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS
Oak
Tamp]a 0i ty
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARS ST. Emperor
NUMBER FIXTURE OR ITEM EACHFEE
OWNER Check
21 WATER CLOSET $1.25 BAIL
BATH TUB 1.25 ADDRESS
CITY TEL.NO.
SHOWER 1.26
LAVATORY 1.25 O CONTRACTOR Ovens Bros,
SINK 1.25 T194
ADDRESS 4265 N. Baldwin
DISHWASHER 1.25 CITY El Morita TEL. NO. hh'i-0078
LAUNDRY TUB 1.25 REGISTRATION
. STATE
REGISTRATION NO. 91170 COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. ROUP ZONE PROCESSED BY
WATER HEATER 1.50 1 Q r.. r L} JW
GAS SYSTEM OUTLETS 1.50 IWAASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
Zoo IOU
APPROVALS DATE INSPECTOR'S SICLf 4T..UfIE
PERMIT 5 2 00 UNDER SLAB WORK �f✓� - y+
Y
ROUGH PLUMBING
TOTAL FEE -GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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 HOT WATER HEATER
PLUMBING.
.1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND(OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORI T 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE C IBED RESIDENT ROPERTY. UTILITY CO.NOTIFIED
SIGNATURE A
OF PERMITTEE FINAL
ALIDATION ROBERT A.WOOD
J CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LHLO 5 1 .G 3 SEP1 5 0 16.25,