HomeMy Public PortalAbout10627 OLIVE ST_Plumbing__ 76A667-CE 4817 2-62 �+ �I�"�jiC�I CE I7 Y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 06
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN s NEoss STT.
NUMBER FIXTURE OR ITEM EACH FEE /�
WATER CLOSET 51.25 OWNER � m
MAIL
BATH TUB 1.25
ADDRESS C/ L
SHOWER 1.25 CITY TEL. NO. y `�
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY
LAUNDRY TUB 1.25 CONTRACTOR'S STATE [01REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GG ZONE P CE DjB
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD d
'r er e O
LuLu
t/l
/ t
APPROVALS lqfffATE INSPECTOWSJSIG�ATURE
PERMIT5 2 00
UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE QGAS PIPING
1 D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 'GAS TEST 1
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE c
FINAL
VALIDATION ROBERT A.WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
LCO26s4Go NOV 19 5D -3.5 0!v
78A887-CE#'817 5/83 / C�i• s
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APPLICATION FOR PLUMBI G PERM
COUNTY OF LOS ANGELES j
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDINGJ n h / /
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS"� / v di�L / 5 O 1- .1 V i
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY w
FOR APPLICANT TO FILL'IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY v L.NO.
LAVATORY 1.25 CONTRACTOR l b o
SINS 1.25 ADDRESS r1j ' A /+?/A
DISHWASHER 1.25 CITY W. TEL.NO:
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. D COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GR P ZONE O S.
WATER HEATER 1.50 - •�� b }
D
GAS SYSTEM OUTLETS 1.50 'INDUSTRIAL
APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30
5 INSPE TION RECORD
•P I � 9x
7
ate e °.". o
CL
cnr
APPROVALSyy/DATES INSPEC bR'S SIPLI.JATU�E.
.UNDER SLAB WORK ,l/�t9
PERMIT 2 2 OO' ti
`'� ROUGH PLUMBING
TOTAL FEE 7 GAS PIPING �. w
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS'VENT _
• AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH
HNGL COUNTY ORDINANCES AND STATE -LAWS REGULATING HOT WATER HEATER
1 HER 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 NER OF.AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESID IAL pRopERiY. UTILITY CO.NOTIFIEDgff' 4e
z�..
SIGNATURE / °'-�• "' ��
OF PERMITTEE FINAL
lama
VALIDATION ROBERT A.WOOD
C M.O. CASH SUPERVISING MECHANICAL ENG'R
0396 SEP19 5 0 14..75N