HomeMy Public PortalAbout5541 PAL MAL AVE_Plumbing__ 76A667 -CERe.T 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER C,r �}^^ pp �- p
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS b51 U'lLl IIS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING +T
LOCALITY GG//
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER 1j). If. t Wen
WATER CLOSET $1.25 }
MAIL
BATH TUB 1.25 ADDRESS /aGi p—
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1,25 CONTRACTOR O3Qfjjp-& 6).t,1.Lfllu-
SINE 1.25 ADDRESS p 14 117[[y�C C . E moria 'RJ� �
DISHWASHER 1.25 CITY ?Q�.diW_.ri U'Wl!(.ONTRACTOR'S TEL. NO.LAUNDRY TUB 1.25 REGISTRATIONSTATE )S
NO. 197747
CLOTHES WASHER 1.25 DISTRI T NCl GR P ZONE P
WATER HEATER 1.50
GA
S SYSTEM OUTLETS 1.50 j) INDUSTRIAL
WASTE APPROVAL p
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION BE OAD V
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AFS OAKS DATE NSPECTOR'5 SIGNATURE
PERMIT 5 2 ]OFF
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ROUGH PLUMBING "I d
TOTAL FEE GAS PIPINGHEgEBY ACKNOWLEDGE THAT 1 RAVE gEAD THIS APPLICGAS VENTANOSTATE THAT THE ABOVE 15 CORRECT AND AGREE TO COWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULHOT WATER HEATER
PLUMBING.1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANPLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STAGAS TEST µCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,' O INTEN �' I tRESIDE IN.THE ABOVE DESCRIBEID RTIAL PR RrUTILITY CO. NOTIFIED
SIGNATURE '
OF PERMIjT��'� -- _ �.
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FINAL ='�•-•
/VALIDATION ROBERT A. WOOD
(CK. J M,O. CASH SUPERVISING MECHANICAL ENG'R
8 1 8 7-� DEC 21 5 0 8,75~ 5
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �`������ 1
WY J FOX.cN1ES ENGINEER
NATURE OF INSTALLATION --PuAmrr No.
ROUGH FIKTURKS I COY JDAQ
HEATER CESSPOOL SEPTIC TANK R IV BY READY FOR
FIRST INSPECTION
GAS
APPLICANT FML IN HEAVILY D PORTION ONLY
NAY[M. C. N01"PINGHAM CO. JOB
DDRESB
G t
� ADDRESS V Ave. LocwLln
3 cm NEAREST
i CRO"ST
couNTr
CERT No OI►IRES NAY[
LOCATION OF SEPTIC TANK, OR CESSPOOL AMAIL DDRESS
NORTH p
CITY TEIAY THE LEGAL POSSESSOR O►ANGELES COUNTY CEITIFIC T[Q
IE
LEGAL OWNER OF THE PROPERTY DESCRIBED
[
OWNDI
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATN TUB FURNACE O
C
SHOWER DItNWMNER O
VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK *AND TRAP
P LINK FLOOR DRAIN
WASH TRAY ��RINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DAYS INtR7 -s NAME
WATER NEATER DENTAL LAVATORY ROUGH PLUMBING
[TES�AM SODA FOUNTAIN OAS PIPING
OUTL
OAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES •ESfIC TANK
ESStA AL SEPTIC TANK
t[WER
s
UTILITY CO NOTIFim
TOTAL FEE FINAL