HomeMy Public PortalAbout5552 PAL MAL AVE_Plumbing__ 76A667•CEP617 10-62 � —
APPLICATION FOR PLUMBINrG PERM17f
COUNTY OF LOS ANGELES L
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OV BUILDING
Locum
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
BATH TUB yg5 ADDRESS
SHOWER 1.25 CITY >. jTELN
LAVATORY 1,25 CONTRACTOR %
SINE 1.25 ADDRE
DISHWASHER 1.25 CITY -D /
LAUNDRY TUB IAS CONTRACTOR'S SATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHES 1.25
DISTRIO ,fNO GR D B
WATER HEATER 1.50 /
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL y
WASTE APPROVAL 1
OUTLEP OVER 5 ERS STEM .20 INSPECTION RECORD u
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u
W
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N
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANO RATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND "AM LAWS REGULATING 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
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROP Y. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL $- L J
VAMATIQIQ-N\ ROBERT A. WOOD
CK. M.0. (SCAv SUPERVISING MECHANICA ENG'R
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7CA667 -CE-Y617 2.62
APPLICATION FOR PLUMBI G PERNq�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
Z -k,t,JOHN A. LAMBIE. COUNTY ENGINEERWILLIAM A. JENSEN, SUPT OF BUILDINGFOR APPLICANT TO FILL. IN +NUMBER FIXTURE OR ITEM EACH FEEWATER CLOSET 81.25 RATH TUB 1.25 C
SHOWER 1.25 CITYA a"444 AV TEL. NO.
LAVATORY 1.25 CONTRACT .�
SINK 1.25 ADDRESS I j � LQ�
DISHWASHER 1.25 CITY TEL. NO 6
LAUNDRY TUB 1.25 CO CTOR'SATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 0IRI7�N UP Z E PR 6 BY
WATER HEATER 1.50 `/
GAS SYSTEM OUTLEYS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS 9VER 5 P SY97EM •20 INSPECTION RECORD
�I O
V
W
d
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENBED AS REQUIRED BY LOB ANGELES COUNTY ANO STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL P PERrr. UTILITY CO.NOTIFIED
SIGNATURE d�F
OF PERMITTEFINALy'5'-6 .�
VALIDATI ROBERT A. WOOD
CK. M.ID. G SUPERVISING MECHANICAL ENG'R
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEP[AJjRI,DTMI[EI� NT OOF�SCO TIIO4ENER
JORF�A LAM91E O�C u TT, �N61 N!!R
WILLIAM A JENB[N SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN �TT /
NUMBER FIXTURE OR ITEM EACH FEE ER
WATER CLOSET $1 n OWNER
KAIL
BATH TOS 125 ADDRERS
SHOWER 125 cm NOA—clsvTo
LAVATORY I2f CONTRACTOR eeSDR 125 ADDRESS
DISHWASHER 125 Cm TSL NOLAUNDRY TDB 125 CONTRXC H eEGISTRATION NO
CLOTHES WASHER 125 DISTRI No GROUP ZONE lBBEO BY
WATER HEATER 150
GAS SYSTEM OUTLETS I w INDUSTRIAL a
WASTE APPROVAL
OUTLETS OVER 5 PrB SYSTEM 20 INSPECTION RECORD 0
w
O
IYi
a
N
Z
APPROVALS DATE INSPECTOR[SIGNATURE
PERMIT S 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
1 nKMOYSTAYS AT TH A"DGE THAT I NAV[ RILAAND -MTNIS TO COMPLY
GAS VENT
AND RAT[ THAT Tn[ A[OV[ It COpR[OT AND AOR[[ TO COMPLY
WITH ALL COUNTY OADIMANC4 AND RAT[ LAWS R[OULATINO
PLUMBING HOT WATER HEATER
I M[RSBY CS"IFY 'NAT 1 AM PNOPRRLY R[GIIFT[IMD ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT[ OF GAS TEST,
CALIFORNIA OR THAT 1 AM TM[ L[OAL OW ff 01 AND IMTOIO TO
RKSIM IN THE ABOVE D[KRI[SO RESIDENTIAL P110P[ UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
,�IDATfON ROBERT A OOD
CN M O CASH SUPERVISING MECHANICAL ENG R
jL04 8 4 03 WO 20 5 D 3.50- Q