HomeMy Public PortalAbout5323 PARMERTON AVE_Plumbing__ 70A857 CE#817262
APPLICATION FOR PLUMBINk. PERMIT
COUNTY OF LOS ANGELES qu
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUanD1c
JOHN A LAMBIE COUNTY ENGINEER ADDHE48 3 YMtr Gh ]COUNTY
WILLIAM A JENSEN SUPT OF BUILDINGLOFOR APPLICANT TO FILL 1N I NEARESTCROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
wxreR ccoser sluaBATH TUB 1 25 ADDRESS � mSHOPPER 125 CITY CiTEL NOLAVATORY 125 1CONTRACTOR
SINE 125ADDRESSDISHWASHER 1 R5 CITY
LAUNDRY TUB 12S CONTRACTOR S REGISTRATION NO
CLOTHES WASHER 125 DISTRICT NO GROUP ZONE FIROCESAED BY
WATER HEATER 1 50 I
GAS SYSTEM OUTLETS 150 `U INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 70 INSPECTION RECORD r
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APPROVALS DATE INSPECTOgG SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
T[ THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
LL COUNTY ORDINANCES AND BTATE LAWS REGULATING HOT WATER HEATER
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EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REOUIR[D BY LOS ANGELES COUNTY AND STATC OF GA$TEST
NIA OR THAT AM THE LEGAL OWNER OP AND IHTENO TO
N THE ABOVE D[x RIBED RESIDENTIAL PRD v UTILITY CO NOTIFIEO
URERMITTEE FINAL /
VAIMATIOlkf� ROBERT A WOOD
CK M O AB/H J SUPERVISING MECHANICAL ENG R
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUIIDING ANDESAFETY DMSION B
UILDING JOHN A LAMBI COUNTY ENGINEER RFJS 3 (I
WILLIAM A JENSEN, SUP T OF Bu1LD1NG ALITY
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FOR APPLICANT TO FILL IN B.1, CNUMBER FIXTURE OR ITEM ER
WATER CLOSES MA
BATH TOB S` A�T ADD J .7 3
cITY No p p
SHOWER
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LAVATORY
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DISHWASHER CRY TEL. NO
CONTBACTOWS A e
LAUNDRY TOB BEGISTRA33ON NO C0UNTY
CLOTHES WASHER DISTRICP(NOO GROUP I ZONE =BED
WATER HEATER 7$ A— J Dom.
INDUSTRIALG
GAS SYSTEM V
WASTE APPROVAL
INSPECTION RECORD IN
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FD[TTUREE S 3 /
APPROVALS DATE INER[ROR GEIONATUR[
PERMIT S 2 OO UNDER'K�L WORK ^ Iin
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE RIIAD THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ����
PLUMBING 1 HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGIS11UID AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OR GAS TEST �� 2
CALIFORNIA OR THAT I AM THE LEGAL OWNER OP THE ABOVE
DESCRIBED REGIDENTIA PROPIRTr UTILITY CO NOTIFIED `
SIGNATURE
OF PERMITTE FINAL
! �tfALIDATlON ROBERT A WOOD
CK � H O unx SUPERVISING MECHANICAL ENO R
U090 0 5 50Q; JM21 5D _ 5.75- l '
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APPLICATI OR PLU�r PERMIT
COUNTY F OSANGELES
DEPARTMEN O COUNTY ENGIN F.�q
BUILDING DSAFETY DIV ISI
FOR APPLICANT TO FILL IN(PRINT ORTYPEI BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS /
WATERCLOSET LOCALITY �-
NEAREST
BATH TUB CROSS ST
,SHOWER OWNER ^
LAVATORY s MAIL
ADDRESS
SINK CITY �r TE NO
DISHWASHER CONTRACTOR, molls
CLOTHES WASHER �ADDRESS �j
SWIMMING POOL RECEPTOR
CIT TEL NO
LAWN SPRINKLER SYSTEM
� STAiE n LIC
WATER HEATER LICENSE NO C.� CLASS
GAS SYSTEM OUTLETS 3 ' DISTRICT NO G UP 7QfyE PRO SSEO
11C
OUTLETS OVER
5 PER SYSTEM INDUSTRIAL 6
WASTE APPROVAL ' ' O
INSPECTION RECORD V
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Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
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APPROVALS DATE INSPECTOR S SIGNATURE
Nome
Q UNDER SLAB WORK
Address �(,J/L�J ROUGH PLUMBING
Gry Tel No GAS PIPING`,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STAT 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 I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED 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
SIGNATURE �Avo �V `J
OF PERMITTEE ^p�p� F.,C yy FINAL Z
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PIgN_CHKP�V ATION cN—me _"KA PERMIT VALIDATION Q—� MO CASH -
POLICY HOLDER- 7 0 8 tAL 17 5 D 1 3.0 0 A5,i
POLICY NUMBER-