HomeMy Public PortalAbout5438 PARMERTON AVE_Plumbing__ 78AG07-CE4EI7 4-64
APPLICATION FOR PLUMB NG PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER IIIIIIIIIIIIIIIN
BU DING ANP, SAFETY FMION BUILUaIc,� 32 Z
JO N A LAM IE COUNTY FM
EER ADDRPSS
WILLIAM JENSEN SUPT OI BUILDING LOCALITYT �,� Cl—T
FOR APPLICANT TO FILL IN NEAREST r (Z
CEO 9T T
NUMBER FI%TURF OR ITEM EACH FEE OWNER 7 �J D� ry
WATER CLOBer 7125 AMAIL
DDRESS 5y 38' !'l M o
BATH TUB 125
SHOWER 125 crrcPTE TEL NO 14 F6
LAVATORY 125 CONTRACTOR P = �.
SINK 1 125 ADDRESS C 9ZO JCR IJ� J
DISHWASHER 1 25 CITYTE.t�Pts Cj-T TEL NO y qZ 7()7()
ATE
LAUNDRY TUB 125
CONTRACTOR
ON NO Z,I I 9 COUNTY
CLOTHES WASHER 125 DISSTT ICT NO GR ZON Ee e
WATER HEATER 1 50 SO 1/ • O V
Y
K(;)—
GAS SYSTEM OUTLETS 1SO INDUSTRIAL
WASTE APPROVAL Q
OUTLETS OVER 5 PER SYSTEM 00 INSPECTION RECORD V
Ed
O
D.
N
Z
APPROVALS DATE INSPECTOR[SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
O ROUGH PLUMBING
TOTAL FEE GAS PIPING
I MLR[eY ACRNOW L[DG[ THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS RLGUUTING HOT WATER HEATER
PLUMBING
I HERESY CERTIFY THAT I AN PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND [TAT[ OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESm[NTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
�V�ALIDRTION ROBERT A WOOD
l cR/ M o CASH SUPERVISING MECHANICAL ENG R
LAW 9 0 4 1�S—JAN 2 4 5. D 350-
s
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APPLICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER auDDwc
BUILDING AND SAFETY DIVISION AD NESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAAffiT -1
CROSS ST Y/
NUMBER FIXTURE OR ITEM EACH FEE n
OWNER
WATER CLOSET 150
BATH TUB 1 50 ADRESS 9
SHOWER 1 50 OI•' / TEL NO 1 iFd i3
LAVATORY150 CONTRAC 1B
SINK 1 50 ADDRESS _
DISHWASHER 1 50 D CITY TEL NO
CLOTHES WASHER 1 500 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR t 50 OIGTRIICT Na(f'O./ I I P ZO E C D BY O
LAWN SPRINKLER SYSTEM 2 00
RATER HEATER 1 50 INDUSTRIAL CJ
WASTE APPROVAL
0
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD U
OUTLETS OVER 30 - a
5 PER SYSTEM
fn
Pl in cheek fee 25 0 of 9bole See re,erse _
PLUSIBING PER,\IIT ISSUING FEF $ 2 00
POIAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check apphc int UNDER SLAB WORK - -- - -
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City le[ -o HOT WATER HEATER '- I
1 HERESY ACKNOWLEDGE THAT 1 HAVE MAD THIS AMLICATION
AND STATE THAT THE ADDVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING GAS TEST
PLUMIINc
1 HEREIY CERTIFY THAT 1 AM PROPERLY REGISTERED Ano/OR UTILITY CO NOTIFIED 1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ASOYE DESCRISED SERI D/ENTIA PROFERTY FINAL _
BI OF PERMITTEE O�
GNATURE �/ JACK R ALLEN, SUPERVISING CHANICAL ENG R
PERMIT VALIDATION cK M o CASH
PLAN CIIECK VALIDATION CK M 0 CASH - — -
LA605 4 7 9e JUL16 5 D 8.00^'_- .