HomeMy Public PortalAbout4941 PERSIMMON AVE_Plumbing__ 76AS67-CE#817 12-64
APPLICATION FOR PLUMBING PERMIT
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �f
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINSI SUPT OF BUILDING , LOCALITY
FOR APPLICANT TO FILL IN NEARESTCROST. /L
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 81.25 O MAIL
BATH TUB 1.25 ADDRESS
CITY TEL. NO.
SHOWER 1.25 -
LAVATORY 1,25 5�� CONTRACTOR Alert P1umbin
Snug 1.25 �- ADDRESS 13933 So. Crenshaw Blvd.
DISHWASHER 1.25 CITY Ha13933
TEL. rt�5 93691
CONTRACTOR'S C-36 STATE [ILAUNDRY TUB 1.25 �,} REGISTRATION NO. /� �" COUNTY ❑
CLOTHES WASHER 1.25 p� DISTRICT NO. GRO ZONE PRVA
WATER HEATER 1.50 �6 i C'
GAS SYSTEM OUTLETS 1.50 WASTEE APPSTRIAROVAL 0.
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
C3
Aeolv Raw Alk—e-1 t;
W
a
N
Z
J
APPROVALS DATE INSPE ' .SIGNATURE
PERMIT $ 2 00
UNDER SLAB WORK
-
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM ROPERLY REGISTERED AND/OR PLUMING FIXTURES
LICENSED AS REQUIRED BY LOS G ES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE G OWNER O AND INTEND TO
RESIDE IN,THE ABOVE DESCRIS ID NT ALP ERTY UTILITY CO.NOTIFIED y
SIGNATURE
OF PERMITTEE FINAL 7-W t7V
/--V%ALIDATION ROBERT A.WOOD
f�CKd.�J M.O. CASH SUPERVISING MECHANICAL ENG'R
LPICO'1_ 3;4 4% APR 18 5 D 1'5.00-
�'