HomeMy Public PortalAbout5829 PRIMROSE AVE_Plumbing__ 7SA667-CE0817 12-54 J-*
APPLICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS,SUPT OF BUILDING, LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER. FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1,25 CONTRACT
SINS 1.25 ADDRESS a
DISHWASHER 1.25 CITY TEL. NO.,W
LAUNDRY TUB 1.25 CONTRACTOR' STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIST T NO. GROUP0;7-
GAS
ZONE ESSED BY
WATER HEATER 1.50
SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL C
OUTLETS OVER 5 PER SYSTEM .50 INSPECTION RECORD
C3
0
w
W
co
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK �1
ROUGH PLUMBING t
TOTAL FEE S GAS PIPING / S
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 PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCR ED SIDE AL ROPERTY. UTILITY CO.NOTIFIED �•
SIGNATURE
OF PERMITTEIr
FINAL `���},.,,,•(j' ,�
LIDATION ROBERT A. WOOD r
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LACO 6 9 3 0 0 o,cT 2 9 5 D 3.50,- 9
76A667.CE817-8-57 -
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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS f-ff,Z / 771 JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY'
FOR APPLICANT TO FILL IN NEAREST..
NUMBER FIXTURE OR ITEM
- OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS.
SHOWER CITY TEL.NO.
LAVATORY CONTRACTOR �a6
SINK ADDRESS O S
DISHWASHER CITY 1%0Wo".O gl1C TEL.NO. /?3�
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. CJ COUNTY ..❑
CLOTHES WASHER
DISTR CT O. GF16UP tNE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
7N8 TION RECORD
rr n
APPROVALS
I (� $I.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ UNDER-SLAB WORK
ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING
TOTAL FEE 10 GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE. UTILITY CO. NOTIFIED -
DESCRIBED RESIDENTIAL PER
SIGNATURE
OFPERMITTEE FINAL &
VALIDATION ROBERT A. OOH,
SUPERVISING MECHANICAL ENG'R
N.o. CASIJ
L 2:4.4 09 APR 3 A .8.00