HomeMy Public PortalAbout5811 RENO AVE_Plumbing__ #817 9/63Ra _
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS .ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING _
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS
NUMBER FIATURE OR ITEM EACH FEE
OWNER
WJITEA CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS Q.
SHOWER 1.25 CITY / rV C , TEL. NO.
LAVATORY 1.25
j CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRI�O. j'GLrjrZONE RO E BY
WATER HEATER 1.50 ,
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL 0
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM90 U
..—y INSPECTION RECORD/
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l .3
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ywX I/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE
OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL NE F,AND INTE TO
RESIDE IN,THE ABOVE DESCRIBED RESID TI PERTY. UTILITY CO.NOTIFIED
SIGNATURE / s+
OF PERMITTE FINAL I Y f
.,�LiDATION ROBERT A.WOOD
cK./ M.O. CASH SUPERVISING MECHANICAL ENG'R
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING $11 hTo Reno
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY
P71 pl p 01 tv
FOR APPLICANT TO FILL IN NEAREST.
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER F. Clementin.o
l WATER CLOSET $1.25 MAIL
BATH TUB 1.25 DRESS Same
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 .� ,� CONTRACTOR Pacific Insta7 rR
SINS 1.25 ADDRESS 0420 E Grand
DISHWASHER 1.25 CITY Temple Cita TEL. NO. 4112-12 It
ATE CK
LAUNDRY TUB 1.25 CONTRACTOR'S COUNTY ❑
REGISTRATION NO. 7� AQ
CLOTHES WASHER 1.25 DISTRICT NO. GROUP I I ZONE PROCESSED BY
WATER HEATER 1.50 J
a
GAS SYSTEM OUTLETS 1.50 W STE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 20 INSPECTION RECORD V
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK z
ROUGH PLUMBING / "&uo
TOTAL FEE 4e O GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER '
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �. I� -11 i
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 DESC IBED RESIDENTIAL PR) ERTY. UTILITY CO.NOTIFIED
SIGNATURE S
OF PERMITTEE �f�
FINAL a:✓�/"ao
LLIDATION
ROBERT A.WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
L66o 8 4 5 01 Mu1Y 5 5 A 4.50—
76A667-CE#617 2-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY.ENGINEER
BUILDING AND SAFETY DIVISION BUILDING Jr8/� E�/d
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL.IN NEAREST
EARE T. �� /{f
CROSSr
NUMBER FIXTURE OR ITEM EACH FIEE OWNER LC C �LCy
/ WATER CLOSET $1.25i� MAIL
BATH TUB 1,95 ADDRESS
SHOWER 1.25 CITY TEL. NO. _
LAVATORY. 1.25 ?1 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1:25 CITY
LAUNDRY TUB 1.25 CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR CES D B
f WATER HEATER 1.50 (7
GAS SYSTEM OUTLETS 1.50 v WAST APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE. READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. �� D
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 1 AM THE LEGAL OWNER OF,AND IN ND TO
RESIDE IN,THE ABOVE DESCRIBED R ID TIA PROPERTY. ' UTILITY CO.NOTIFIED
SIGNATUREY oly�
OF PERMITTEE
FINAL Nv
LIDATION ROBERT A.WOOD
GK. M.O. CASH SUPERVISING MECHANICAL ENG'R
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