HomeMy Public PortalAbout5929 RENO AVE_Plumbing__ 76AS67A ICE 8+713.-6/77
APPLICATION FOR PLUMBING. PERMIT
I •
I
BUILDING AND SAFETY DIVISION
i
FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
I WATER CLOSET LOCALITY _
i NEAREST
BATH TUB CROSS ST.
I
SHOWER OWNER
LAVATORY MAIL
) ADDRESS
SINK CITY `TEL.NO:
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
UltilA'�
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY TEL.NO.
I STATE LIC.
'I WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE PROCESSED BY
OUTLETS OVER O
5 PER SYSTEM INDUSTRIAL v
WASTE APPROVAL C
INSPECTION RECORD c
W
O-
N
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE 3 /
Plan chec plica t f r
Name APPROVALS DATE INSPEC b Rjb°SIGNATURE
UNDERSLAB WORK V
Address ROUGH PLUMBING (� 1
City Tel No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION AND STATE GAS VENT'
THATTHE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES v
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 A � CA
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDETIAL
PROPERTY. UTILITY CO.NOTIFIED
v
SIGNATURE v
OF PERMITTEE FINAL
PL &� "iMPENSE ATIQH i PERMIT VALIDATION cK. M.D. CASH.
9 4 1 n.JUL 26 5 U 1 30 0 A38
POLICY HOL®E,R
.POLICY NUMBER
7GA857 (CE-817) - 1/75
APPLICATION WPL UMB G `PERMIT
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
$Gti e�(1 v P-
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ��
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST s
CROSS ST. rr
NUMBER FIXTURE OR ITEM FEE
WATER CLOSET 2. 0
OWNER eL
ww MAIL '
'F
BATH TUB 2.1.0 ADDRESS
I. SHOWER 2, 0 _ CITY TEL. NO.
LAVATORY 2, O ` •� CONTRACTOR / .
SINK % 2.)0 , r- ADDRESS � 19 AP
DISHWASHER "! 2.30 CITY. TEL. N9 41O.
CLOTHES WASHER 2.)0 �' STATE LIC—AL .
SWIMMING POOL RECEPTOR 2. 0 I LICENSE NO CLASSO j ol
DISTRFCT NO.GROUP ZONE PR CESS BY
LAWN SPRINKLER SYSTEM 2.30 r a r7 ? �I
WATER HEATER 2.)0 +^ INDUSTRIAL _L-
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.. 0 a• INSPECTION RECORD
OUTLETS OVER C)
5 PER SYSTEM .30 �I�Z '06 /Nlpj Qf�
CL'
W
O-
z
Plan check fee See'Reverse
PLUMBING PERMIT ISSUING FEE'$
TOTAL FEE
APPROVALS DATE INSPECTOJt'S SIGNATURE
Plan check applicant 3 a.5� UNDER SLAB WORK
Name ROUGH PLUMBING L
Address GAS PIPING
City. Tel. No. GAS VENT 'r
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST JJ'O /y -
PLUMBING. ��, " �j„f�
1 HEREBY CERTIFY T I AM P ERLY REGISTERED AND/OR .UTILITY CO. NOTIFIED
LICENSED AS REDU D B LOS AN E S COUNTY D STATE'OF
CALIFORNIA OR TH T 1 AM HE L AL OWNER O , A fRYEND TO �•
RESIDE IN THE AS E DESCRIBED R NTIAL.P TY.
FINAL
SIGNATURE
OF FERMI TEE
PERMIT VALIDATION (7CK."M, CASH
PLAN CHECK VALIDATION CK. cases
7 5 5 NIUOV 12 5 0-- 3 4.5 0A96 .