HomeMy Public PortalAbout6043 RENO AVE_Plumbing__ F6m67-QE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY��E�NGINEER sulzDnvG
s �1 couHTYirtv�iHEOEN ADaaEss. l -
WILLIAM A.JENSEN,Sur'.T oR BvlplmG LOCALITY
FOR APPLICANT TO FILL IN CROSS .
NUMBER FIXTURE OR ITEM GWNBS
WATER CLOSET MAIL
SATS TUB ADDRESS
CITY TEL 0.
SHOWER r ,
LAVATORY 0� CONTBACTO
i
SINS ADDRES r
DISHWASHER CITY NO 'o ! .,
ICONTI & r STATE
LAUNDRY TUB REGDDTRATION'NO. COUNTY ❑
CLOTHES WASHER 'DISTRICTNO. GRQ(II-. ZONE �HE
WATER HEATEB
GAS SYSTEM B� INDUSTRIAL
WASTE APPROVAL
i INSPECTION RECORD
O
E)
0 81.00 PER ITEM I LiAl ZER r' ,=
OH FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE 8i ROUGH PLUMBING -T_,
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE BEAD THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER O A. i
1 HEREBY CERTIFY THAT I 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 OWNE OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE /1
OF PERMITTE FINAL 9 -
6F VALIDATIO*-1 ROBERT A.WOOD.
Cg, B.0. CAS /)SUPERVISING MECHANICAL ENG'R
LrkC0 3 4 9 8 0 V 1AR 7 5 A 5.0 0 M
76AG67 (CB-817) - 1/75• •. '
APPLICATION OR PL_ BINE PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING.
ADDRESS. 7
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALI
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEARESTI
CROSS ST.
NUMBER FIXTURE OR ITEM (� fEE
WATER CLOSET
2.00 OWNER
MAIL
BATH TUB 2.00. ADDRESS
SHOWER 2.00 CITY TEL. NO.
LAVATORY 2.00 CONTRACTO t
SINK 2.00 ADDRESS
DISHWASHER 2.00
CLOTHES WASHER 2.00 S ATELIC
2.00
SWIMMING POOL RECEPTOR LICENS 0. 40 CLASS
DISTRICT NO.GROUP 6�CINE LIPROCT"SE11 Y
LAWN SPRINKLER SYSTEW 2,00 ✓OS L �(
WATER HEA 2.00 d V INDUSTp1AC
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD o
OUTLETS OVER ,30 v
5 PER SYSTEM
f.�
CD
V
w
cm
y
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEES o
TOTAL FEE
APPROVALS DATE. IN9PECTOR'9 SIGNATURE
Plan check applicant UNDER-SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel•. No. GAS VENT
±i
HOT WATER HEATER
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS•APPCICATION' -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES Je
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO; NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY. AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANIS I'RTE TO
RESIDE IN THE.ABOVE DESCRIBED RESIDENTIAL PERTY. FINAL =2
SIGNATURE
OF PERMITTEE '
PERMIT VALIDATION' cli. M.O. CASH
PLAN-CHECK VALIDATION CK. M.O. CASH
17 0X OCT IS