HomeMy Public PortalAbout6116 RENO AVE_Plumbing__ 76A667-CIEf817 9/63 _
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER sIIiLDHQG:
BUoILDNING AND S CFETYY DI VISION ADDBENS !6 � •t•�o
WILLIAM A.JENSEN,SUPT OF BUILDING
LOCALITY:
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FOR APPLICANT TO FELL IN N S$TT. I
NUMBER FIXTURE OR ITEM EACH FEE OWNER �y OV IL
WATER CLOSET 11.25 (�^
Alp Ale
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY /-- 'PRL. NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY �B, TEL. NO. C-0 v 7��Z
,CONTRACTOR'S STATE
LAUNDRY TUB 1.25
REGISTRATION NO. J 5--3 / A COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. G OUP ONE GESSED BY
WATER HEATER 1.50
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GAS SYSTEM OUTLETS 1'50 INDUSTRIAL
STRIALWASTOVAL O
OUTLETS'OVER 5 PER SYSTEM .30 INSPECTION RECORD u
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AP IR VAts' DATE INSPECTOR'S SIGNATURE 1
PERMIT 2 00 UNDER B OORK `�4 V �l�
ROUGH PLU.MbING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT' S 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 HE TER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES y�
LICENSED AS REQUIRED BY LOS AN COUNTY AND STATE OF GAS TEST71
CALIFORNIA OR THAT I AMTXE L WNE OF,AND INTEND TO _
RESIDE IN,THE ABOVE DESCRIBE 1 All UTILITY CO.NOTIFIED
SIGNATURE
OF PERMi E
FINAL. y.- �
LIDATION ROBERT(A.WOOD
C M.O. CASH SUPERVISING MECHANICAL ENG'R
7575 APR
C.
LAuo 13 5 A 3.2 5N lz
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78A687-CE81Z-8-58
APPLICATION FOR PLUMBING PERMITCOUNTY 1
NGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGPAND SAFETY DIVISION BUILDING
JOHN A. IL Countyez ADDRESS
CASSATT Dq=,Supt of Building LOCALITY
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FOR APPLICANT TO FILL IN NENEAREST v O �
NUMBER FIXTURE OR ITEM )
OWNER
WATER CLOSET MAD:
BATH TUB ADDRESS 11,t�
BROWER CIT7�_ (�� TEL.NO.
LAVATORY CONTRA R
. r
SINS ADDRESS
DLSMASHER CITY TEL.NO.
LAUNDRYTUB CONTRACTOR'S STATE 13BSGISTRAYiON NO. COUNTY
13
CLOTHES WASHER DISTRICT NO. GROUPI 9N
P Y
WATER HEATER
r
GASSYS DMUSTBIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
/ 0 ORF $ � 1
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING i
TOTAL FEE --ff GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I 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 RESIDENTIA PROPERTY.
SIGNATURE a r�/ � / FINAL
OF PERMITTE
ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. CASH
i.rO 8 1 5 2- �1i0V 2 5 5 A 3
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D.R."°"'9ET8 9-43 APPLICATION FOR, PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES pLu�B'�G IWM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICTNO. GROUP ZONE PERMIT O.
ROUGH _FIXTURES COMPLETE
HEATER CESSPOOL I Is TANK 61VED BY READFIRST INSPECTION FOR DATE ISSUED
GAB MISCELLANEOUS r
BE
APPLICANT FILL IN HEAVILY OUTLINED�.jPORTION ONLY
JOB
C NAMEj�•/ ��� [i�i7rJt1``':��'i i ADDRESSId
ADDRESS � y ���� /'1 LOCALITY / _�^• P :,E [rL--
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.I CITY �j�d' j `'I�,-G!_� NEAREST 'f .
p, � --e �°), ,. L.No. CROSS ST. OF
Coutleff
el
CE T.No. EXPIRES .E NAME.. , n
LOCATION OF SEPTIC TANK, OR CESSPOOL( z MAIL
NORTH O ADDRESS
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COON/jTY CERT�ICATE.OR QUALIFICAT;ION.,
GG FFF Y � PLUMIB6R,` J
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
,
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK z
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ATH TUB FURNACE
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
—KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
L
SH TRAY URINAL APPROVALS
TER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
TER HEATER DENTAL LAVATORY ROUGH PLUMBINGTER GAB SODA FOUNTAINGAB PIPINGOUTLGAS VENT••CESSPOOLAL NUMBER OF FIXTURES SEPTIC TANKSPOOI SEPTIC TANK SEWER
S
UTILITY CO.NOTIFIED + I
TOTAL FEE ,a� �,
FINAL �.� "�� -��V � �'�c
76AG67C f¢B-817113) -9/75
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY D.IV.ISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING " r 1�
NUMBER FIXTURE OR ITEM @ FEE
ADDRESSIV 0
LOCALITY
WATER CLOSET � u C(7-
BATH TUB NEAREST
CROSS ST. C�T7�1 Imo•
SHOWER Q.a OWNER 0
LAVATORY MAIL L^ �
ADDRESS ..11
SINK CITY TEL.NO. s
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL. NO.
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO. CLASS CD
DISTRICT NO. GROUPZONE OC SED BY v
GAS SYSTEM OUTLETS �✓ Q� • o
OUTLETS OVER O V -L. I �� v
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL CL
INSPECTION RECORD Z
S
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INS.PECTOR'S SIGNATURE
UNDER SLAB WORK '��11,• � -r�-
Address ROUGH PLUMBING A/0- me
City Te.l. No. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICEN
SEDAS REOUIREO BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT IAM
T E LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCR ED RESIDENTIAL PROP Y. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL 6 �/
PLAN CHECK VALIDATION CK. M.0 CASH PERMIT VALIDATION cK. M.O. CASH
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