HomeMy Public PortalAbout4875 ROBINHOOD AVE_Plumbing__ 16A6B7 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUMDngG AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE.COUNTY ENGINEER ADDRESS .
CASSATT D.GRIFFINS SUPT OF BUILDING
LOCALITY
FOR APPLICANT TP FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. IGROUP Z fA" I READY FOR INSPECTION
MAIL Gy��.
ADDRESS
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER �/ —� INSPECTION RECORD
ADDRESS
CITY. / TEL.No.
LICENSE NO. ! ��O / V^ ~ C 3 h `/ -
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATERCLOSET (TOILET) @ $1..00 .50 00 �' j�,G•/
BATH TUB @ $1.00 d G U V
SHOWER @ $1.00 d
LAVATORY (WASHBASIN) @. $1.00 00
KITCHEN SINK @ _$1.00 0.0
@ $1.00 DISHWASHER uCeG�.�iT/l
LAUNDRY TUB OR TRAY @.$I.00
CLOTHES WASHER @ $I.00 00
WATER HEATER @- $I.00 0 d
GAS SYSTEM @ $1.00 10
APPROVALS-
ibATE INSPECTORS SIGNATURE
UNDER SLAB WORK 1�y7.-.�.'� t'�.�.•!- ,
PERMIT $ 1 00 ROUGH PLUMBING %, �I
6
GAS PIPING
TOTAL FEE r '�
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION q
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. 9
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST '17
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 OPERTY.
SIGNATURE
OF PERMITTEE FINAL V11-171
'OHN A.LAMBI .COUNTY ENGINEER r� ALMATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
cK.I
M.0. CASH
Lto8 5.4 5, mw 20 3 11 .0 U In
76A689-CE8I7:-13-57
APPLICATION FOR'PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTN(ENT OF COUNTY.ENGINEER lw
BUILDING AND SAFETY DIVISION ADR BB� �
°
JOHN A.LAM M County Encrimeer
CASSATT D.GRIFFIN.Supt of lmldtag LOCA
ry
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEMOWN /
WATER CLOSET MAILP. rL
AIL -c.-1 �+�a
M
RATE TUR. ADDRESS
EWER CITY TEL.NO.
LAVATORY CONTRACTO
SINg ADDRESS
DISHWASHER crzyY 4. TEL.NO.
. CONTRACTOR'S aa STATE
LAUNDRYTUB REGISTRATION NO. L3 T COUNTY rl
CLOTHES WASHER DISTRICIO.- GROUP NE READY FON INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRrnL
WASTE APPROVAL
INVECTION RECORD
APPROVALS
@ $LOD PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ I UNDER SLAB WORK
PERMIT $ OO ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY -. HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST �.
LICENSED AS.REQUIR 1BY LOS ANGELES COUNTY AND STATE OF '.
CALIFORNIA OR THAT AM THE LEGAL 0 ER OF T BOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT PROPERTY.
SIGNATURE r
OF PERMITTE FINAL
ROBERTA.WOOD.
®° VALIDATION SUPERVISING MECHANICAL ENG'R
M.0. CASH
LAUO 5.8 4 1uEn"' APR 28 5 A 3.00 M