HomeMy Public PortalAbout6317 SALTER AVE_Plumbing__ 76AB67 (CE-817)-8-71
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDIDRENG
ADSS
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 Mae
MAIL
BATH TUB 1.75 ADORES
SHOWER 1.75 CITY TEL. NO
LAVATORY 1.75 C ONTRACTO
SINK 1.75 ADDRESS
DISHWASHER 1.75 CI TEL. N0.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 t
WATER HEATER 1.75 INDUSTRIAL d
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER, .30
5 PER SYSTEM
i
W
VA
z
m
Plan check fee. See reverse.
PLUMBING PERMIT ISSUING FEE 8 00
TOTAL FEEi6 I
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name + ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND INTEND TO ZX 4
RESIDE-IN THE ABOVE DESC IBED RESIDEN L PROPERTY. FINAL
SIGNATURE -
OF PERMITTEE
PERMIT VALIDATION 0..0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
LiLo 9� 3 2 5�M "OCT 5 u - ..4..7 5
1
76A607-CE817 10-60
-APPLICATION • FOR' PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGRUM _
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �� V A,-LTa
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY T'
FOR APPLICANT TO FILL IN QST
CROSS ST." GcCv
NUMBER FIXTURE OR ITEM
WATER'CLOSEP "OWNER y" l DU S
%. BATH TUR ADDRESS
CITY = �r G
SHOWER - TEL. O. r
CONTRACTOR
LAVATORY
SINS ADDREssk_-�9�� wJJ- �
% DISHWASHER CI7Y7G �d /
TEL;NO.//
LAUNDRY TUR REGISTRATION NO.yz�f / 1,f7 ` COUNTY
CLOTHES WASHER DISTRICT NO. I GROUP ZONE PR CESSED BY
WATER HUM 91
z,
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL �.
/INSPECTION RECORD __ )
/ i7 ,/ ► . �� e. u
0
d ,/ /mss 1'rf .�%":-----•'�� �-
/ / D $1.00 PER ITEM I
OR ;/
FDCTURB APPROVALS 'DATE •/INSPECTOR'SRIGNATURE,
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING I +I f
F. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE.ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT i AM PROPERLY*REGISTERED AND/Olt PLUMBING FIXTURES i!
LICENSED AS
REQUGAS TEST
OR IRED BY L08 ANGELES COUNTY AND STATE OF "� IE ��?/�,rl!• i•,,�'••li f�
CALIFORNIA THAT I AM THE LEGAL OWNER OF THE ABOVE _
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ` �/� „ )J-1 .r:r•
If OF PERMITTE r
�. FINAL ,� ��T� .r'_(•'1,.i i..�•_,
ALMATION ROBERT A.'WOOD!
cK. M.O. CASH=1 SUPERVISING MECHANICAL ENG'R
C os2 3-OZ %"OV 17. 5 D 13.0 0 • _M .