HomeMy Public PortalAbout4832 WILLMONTE AVE_Plumbing__ SAPPLICATION FOR PLU MIBINd' .PERMIT
aos
DI,kSION OF BUILDING. AND SAFETY .1
it Department of County Engineer �y
County of Los Angeles E � A ��W / / ��
JOHN A.LAMBIE.COUNTY ENGINEER ADDRSS
CASSATT D,GRIFFINS SUPT OF BUILDING
LOCALITY r G '
FOR APPLICANT TO FILL IN NEAREST
g CROSS ST. V
OWNER /r DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL:NO. WASTE APPROVAL
PLUMBER p t9` oz�,. y-1 INSPECTION RECORD
ADDRESS d X, �./.�l/.��(.r/a.
CITY•—' � 0!- TEL.NO. 't ! Jam[_ ♦r!L QA •�
LICENSE NO. / f)lf/ 3141y
_NUMBER TYPE OF FIXTURE OR ITEM FEE k2A. t II, ®I C,L
WATER CLOSET (TOILET) @ $1.00ot
BATH TUB @ $1.00
b S � c..�6Q Q- r Co..n�......_
SHOWER @ $I.00 �ItZ�5? N
LAVATORY (WASH BASIN). @ $1.00
KITCHEN SINK @ $1.00 S�
DISHWASHER @ $1.00 V M
LAUNDRY TUB'OR TRAY @ $1.00
CLOTHES WASHER @ $1.00 �� /`/��� A �bT• �Z���
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 L' - G A.-
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT . $. 1 00 ROUGH PLUMBING p
GAS PIPING
TOTAL FEE / 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
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 RESIDENTIAL PR E .
SIGNATURE
OF PERMII X, FINAL
'OHN A.LAMBIE.COUNT NGINEER ;V4FiI.IDATION- ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
C6 N.0, CASH
LjkC09.5 7 2- JUM :; '� 3 1 2.0 0
76AG67 (,C6-817) - 1/78 - . -
i'-
f APPLICATION OR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION surLDlNc
MAKE CHECKS PAYABLE TO:
ADDRESS. � -3 '41
l LL/ vPV %i
HARVEY T. BRAN.DT; COUNTY ENGINEER
LOCALITY"
FOR APPLICANT TO FILL.IN (PRINT OR TYPE) NEAREST
CROSS ST. �O p• �}ZL(,S '
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 2,00 OWNER s
MAIL
BATH TUB 2.0 ADDRESS L,!' ,j �r 1 LJ DrV G
SHOWER 2, CITY TEL..NO. '
LAVATORYt00000
CONTRACTSINK ADDRESS DISHWASHER CITY D TEL. N:O. _
CLOTHES WASHER .00 STATLIC
E
LICENSE NO. p� I2. CLASS
SWIMMING POOL RECEPTOR' ,00 �+
DISTRICT NO.GROUP ONE P GES D B
LAWN SPRINKLER SYSTEM ,00 ±`Qs rI' r
WATER HEATER .00 IND USTRIAL.
•!r
WASTE APPROVAL
GAS SYSTEM OUTLETS .00 ! INSPECTION RECORD'
CD
OUTLETS OVER C.1
5 PER.SYSTEM .30
O
IPLUMBING )yPlan check fee See Reverse
PLUMBING PERMIT ISSUING FEE 3 APPTOTAL FEE DATE INSPECTOR'9 91GNATURE
Plan check applicant Name
Address GAS PIPING `
City Tel. No. GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING. GAS TEST rT
1 HEREBY CERTIFY THAT 1 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, X90 fNTERD TO -
RESIDE IN THE ABOVE D SCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATU RE
OF PE RMIT—T-EE
PERMIT VALIDATIONCK. M,O: CASH
PLAN-CHECK VALIDATION CK. ' M.O. CASH 2 3 Z 8 5 .D 7�5 Q