HomeMy Public PortalAbout5004 WILLMONTE AVE_Plumbing__ 76A66I-CE#817 4-67 elNC-
�APPLICATION FOR PLUM PE IT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BU:D7 �1 r
JOHN A. LAMBIE, COUNTY ENGINEER AD4- vl:
COLEMAN W. JENKINS. SUPT. OF BUILDING LO
FOR APPLICANT TO FILL IN NE
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET � :7 C MAIL
BATH TUB I's-D S ADDRESS
SHOWER �� o CITY TEL. O.
LAVATORY CONTRACTO
J SINK J ADDRESS S'
B DISHWASHER .25 CITY69b? �'] / TEL.NO. qe1--.?_ 3
STATELIC
LAUNDRY TUB 1-57 LICENSE NO. c3 J / ( CLASS
J CLOTHES WASHER sDIST ICT NO. QR!R. ZO E P E B
WATER HEATER 1.50
1.50
GAS SYSTEM Ir 1.50 diD
WDUSTRIASTEPPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
V
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c d
APPROVALS DATE INSPECTOR'S SIGNATURE _
PERMIT $ 2 00 UNDER SLAB WORK �f�.�1s�� J
ROUGH PLUMBING ;�
TOTAL FEE GAS PIPING I�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP ICA ION GAS VENT �
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO. COMPLY ,/Q4
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 'wI ��
PLUMBING.
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
CE
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST `L>�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE AS D IBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE +j► 1 rl,/M 'g- f-B
p�
OF PERMITTEE
FIN AL
V LIDATION JACK R.ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R.
LACo 1 7 8 l c- 14017 5 D 19.7 5
76A667'DBB 77 7-51 APPLICATION FOR PERMIT �b�`
DEPARTMENT OF BUILDING AND SAFETY mmimdL� .�
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUmal.NG
FOR APPLICANT TO FILL IN DISTRICT R Z PERMIT
.,� 5 A-1 S&3-o7
PLUMBERRECF,IVED Y READY FOR DATE ISSUED
V y FIRBTINSPECTION
P34DRESS - y�/ /L Z
{t BUILDING
CITY TEL No ADDRESS V (m
COUNTY &01
LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSB ST.
NUMBER TYPE of FIXTURE OR ITEM FEE "OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50. S -ADDRESS , E
BATH TUBj
0 0.50 CITY , TEL No.
SHOWER ': 0.50 1 HEREBY ACKNOWLEDGE 'THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 ' E ABOVE 18 CORRECT
AID AGREEITO COON AND STATE HY WITH ALLCOUNTY ORDINANCES
KITCHEN BINK 0 0.50 ..-AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
BAB BYSTEM ^UTLETS 0 O.BO SIGNATURE OF
WATER HEATER 0.50 PERMITTItild
BLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN D.BD
DISHWASHER @ O.'SO
DRINKING FOUltti'AIN Q 0.50
URINAL 0.50 J
Q
W13UBE SEWER @ 0.50 Z
MISCELLANEOUS 0
R'
O
APPROVALS
.. DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.013 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) a 7.00 SEWER
PERMIT 1.00 l ..GAS TEST
TOTAL FEE
UTILITY CO.NGTIFIED
# _
O FINAL