HomeMy Public PortalAbout5216 WILLMONTE AVE_Plumbing__ BS-17 10-53 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY. O 4 T,y /Ld 1V DN
Department of County Engineer
County of Los Angeles BUILDING J `:
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS- / •.4-1 �'�Y�
CASSATT D.GRIFFIN.SUPT OF BUILDING e cri°
LOCALITY ,.r1nA_ ,' ./� L (
FOR APPLICANT TO FILL IN NEAREST
- CROSS ST.
OWNER p DISTRICT NO. GrROOUPP ZONE READY FOR INSPECTION
MAILADDRESS _ra / /� I / I
1NDUSTRIAL
CITY G ao TEL..NO. WASTE APPROVAL
c J INSPECTION RECORD
ADDRESS f�'
CITY I�• TEL. ( /ISO ON?
LICENSE NO. C �/9 -"� ' ' • l�a!l 1='n( /I_F'�r7- e'-OP!eA
,/
NUMBER T E O ITEM FEE OR ITEFEE - �1 rj• G'�.'- t tylt-- / !7q T .9
WATER CLOSET CTOILET) @ $1.00 $ . 2F- (� -` e fJI1/r7 j•'R l.f��d/,/�
BATH TUB @ $1.00 L02- NEP P AU91.,/ j OY-
SHOWER. @ $1.00
- i
LAVATORY CWASH BASIN) @ $1.00
KITCHEN SINK. @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 ..
' I
APPROVALS
DATE INSPECTOR'S.SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT. _
1 HEREBY ACKNOWLEDGE THAT P 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. PLUMBING FIXTURES
IHEREBY CERTIFY THAT 1 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 PROPS Y.
SIGNATURE
OF PERMITTEE FINAL
OH:N A.LAMBIE,COUNTY ENGINEER. VALIDATIONROBERT A.WOOD.CHIEF PLBG. INSPECTOR
LACO.O 9 0 4 AUG 2 3 2.0 0 0'
76A667-CEbi17 4-6.7 T/ t.R
APPLICATION FPLUM NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY ..0 .
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER-CLOSET S 5 MAIL
BATH TUB 5 ADDRESS Z
.-� CITY 1 TEL. NO.
SHOWER Ap we/
LAVATORY i ' .CONTRACTOR
SINS 1,6 ADDRESSIV
�� O
DISHWASHER 1. 5 CITY L TEL. NO.2 s�7
LAUNDRY TUB 1 STATE LIC ?A
LICENSE NO. / o A5 F4
CLASS L Z
CLOTHES WASHER
I.k5 DISTRICT N GROUP ZO E. CE S, BY
WATER HEATER 1. n
GAS SYSTEM. OUTLETS 1. 0 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM . 0 INSPECTION RECORD
O
CD
e L �
� z
APPROVALS DATE INSP TOR'S SIGNAT RE
PERMIT $ 2 00 UNDER SLAB WORK 2 �'
TOTAL FEE 77 ROUGH PLUMBING _lg?
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AN 0'STATE THAT THE ABOVE-IS CORRECT AND AGREE TO COMPLY •GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOTWATER HEATER:
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL P PERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
/-V`ALIDATI.ON JACK R. ALLEN
(�✓K.`J
M.0. CASH SUPERVISING MECHANICAL ENG'R.
,CD.2. 7•?•8°3 JM. 25 5 6.50-* 9
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CE 677(REV 6/76)
a
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDINGAl
/AND SAFETY
Iv
FOR APPLICANT TO FILL IN.(PRINT ORTYPE) BUILDING=0VA
/, /rig ,/(�yD�77r
ADDRESSG(/laMOA;J E
NUMBER FIXTURE OR ITEM ® FEE ^
WATER CLOSET LOCALITY lVL
NEAREST p.� 'W A
BATH TUB CROSS ST. t-�
SHOWER OWNER S 7c,P" [ a) �. ��-�
LAVATORY MAIL
ADDRESS S)J& tV1 LLAION 1 ` n
SINK CITY nG TEL.NO.Y'13-t/e,3q
I DISHWASHER V v CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY 'TEL.NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
PLAN CHECK VALIDATION
Plan check applicant 1 7cy Ove 7-6 7t�
Name I�/ f` •
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE '
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY'WITH ALL COUNTY ORDINANCES C'3 7 a 5 Fl
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS # o O O o o 5
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RES NTIAL 2 O 0 1 9.0 0
PROPERTY.
SIGNATURE 0 0 0 1 9 0 C,V
OF PERM IITTESEJ�-
k��
0413-79
DIS ICi�O.� P C SED BY
. I
INDUSTRIAL
WASTE APPROVAL
'858810.8FOR7
I85-17 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY 'T=a d
Deportment of County Engineer
County of Los Angeles BUILDING J„ q
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CI Q
CASSATT D..GRIFFIN,SUPT OF BUILDING P
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
w�
CROSS ST.
OWNER c& p DISTRICT NO. GROUP ZONE READY FOR INSPECTION
ADDRESS p I. � I
� ° INDUSTRIAL
CITY Q TEL.NO. WASTE APPROVAL
PLUMBER (,Vojn ��/,p�/6 INSPECTION RECORD
ADDRESS e�
CITY l° fZ TEL.NOA 04
LICENSE NO. -;L f$S
NUMBER -TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYS-= @ $i.00
C APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ I ROUGH PLUMBING
7 00
GAS PIPING.
TOTAL FEE a+ GAS-VENT --
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ' HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY ^^ �p
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING ., PLUMBING FIXTURES V ,7
.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY L05 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
Q
SIGNATURE ��ssq
OF PERMITTEE FINAL / 7 f
OHN A.LAMBIE,COUNTY ENGINEER• VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. N.C. GSH
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