HomeMy Public PortalAbout5226 WILLMONTE AVE_Plumbing__ 76A667A
CE 617(REV.6/781
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APPLICATION FOR PLUMBING .PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
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FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 4"9V
'ADDRESS LOCALITY /
NUMBER FIXTURE OR ITEM ® FEE -elg i, � Cl 7'Y
WATER CLOSET
NEAREST 77U C? -Gt/Nis�
BATH TUB CROSS ST.
SHOWER OWNER
liel LAVATORY MAIL
ADDRESS
SINK CITY �.— TEL.NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS jero 64W1AA,0
SWIMMING POOL RECEPTOR
CITY � � �,� � TEL.NO.����f
LAWN SPRINKLER.SYSTEM -STATE // o g
WATER HEATER LICENSE NO. /P7�O aGiG/ CLASS C
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 VAVA
Plan check fee UTILITY CO.NOTIFIED g
PLUMBING PERMIT ISSUING FEE$ o
TOTAL FEE 43 QC2.
FINAL
Plan check applicant PLAN CHECK VALIDATION)
may ,ti,t, C aW
Name LaJ C �7ZIL 's-/7
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 3 0 Es 0 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION �'� O 0 O O O 5
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS
REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE r� 0 O q 0 O
LEGAL OWNER OF.AND INTEND TO SIDE IN THE ABOVE DES D SIDENTIAL G 1
PROPERTY. 4/
SIGNATURE
CIF PERMITTEE ONAZK" 0306-79
DISTRICT NO. P E SED BY
INDUSTRIAL
WASTE APPROVAL
76AG57A(.CES17A) - 8/7819- I
AP'PLICAT'ION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO:
BUILDING
t-•� �.
ADDRESS �7
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM 0 FEE
OWNER
- WATER CLOSET
MAIL- �
BATH TUB ADDRESS �T
SHOWER C ITY TEL. NO.
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY• , vow TEL. N.O. 3�, grO
CLOTHES WASHER STATE L CENSE NO. ' ��( asCILASS k/
SWIMMING POOL RECEPTOR
DISTRICT NO. GROUP I;NE. OCE D BY
LAWN SPRINKLER SYSTEM r-�
WATER HEATER INDUSTpIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS INSPECTION RECORD
OUTLETS OVER O
5 PER SYSTEM U
1 ..
Im
, d
LuN
z
Plan.check.fee See Reverse
PLUMBING PERMIT ISSUING'FEE S 0
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name �i9a/� �. ��!v ROUGH PLUMBING
Address .�3 �/� ��� ✓$. GAS PIPING-
City
7�g
City a Te.l. No.3 . GAS VENT
HOT WATER HEATER HEREBY:ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDIN ES AND STATE LAWS REGULATING
PLUMBING. GAS TEST _
I HEREBY CERTIFY TH I M PROPERLY REGISTERED AND/OR UTILITY.CO. NOTIFIED
LICENSED A.S REdUIRED L0. ANGELES COUNTY NO STATE OF
CALIFORNIA OR TH T I A TH LEGAL OWNER OV�ND TEND TORESIDE IN THE•ABO EbES RIB D REST ENTIAL P p�
FINAL. 0.���'6
SIGNATURE
OF PERMITTE
PERMIT VALIDATION c M.O. CASH
PLAN CHECK VALI14ATION CK. M.O. CASH
.� ofo . .50'A
... _ .
76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER '
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS o� 1p Wl 11 mao
HARVEY T. BRANDT, COUNTY ENGINEER a �
LOCALITY rnpe
=FORAPPLICANT TO FILL IN (PRINT OR TYPE) CNEAREST ROSS ST. 4-1 U
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 1.75 ADDRESS cR to W 1 �1 m vn
SHOWER 1,75 CITY er-n 1'e �J' TEL. NO. 3� I
LAVATORY 1.75 CONTRACTOR�jj? Co&)Jr -1- 14 f :Ser V-5
SINK 1.75 ADDRESS 5132
DISHWASHER 1.75 CITY-pimple. 01 TEL. NO.a -1Q)a
CLOTHES WASHER 1.75 STATE 2741 � CLIC
LASS D
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. O( i C�
LAWN SPRINKLER SYSTEM 1.75
DISTRICT NO. GROUP I ZONE ROC ED BY
� Q
WATER HEATER 1.75 IN
WASTE APPROVAL C
GAS SYSTEM OUTLETS INSPECTION RECORD CD
OUTLETS OVER 0.
5 PER SYSTEM 30 C3
W
C+.
H
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE01(
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
BI /
PLUMNG. GAS TEST
I HEREBY CERTIFY THAT I 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, AND INTEND TO Iz
RESIDE IN THE ABOVE DE§SRIBED RESID_qNTIAL PROPERTY. FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION
PLAN CHECK VALIDATION CK. M.O. CASH CK. M.O. CASH
5 .3 09-AUG 6 15 0 7.5 0 Sts