HomeMy Public PortalAbout9217-9217 1/2 WORKMAN AVE_Plumbing__ J.
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IBs.,;,gS6 APPLICATION FOR PLUMBING PERMIT
17MSION OF BUILDING AND SAFETY
.' Deportment 'of County Engineer
County of LOS Angeles BUILDING nn
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS - Q 14
CASSATT D.GRIFFIN,SUP'T of BUILDING
LOCALITY \ /
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. IY Imo►
OWNERF1 N DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL I
ADDRESS
INDUSTRIAL I
CITY TEL.NO. WASTE APPROVAL
PLUMBER +e • ,r�r INSPECTION RECORD
ADDRESSR' J/is
CITY V TEL.N `Z Z{p OC�
LICENSE NO. f tJ h � I C.oti �C✓ 1 I
NUMBER'. TYPE OF FIXTURE OR ITEM F - _ ' !I•_� L` _.A- le-5 �� )`'c, S -�
WATER CLOSET (TOILET) @ $1.00
7
HATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
k
DISHWASHER @ $1.00 - -. .•
LAUNDRY TUB OR TRAY @ -$1.00 1
.CLOTHES WASHER @ .$1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $i.00 _.
APPROVALS.
QATZ INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 OO _ ROUGH.PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER Q
AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES t{ -v
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ; GAS TEST S I(
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED IA
DESCRIBED RESIDENTIAL VERTY.
SIGNATURE
OF PERMITTEE FINAL 11(
IOHN A.LAMBIE,CoU ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. M.O. CASH ,
'LAC.03 7 3 09:; OGT 3 15.00 M
CE a,a5e APPLICATION FOR PLUMBING PERMIT :1
BIIIMMG AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BU)LDI.N �` _ /7
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATTO.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR AR41RAM TO FAL IN NEAREST
CROSS ST,
OWNER YAOU
MAIL %% )(� DISTRICT O. GROUP I ZONE. IG1 READY-FOR INSPECT ION
ADDRESS � INDUSTRIAL h.I W/ I '
ICITY TEL.NO. WASTE APPROVAL
PLUMBER D INSPECTION RECORD
ADDRESS
CITY TEL.NO.
LICENSE NO.
�• NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00
HATH TUB @ $1.00
SHOWER @ SI.00
LAVATORY (WASH BASIN) @, $1.00
KITCHEN SINK Q $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 Qu
APPROVALS
DATE. INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ I Z 00 ROUGH PLUMBING
TOTAL FEE UGAS PIPING
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE•THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
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
DES CRIBEDIRESIDENTI L PROPE
SIGNATOR
OF PERMITTEE FINAL
ROBF-RTA.VVIOOD,
JOHN A. LAMBIE,COUNTY ENGINEER VALT 'TIO SUPERVISING MECHANICALENG'R
C6. M.0. C SH �
`. 4 2 6, Nov 14 3 2.00 M