HomeMy Public PortalAbout4935 ARDEN DR_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS Y
CASSATT D. GRIFFIN,Supt of Building
LOCALITY �
FOR APPLICANT TO FILL IN NEAREST "
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER_
WATER CLOSET MAIL
BATH TUB ADDRESS
3.
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR
SINS ADDRESS
v '
DISHWASHER CITY TEL.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NQ:'-7
-:'4 COUNTY ❑
CLOTHES WASHER DISTRIC O. G ONEgROCE�SSEDY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
A
G� Q
APPROVALS
@ $1.00 PER ITEM r �
OR FIXTURE $ / DATE I SPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 5 2100, ROUGH PLUMBING
TOTAL FEE �z GAS PIPING
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PPLICATION GAS VENT
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 1 AM PROPERLY REGISTERED AND/OR GAS TEST J - P! 7 prc L5 ijti
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED -
DESCRIBED RESIDENTIAL,PROPERTY.
SIGNATURE
OF PERMITTEF� t4 i j� % "� FINAL
ROBERT A.WOOD.
OF ,A ATION SUPERVISING MECHANICAL ENG'R
CK. ES.O. CASH
LtjUO 4-092cy; BAR 2 6 5 A 9.00
76A667 (CE;aq7) - 1/75 /] n)��_q O _ IL C,1'4�
APPLICATION FOR PLUMING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,5
BUILDING AND SAFETY DIVISION FBUILDING * �1
MAKE CHECKS PAYABLE TO: DRESS
HARVEY T. BRANDT, COUNTY ENGINEER
CALITY �_
r
FOR APPLICANT TO FILL IN (PRINT OR TYPE) AREST
CROSS ST. 3
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET
2.00 OWNER
MAIL
BATH TUB 2.00 ADDRESS L4
SHOWER 2.00 CITY TEL. NO. b1r
LAVATORY 2.00 CONTRACTO t /
SINK 2.00 ADDRESS IV
DISHWASHER 2.00 CITY �— TEL. NO. L-)- 07
ple
CLOTHES WASHER 2.00 STATE aw/ q$ LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ZONE PROC]�SSED BY
LAWN SPRINKLER SYSTEM 2.00 (' r�J'' % R _ I � ..vGv,ED 112 !
WATER HEATER 2.00 INDUSTRIAL v
WASTE APPROVAL i
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 O
F—
U
W
LL
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 7.rj
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 I 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
PLUMBING. 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
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL ax
SIGNA T U R E
rl -
OF PERMITTEE1�-
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 5 0 SFR _i 5 D 7.5 0 ,&!�j