HomeMy Public PortalAbout5143 ARDEN DR_Plumbing__ 7;°
7 B-SAPPLICATION FOR PLUMBING PERMIT 1
CE a l7 BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT D.GRI FFIN,.SUPT OF BUILDING
LOCALITY 44 GST X
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER o DISTRICT NO. GROUP ZONEREADY FOR INSPECTION
MAIL /IADDRESS
INDUSTRIAL
CITY eAgC,0,P1R TEL. NO. WASTE APPROVAL
galley Plumbing, a. .
PLUMBER -,-''-�-� '�. INSPECTION RECORI)Di
442 W, Fleetwood Fl . -
l
ADDRESS
Glendora Ed 5-1293
CITY TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE -_
WATER CLOSET (TOILET) @ $1.00 $ - • ��
BATH TUB @ $1.00 ,. .,1 '• / .:�;': `-?/`Y`
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $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
APPROVALS
DATE INSNE TORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH.PI-UMBING
GAS PIPING
TOTAL FEE
I GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ..!
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER �.�' S tet'b I"•!.I
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
DESCRIBED RESIDENTIAL PROP RTY.
SIGNATURE
OF PERMITTEE INAL I �'-
ROBERT A.WOOD,
JOHN A. LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH
1 4 9 3c FES2 5 3 A 10,0 0 M
76A6'V,7 (CE-817)-4/72
APPLICATION FOR PLUMBING. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER uz
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: �AD
LDING
DRESS3HARVEY T. BRANDT, COUNTY ENGINEER /rALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST �.
CROSS ST. vJ�
NUMBER 'FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER
MAIL '
BATH TUB 1.75 ADDRESS AZ �. , ,.
SHOWER 1,75 CITY E plc r" TEL 1\10_5, g/,2?6 2
ZI
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS 01IV7
DISHWASHER 1.75 CITY, TEL. NO.
CLOTHES WASHER 1.75 STATE & LIC
SWIMMING POOL RECEPTOR 1,75 LICENSE N0. CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1,75 Q s
WATER HEATER 1.75 INDUSTRIAL Y:
WASTE APPROVAL' O.
GAS SYSTEM OUTLETS 1.75 V
-INSPECTION RECORD
OUTLETS OVER ,30 1 p
5 PER SYSTEM
H
C.,
- N
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE d °
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
I, City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING-
PLUMBING. GAS TEST
1 HEREBY CERTIFY TH I AM PR RL EGIS E D AND P UTILITY CO. NOTIFIED
LICENSED AS REQUIRE BY L 5 ANG L 5 OUNTY D STAT F _
CALIFORNIA OR THAT AM TH LE L/ NE OF NO INT T
RESIDE IN THE ABOVE ESCRIB DR 1 E`TI L P E FINAL
SIGNATU RE
OF PERM I TTEE
PERMIT VALIDATIONCK. M.D. CASH
PLAN CHECK V LI TION CK. M.O. CASH
45 -