HomeMy Public PortalAbout5412 ARDEN DR_Plumbing__ 76 A 667—CE 817 468
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
�. WATER CLOSET 1.50 �j ! OWNER
It,O
MAIL
BATH TUB 1.50 J-0 ADDRESS
l SHOWER 1.50 EO— CITY TEL. NO.
LAVATORY 1.50 3 ao CONTRACTOR
SINK 1.50 jf ADDRESS
DISHWASHER 1.50 (7 CITY TEL. NO. Z7LI5;43--Od7?
' CLOTHES WASHER 1.50LIC
6 STATE 3�_ / CLASS
LICENSE NO.
SWIMMING POOL RECEPTOR 1.50
DISTRICT O. GROUP O E PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 sQrr
--7160 �e o-r'o etle,
WATER HEATER 1.50 0INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 O INSPECTION RECORD 0
OUTLETS OVER 30 �. �� G
5 PER SYSTEM
M8
f�
H
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 9 2 00
TOTAL, FEE O
APPROVALS DATE 1' ECTOR'S, IGNATURE
Plan check applicant UNDER SLAB WORK )�
Name ROUGH PLUMBING
Address GAS PIPING
Cit}'. Tel. No. GAS VENT
HOT WATER HEATER _0
LDA BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES (a
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
G.EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
N,THE ABO DE RIBED RESIDENTIAL PROPERTY. FINALUREJACK R. ALLEN, SUPERVISI�GHANI.CAL,ENG'R.
RMITTEE
PERMIT VALIDATIO M.OASH
PLAN CHECK VALIDATION CK. M.O. CASH
x 7 9 7 8 JAH 13 5 D 18-5- 0 v
76A667 A
APPLICATION
PERMIT
'DBS-17 3.5-3 _�.
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WM.J. FOX, COUNTY ENGINEER BUILDING
ADDRESS CJ / c"/ ..- c/t. ,r. ("•1 7
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY //�/�/6�L-�.lr•'Ll� �••�' �/ -
FOR APPLICANT TO FILL IN NEAREST // t
' CROSS ST. rI l� �f.�r+ •P
OWNER DISTRICT_/�-a^��:j;���s-i��"���' -z'�% /`e( iS DISTRICT NO. GROUP ZO E READY FOR INSPECTION
MAILADDRESS / t.iC+/C '3` ^-'�C lF I / yC3 I
..
INDUSTRIAL
CITY ✓?/L.j. /l TEL. NO.. WASTE APPROVAL
INSPECTION RECORD
ADDRESS
CITY 1:/,x,3-I le- !_"—
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES
7WASHER
TOTAL NO. - 0.80 APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
WATER HEATER @ 1.00 UNDER SLAB WORK
ROUGH.PLUM BING
PERMIT S t 00
.. GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWL EDGE'THAT 1 HAVE READ THIS APPLICATION HOT WATER_H EATER _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
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 df�'`� �,�`� . _ i'_..y - ,_ �
OF PERMITTEE �- - ° FINAL (.!/✓ a s /� �"'
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PLBG. INSPECTOR'
7 29 7 3 2.00 tra