HomeMy Public PortalAbout5550ALESSANDRO AVE_Plumbing 76A667—CE 817468 a-,/ &�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS Alessandro
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Temple Clt
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST Workman
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER R. B. Cook
WATER CLOSET 1 SO
MAIL as above
BATH TUB 1 50 ADDRESS
SHOWER 1 50 CITY T TEL NO 286-0879
LAVATORY 1 50 CONTRACTORW.. E. Graham
SINK 1 50 ADDRESS 9127 E. Las Tunas Dr
DISHWASHER 150 OlTyTem le CItY TEL No286-9293
CLOTHES WASHER 1 SO STATE Lic
LICENSE NO 1066 CLASSY-36
SWIMMING POOL RECEPTOR 1 50 a
DISTRICT N GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2 00 �� ' rt�U� S
WATER HEATERre lace 15o 1 50 WASE AP ROVAL E� O
GAS SYSTEM OUTLETS 1 50 INSPECTION RECO
OUTLETS OVER 30
5 PER SYSTEM
a
91
Z
Plan check fee 2S% of aboNe See reverse
PLUMBING PERMI I ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
AddresG CAS PIPING
GAS VENT
Cit) Tel NO HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION PLUMBING FIXTURES
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
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 L AL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DEGCRI E IDENTIAL PROPERTY FINAL
SIGNATURE JACK R ALLEN SUPERVISING CHANICAL ENG R
OF PERMITTEE
ga PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M o CASH
pill- 5 9 4 7clZI NAR 2 4 5 D 3 5 0"