HomeMy Public PortalAbout5922 BARTLETT AVE_Plumbing__ 76A66.7 (CE-617.) - 6/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTb NT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FEA
G
MAKE CHECKS PAYABLE TO: Bartlett
HARVEY T. BRANDT, COUNTY ENGINEER Y
el
FOR APPLICANT TO FILL IN (PRINT OR TYPE)
T.
NUMBER FIXTURE OR ITEM 0 FEE
WATER CLOSET 1.78 OWNER
Bade cormt.
MAIL
BATH TUB 1.75 17ADDRESS
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOROwen S Plumbing, Inc.
SINK 1.75 ADDRESS4265 N. Balwin Ave
DISHWASHER 1.75 CITY me TEL NO. .-007'8
CLOTHES WASHER 1.75 LICENSE N0.2 1 741 C36-20 CILASS
STATE L
SWIMMING POOL RECEPTOR 1.75
DISTAIC O. GROUP CE D BY
LAWN SPRINKLER SYSTEM 1.75 K
WATER HEATER 1.75 WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 -INSPECTION RECORD
OUTLETS OVER
6 PER SYSTEM .30 J
r W
CL.
C/7
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE 8 3 CIO
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING 01
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACXNOWLEDe! THAT I HAVE READ T}11S APPLICATION
AMD !TATE THAT THEABOVE 16 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING
PL UM BI Ne. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOB ANGELES COUNTY AN ?TAT! OF
CALIFORNIA OR THAT I AM L! L OWN OF, A INTEND TO
RE¢IDE IN THE ABOVE
DED BE R NTI of FINAL jam/
L
51 ONATU RE
OF PERM T T E L
PERMIT VALIDATION �C — M.0. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
5
3 6 1,3 NOIR 27 5 A 2 2 2 Q
�T rC�
7&494 IC■*17-N-11/79 11
APPLICATION FOR PLUMBING PERMIT �•L
COUNTY OF LOS ANGELES
DEPAMWENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION
FOR APPLICANTTO FILL IN(PRINT OR TYPED BUILDING
NUMBER AXTURE OR ITEM • FEE ADDRESS y
WATER CLOSET d LOC W W
NEAREST
BATH TUB CROSS ST. 0 0.
SHOWER j OWNER S
1 LAVATORY ✓ MAIL +91, Z
ADDRESS K
SINK CTTY y�. TEL.NO.
DISHWASHER CONTRACTOR �M r
CLOTHES WASHER ADDS
swIMMUNG POOL RECEPTOR CITY TEL NO. b /g
bVti �
LAWN SPRINKLER SYSTEM STATE Lr—
WATER HEATER LICENSE NO. CLASS "
/ GAS SYSTEMS p L OUTLETS P E BY
YSTEM
pUT��TSpyQ�
S PGR SWDLISTRIAL
ASTE APPROVAL O
INSPECTION RECORD V
X
Plan Check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check opplkarrt
APPROVALS DATE CTOR'S IN.7IATURE
Name LPN DER SLM WORK
Address ROUGH PLUMBING Zvi
City Tel.No. GAS PIPING
I HEMIYY ACXXOWLEDQr THAT I HAVE READ THLs APPLICAMN AND'STATE GAS VENT
THAT THE MOVE V CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDDUNCCS
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HIREBY COMFY THAT I AM VAOPERLY REGtSTERYD--JO/Oft UCEK5 D AS PLUMBING FIXTURES
REWIRED EY LOS ANOE ES COUNTY AND STATE OF CALFO"A OR THAT I AM THE GAS TEST i
LEGAL OWNER OF.NTD Rrr"D To RESIDE IN TKE ADOVE DESMW FMMFmTIAL
PROOEIM. UTILITYCO.NOTIFIED
I}IANATURG
OF PERMfTTTi Pi
PLAN CHKK VALIDATION CiL M-a CASH PERMIT VALIDATION qC Ma CASH
5 1 5 MAY 19 5 A 1 9,Q 0