HomeMy Public PortalAbout10560 DANBURY ST_Plumbing__ 76A667 (CE-817) - 5/73 fla 4- Cj T(J/yyY
APPLICATION FOR -.PL-UMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER '
BUILDING AND SAFETY DIVISION BUILDING /
MAKE CHECKS PAYABLE TO: -ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FBATH
NT TO FILL IN (PRINT OR TV PEI NEAREST h _/� ��J
CROSS ST. �KJYL��.
RE OR ITEM @ FEE
OWNER 1
ET 1.75
MAIL . /
1,75 ADDRESS 1.75 CIi TEL. NO.' (./(/-F7s3 1,75 CONTRACTOR eL
SINK 1.75 ADDRESS Q ,.0
DISHWASHER 1.75 5 CITY 7 TEL. NO. y(/2-7U7G
CLOTHES WASHER 1.75 STATE q LIC
LICENSOr ASS
N /` CLASS
SWIMMING POOL RECEPTOR 1.75 - —
DISTRI ANO. GROUP ON ESSED BY
LAWN SPRINKLER SYSTEM 1.75 rQ0
WATER HEATER 1.75 1 INDUSTRIAL
WASTE APPROVAL yy
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U
OUTLETS OVER .30 ¢
5 PER SYSTEM
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 DD
TOTAL FEE 5
APPROVALS DATE INS PECTO F'S SIG NGTIIRE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES iz
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
CAU fORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED pE^NT'IAL PROPERTY. FINAL
SIGNATURE (/'�$ CpV
OF PERMITTEE v— 1..� ����'7 J
PERMIT VAU DATIONCK.0..0. cpsH
PLAN CHECK VALIDATION CK. M.O. CASH
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76A667SCE48I7 5/63
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 1
JOHN A. LA ND COUNTY ENGINEER ADDRESS 10560 Danbury
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY 1 C• t
FOR APPLICANT TO FILL IN CHOSSSST.
NUMBER FIXTURE OR ITEM E C-7 FEE
} OWNER
> 75
WATER CLOSET $1.25 17 MAIL Noel RAIdidn
1 BATH TUB 1,25 1 2)C ADDRESS
2 SHOWER 1.25 2 50 CITY TEL. NO.
3 LAVATORY 1.25 3 75 CONTRACTOR Owen Bros Plumbing
1 SINE 1.25 1 25 ADDRESS 4265 No. Baldwin
1 DISHWASHER 1.25 125 CITY E1 Monte p1 TEL. No. ,,00 8
CONTRAC LAUNDRY SUB 1.25 EG S RAT ONSNO. 1971Vµ COUNTY STATE Q
1 CLOTHES WASHER 1.25 1 2 DISTRICT NO. GROUP ZONE ==.V=
WATER
1 WATER HEATER 1.50 150 s �( ( �If2•✓/1
1 GAS SYSTEM 5 OUTLETS 1.50 1 50 INDUSTRIAL
WASTE APPROVAL `f+ O
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
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til
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APPROVALS DATE INSPECTOR'SISIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK //I�
TOTAL FEE 2O OO ROUGH PLUMBING L
o• -L7,ro_
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST t -27�C Qlrr I W
RESIDE IN, TXE AB DE IBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED V
SIGNATURE
OF PERMITTEE
_ i FINAL
(yALIDATION ROBERT NA.G MECHANICAL
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GK/.p M.o. cnsH SUPERVISING MECHANICAL ENG'R , J�
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