HomeMy Public PortalAbout10639 DANBURY ST_Plumbing__ 76 A 667—.CE 817 8/68 / i�
APPLICATION FOR PLUM ING PERT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION AUILDING `
.JOHN A. LAMBIE• COUNTY ENGINEER ADDRESS N
COLEMAN W. JEN KINS. SUPT. OF BUILDING LOCALITY CA-
FOR
FOR APPLICANT TO FILL IN PR NC OR TYPE) NEAREST L
CROSS SS.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1,50 ADDRESS
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR
pa-
SINK 1.50 ADDRESS /
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATELIC
LICENSE NO. 8 CLASS C
SWIMMING POOL RECEPTOR 1.50 D;I�BTRIR NO. GROU ZO PR Y
LAWN SPRINKLER SYSTEM 2.00 �l F ® �
l O
WATER HEATER 1.50 INDUSTRIAL U
WASTE APPROVAL Z
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD O
/ vH
OUTLETS OVER
5 PER SYSTEM 30
L Z
Plan check feu 2SP of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEF:
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City 'I'el. N°. 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUIREO BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,ANO INTEND TO
RESIDE IN, THE ABOVE OESCRIBEO E OENTIAL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION cK. M.o. CASH
PLAN CHECK VALIDATION cK. M.o. CASH
1r ,2.14'5OCT 6 _ 5 D 3.50? Q
76A667..':JV 17.8-57
'COUNTY OF LOS APPLICATION FOR PLUMBING PERMITANGELES
1
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT O. GRIFFIN. SUPT OF BUILDING LOCALITY �� •�
1
FOR APPLICANT TO FILLIN NEAREST
CROSS ST. Z/ • p o
NUMBER FIXTURE OR ITEM
OWNER
j/ WATER CLOSET MAIL I i
BATH TUB . ADDRESS 1
SHOWER CITY TEL.NO.
y LAVATORY CONTRACTOR Rq �
SINK ADDRESS l /L .,'a �-
DISHWASHER CITY ;vrt. TEL.NO. , ,
LAUNDRYTUB CONTRACTOR'S S A E
REGISTRATION NO. � I COUNTY ❑
CLOTHES WASHER
DIST:I O. GR ZONE, ICIOY Paw IHSPECTIOM
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Lx--.9.YS ir/ UAl'o'- ry
SA.A.9 Dl 667.
APPROVALS
51.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE S /t Q d UNDER SLAB WORK
I
PERMIT 5 7 00
ROUGH PLUMBING
GAS PIPING
TOTAL FEE Q U GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER 7
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES !�/
PLUMBING. L
1I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ��,It . s �y e.6'1 sII <
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF C
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED i �!
DESCRIE-D RESIDENTIAL PROPERTY.
SIGNATURE
OFFER "TEE FINAL � .�j��J /i,J�1^ 11171
ROBERT A. WOOD.
Qa , LIDATION SUPERVISING MECHANICAL ENG'R
CN. M.O. GSH
Ltd O.0 5 8IPA OR 21 3 A 1 0.0 0