HomeMy Public PortalAbout10709 DANBURY ST_Plumbing__ TOA 66T •CEO 817 4-64I/��2�
APPLICATION FOR PLUMBING PERI I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ' O
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY-To A7
FOR APPLICANT TO FILL IN NEAREST Iji
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 71.25 MAIL
BATH TUB 1,25 ADDRESS 77��
CITY TEL.
SHOWER 1.25
LAVATORY 1,25 CjMc
ONTRACTOR
SINE 1,25 ADDRESS b�0
DISHWASHER 1.25 CITY T L. NO. ',��
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REN .
GISTRATION COUNTY
CLOTHES WASHER 1.25 DISTRI T NO. GROUP _ NE EBBED BV
WATER HEATER 1.50 (l
CAS SYSTEM OUTLETS 1'50 INDUSTRIAL y
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
0
W
d
IA
Z
APPROVALS DATE INSPECTOR B SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING \
I 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.
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
VALIDATION ROBERT A. WOOD
cK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LhUU 5 D
15`� v �J C:^ :ILII;
3.50 "
T6 `66T—CE BIT 8/68
1 APPLICATION FOR PLUMBING PER IT
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
OWNER /e
WATER CLOSET 1.50
MAIL
HATH TUB 1.50 ADDRESS Jp 5w 9 -y
SHOWER 1.50 CITY t / TEL. N
LAVATORY 1.50 CONTRACT
SINK I.50 .ADDRESS L t.'
DISHWASHER 1.50 p, CITY TEL. NO.
CLOTHES WASHER 1.50 STATE � LIC /
LICENSE .J / CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. TP ZONE I PR 85 BY
LAWN SPRINKLER SYSTEM 2.00 C C3
WATER HEATER 1.50 INDUSTRIAL Z
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1.50U
INSPECTION RECORD ly
OUTLETS OVER O-
5 PER SYSTEM .30 Z
Plan check fee 25- of above. See reverse.
PLUMBING PEIi1Il'C ISSUING FEE S 2 00
'ro,rm, FEE S D
APPROVALS DATE INSPECTOR'6SIGNATURE
Plan check applicant UNDER SLAB WORK
Name • ROUGH PLUMBING
Address 'GAS PIPING
GAS VENT
Cit}' Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE T"AT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLl1MBIHG.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNEROF.AN INTEND TO
RES JOE IN. THE ABOVE BE IBED RESIDENTIAL PROP FINAL
SIGNATURE / JACK R. ALLEN, SUPERVi
91
OF PERMITTE swG MECHANICAL ENG-R.
-...., -. PER611T VALIDATION cK': M.O. CASH.
PLAN CHE ALIDATION CK. M.O. CASH
fAP-9 1 4 1r EMl 5 5 D 650-