HomeMy Public PortalAbout8819 ELM AVE_Plumbing__ 76A667 - CE817 5/70
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER `
BUILDING AND SAFETY DIVISION BUILDING l 76---
JOHN
yJOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN PR NT OR TYPE) CROSS ST.
NUMBER FIXTURE OR ITEM EAC FEE
I OWNER
WATER CLOSET 1.SQ MAIL
BATH TUB 1.56 ADDRESS
SHOWER CITY TEL. NO.
LAVATORY 1.5 CONTRACTOR
SINK 1.5p ADDRESS
DISHWASHER 1.40 CITY TEL. NO.
CLOTHES WASHER 1.40 STATE LIC
LICENSE NO.. CLASS
SWIMMING POOL RECEPTOR' 1. 0 DISTRICTNO. GROUP ZONE PROCESSED BY }
LAWN SPRINKLER SYSTEM 2.00
0
WATER HEATER 1.50 INDUSTRIAL U
WASTE APPROVAL Lu
GAS SYSTEM OUTLETS 1.�0 INSPECTION RECORD J
OUTLETS OVER30 LL
5 PER SYSTEM }
Q�
C
0
A.
Lu
I"
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 100
TOTAL FEE = '
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GASVENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE _ .TACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH