HomeMy Public PortalAbout9219 FLAHERTY ST_Plumbing__ 7GA667 CE9817 10 67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fNNEAREST
DING
BUILDING AND SAFETY DIVISION RESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING ALITY
FOR APPLICANT TO FILL IN(PR NT OR TYPE) SS ST �(r
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 50 5 0 OWNER yrs ®A.,J MAIL
BATH TUB 1 50 ADDRESS e
SHOWER 15o S"-t7 CITY TEL NO .2,P
LAVATORY 1 50 CONTRACTOR u d CiL
SINK 1 50 ADDRESS to k1 I,
DISHWASHER 150 CITY TEL NO
CLOTHES WASHER [210
50 STATE % �r-�p
LICENSE NO OCt� �/� CLASS
SWIMMING POOL RECEPTOR 50 DISTRICT NO GROUP ZONE P 6$S D BY
LAWN SPRINKLER SYSTEM 0 5 IU71 ..� CL
OINDUSTRIAL U
WATER HEATER 50 WASTE APPROVAL 0
GAS SYSTEM OUTLETS 1 50 S-d INSPECTION RECORD U
OUTLETS OVER 30 O_
5 PER SYSTEM
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 3 2 00
TOTAL FEE APPROVALS DATE IN ECTOR S SI ATURE
P1-1n check applicant UNDER SLAB WORK �� 6
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel NO HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I 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
1HEREBY CERTIFY THAT I 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 NTEND TO
RESIDE IN THE ABOVE DEY RIBED R DENTIAL PROPER 4FINAL Cj
SIGNATURE �L.l JACK R ALLEN SU PERVISIN CH ANIC AL ENG R
OF PERMITTEE
PERMIT VALIDATION cK M 0 CASH
PLAN CHECK VALIDATION CK M 0 CASH
�;�� 6 742 t2f r3 5 0 650N ,,
t �
7GA667 CE#617 9/63
APPLICATION FOR LUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING s /I FL 1I �{E R T Y
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY gJV/pLe� LTr
FOR APPLICANT TO FILL IN NEAREST
CROSS Sr
NUMBER FIXTURE OR ITEM EACH FEE OWNER L<-,V A/ L
WATER CLOSET $125 MAIL
BATH TUB 125 ADDRESS G7 a t /`—Lf4 H E k T
SHOWER 1 25 CITY G/W j0l_9! L I T}-' TEL NO oAL(3 7 4
LAVATORY 125 CONTRACTOR C 4i- I F Pat LS
SINK 125 ADDRESS
DISHWASHER 125 CITY 4* &A-6p jrj_ TEL NO f}?'(o 0a 4
CONTRACTOR S STATE
LAUNDRY TUB 125 REGISTRATION NO S 0 2— COUNTY )CR311
CLOTHES WASHER 125 DISTRICT NO GROUP ZONE I/ ESSED BY
WATER HEATER 1 50 gL
GAS SYSTEM OUTLETS 150 INDUSTRIAL D_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 U
1 INSPECTION RECORD
TVA P1 'I AA
..,.�-- /IJfI'rVrsf .t•Ld7 �' /lidt� Ni 0'�C �rvvr'i/� .1 t W
APPROVALS � DATE 11 SPECTO S SIGNAAUIR
AIX p
PERMIT $ 2 00 UNDER SLAB WORK PJ 7
ROUGH PLUMBING r
TOTAL FEE GAS PIPING
IH
ACKNOWLCDGE THAT 1 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 ANDSTATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER O AND INTEND TO
RESIDE IN THE ABO�DESCRIBEDIDENTIAL P RTY UTILITY CO OTIFIED _
SIGNATURE
OF PERMITTEE r
FINAL
VALIDATION
ROBERT A WOOD
M o CASH SUPERVISING MECHANICAL ENG R
It�c 1 3 0 310 SPR 5 D