HomeMy Public PortalAbout8607 GARIBALDI AVE_Plumbing__ Y.SASS7-CQ//17 10-67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUIMING AND SAFElY DNLSION SUILD> NG r
JOHN A. LAMBIE. COUNTY ENGINKIEPt
COLEMAN W. JENKINS. Sur'T. or, BUILDING LOCALITT
FOR APPLICANT TO FILL IN R O TYPE I�AEmT
CIIOffi dT.
NUMBER FIXTUR¢ OR ITEM EACH F¢E
OW1fE1
WATER CLOSET 1.50 47
BATH TUB 1.50 ADD11�5
SHOWER 1.50 CM tkL x0'
LAVATORY 1.50 cownumOl
SINK 1.50 ADDHEb{
DIBHWABHER 1.50 C=
CLOTHES WASHER' 1.50eTATR LIC
LICENBE NO. CLASS
81►IlQ"6 POOL RECEPTOR 1.50 DISTRICT NO. GROUF K K sly
LAWN 8PRINKI,HR SYSTEM 2.00
11- f
WATER HEATER 1.50 DMUFr IAL _
WAETG APPROVAL
OAS SYSTEM OUTLETS 1.50 AIEPICTlox =01D -
OUTLETSOVER 30
5 PER SYSTEM 7T/� ���7 H/ 7' � �lJ ��G o2
222
Plan check fee 2,5% of above. See reversJS
_
PLUMBING PERMIT ISSUING FEE 2 0.0 —- —
TOTAL FEE
APPROVALS DATE INSPECTOR'S/16NATU RR
Plan check applicant UNDER BLAB WORK -
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER
I HERRN Ac KNOMLED" THAI I HAV[ READ THI/ APPLICATION
AND /TAT/ THAT THE A/QVK 1/ CO RRECr AND AaRu TO COMELY PLUItBING FIXTUREB
WrrH ALL, COUNTY Or MNAHC=/ AMD ELATE LAM/ RE/ULATIM• GAS TEST
PLUM/INCL
I HomY CERTIFY THAT I AM rftOPLWLY RK*I/T/RED AND/-OR UTILITY CO.NOTIFIED
LI CKNOW A/ REQUIRED 1Y LO/ ANQKL" COUNTY AND STATE OF
H
CALJFORNIA OR THAT I AM THE LiAL OWNXR OF.AND IONTQID TO jo Al A) '
RE/IDE IN.THE A10YE /ED RE/IDEMT�-IAL PROPERTY. FINAL - .-d
•IGNATURE -� JACK R. ALLEN, SUPTRVI/IN HANICAL EN9'R.
OF r[RMITTIE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALMAnoK CK. M.O. CASH
315372 MR19 5 A 9160
y
70A667-CF0517 10-67 - '-"--
APPLICATION FOR PLUMBING PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION nvrr.Dina O
JOHN A. LAMBIE. COUNTY ENaIN[[R ADDLF�B
COLEMAN W. JF-NKINB. SUF-'T. OF BUILD[m F
FOR APPLICANT TO FILL IN R O TYPE PIMAI
CE0ffi ST.
NUMBER PIXTURS OR ITEM EACH PHS',
Oplm
WATER CLOSET 1.50
BATH TUB 1.50 ADDIITJ�
SHOWER 1.50 CITT TEL 1O.
LAVATORY -1.50 CONTRACTOR
SINK 1.50 ADDntSM
DISHWASHER 1.50 C= TEL NO.
CLOTHES VABHER 1.50 QTATE LIC
LICENSE NO. CLASS
SWa6@1G POOL RECEPTOR 1.50 DI['TRICT NO. GROUP PROCiM[D ■Y
LAWN SPRINII-ER SYSTEM 2.00
WATER HEATER 1.50 DIDUSTLIAL
WIM APYiOVAL- CD
v GAS SYSTEM OUTLETS 1-50 0 I1d?ECTI01 RECORD
OUTLETS OVER �I
5 PER SYSTEM .90
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
ARROVALS - DATE ]M/♦'1CCTOR'f/IaNATURi
Plan cher-kApplicant UNDER SLA41 WORD( -
Name ROUGH PLUMBING
Address GAS PIPING -
GAS VENT - - •-
City T.I. No. -V HOT WATER HEATER
I IO
HIIY ACKM THAT I HAVE PELAD If APPLICATION
AND fTAT[ THAT THE A/OVX is COR1tCT AND AGFEW TO CQMTLY PLUMBING FIXTURES
WITH ALL COUNTY OQDIMAMCLI AND /TAT[ LAW/ IROULAT1Ma GIAS TEST
RUM■INat.
I H=w>or CJUMFY THAT I AM F"Orucl.r Iaal/T'[jwD AHD)ow UTILITY CO. NOTIFIED - Y -•
LICINffD A/ pMQUIpUn /Y LO/ Ama& " COUNTY AND STATE OF
CAUFORMIA OR THAT I AM THR L[OAL OWN/'R OF,AND IMTQm TO
Riffs IM,TH[A/OV[ RJ1DiNT1AL FINAL •{
SIGNATURE JACK R. ALLEN, SUPERVISING M¢CH ANICAL
OF FKRMITTZ[
PERMIT VALIDATION CK. L4.0. -
PLAN CHECK VALID O CK. M.O. CAD-
LAC0 5 3 8% ,u _5 5 A :3 5-QN -