HomeMy Public PortalAbout9513 GARIBALDI AVE_Plumbing__ 7GA007A(CH817A) - 6/7B
APPLICATION r PLU NG PERMIT
COUNTY OF Ld$ ANC]�LES
DEPARTMENT OF COUN'T'Y ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS P44Y.AOLE TO: FL10CALITY
HARVfrY Y. DRANDT, COUNTY ENGfIN1TER Z e CIty
FOR APPLICANT TO FILL IN (PRINT OR TYPE) $e
CROSS ST.
NUMBER FIXTbRE OR ITEM f FER
OWNER 0hester Mil $
WATER CLOSET
BATH TUB &REBS Gar
SHOWER CITY Temple aty". TEL. NO.
LAVATORY CONTRACTOR JOhnny#Q Plumbing 3erviae
1 SINK kitchen ADDRESS 9125 E. Ia8 Tunas ye
D18HWASHER 2 cITY Te�eTATEr�UtY TEL. No.LFJ�--�}
1 CL• HE&WASHER drainJ $IC NSE NO. '�� 68 CLASS ,10-�6
SWIWAING POOL RECEPTOR
D151JiLCT�� R E E33E BY
LAWN 8PRINKL)R SYSTEMA `•4J�
] WATfR HEATER TelOOEtte 3r 1VASTE APPRQVAL
GAS YSTEM ODITLETS INSPE TION RECORD
ETS OVER
5 PE SYSTEM
1 O
Z
Plan Cheek fee SQA R.wr■A
PLUMBING PERMIT IS&LING FEE 0
TOTAL FEE
APPROVALS DATE rNMP[CTOR'� •IRNA-runt
Plan checkapplicant UNDER SLAB WORK
Name ROUGH PLUMBING
Addrei3s GAS PIPING
City Tel. No. GAS VENT
POT WATER HEATER
I H.[R9SX.A1CRNOWL9D#[ THAT 1 HAVE RKAgP THIS APPLICATION
AND STATE THAT TH-E A#OV[ 19 CORRECT AND ASR[[ TO CO4MPIL,�Y PLUMBING FIXTURES
WITH ALL COUNTY. ORDINANCES AND STATL LAW# RLSULATII1# GAS TEST
RLUM■INS.
I HEREBY CERTIFY-THAT I AM MIIOPERLY-R[SISTER[D AND/OR UTIl,ITYCO. NOTIFIED
LICENSED AS RKOUIR[p DY.LOS ANGELES CQUNTY AND #TATE OF
L
LLATU
!� THAT I AM THE L[AAL OWNER OF, AND INTRAD TO
ASOVEIDESCRIDEO RESID[NYIAL FROFSRTY. FINAL �7 T`T$E
PERMIT VAL10ATION CK. M.0. CASH
PLAN CHECK VALIDATIQN CK. M.O. CASH
76AB07 (CE-817)-4/72
4 f (1e����,
Y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FBUI
.SG1?51 3E r ldHARVEY T. BRANDT, COUNTY ENGINEER TYFOR APPLICANT TO FILL IN (PRINT OR TYPE) T ST. 1/
NUMBER FIXTURE OR ITEM • FEE
WATER CLOSET 1.75 OWNER
NAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75. CITY e TEL. NO
LAVATORY, 1.75 CONTRACTO 9 doAJn qL MtQ
�d V
SINK 1.75 ADDRESS
DISHWASHEH 1.75 CITY TEL NO
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS C"
9WIMM1Nq POOL RECEPTOR 1.73
DISTRICT NO. GROUP P CE ED BY
LAWN SPRINKLER SYSTEM 1.75 /�� /•�/)
WATER HEATER 1.75 WASTE A�'PROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER 30
6 PER SYSTEM
Plan check fee S•. Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check Bppllcant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDIE THAT I HAVE READ T111/ APPLICATION
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AMD STATE LAWS RIEGULATING GAS TEST
PLUM BI N4.
I HEREBY CERTIFY THAT I AM PROPERLY REOISTERIED AMD/OR UTILITY CO. NOTIFIED
LICENSED AS REdUI RED BY LOS ANGELES COUNTY AND ♦TATE OF
CALIFORNIA OR THAT I AM THE LE 4 A L OWNER OF, AND INTEND TO
RESIDE IN
THE ABOVE DESC D REQIDENTIAL PROP
ERTY.E IN THE A B OVE DE� ERTY. FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
535'E'--AUG 31 5 0 750