HomeMy Public PortalAbout10728 GRAND AVE_Plumbing__ 78AM7-C11*E17 10-E1
APPLICATION FOR PLUMB NG PERMI
COUNTY OF LOS ANGII.FS
DEPARTMENT OF COUNTY ENGINEER
BUI ING� �S1�FFTY �IYLN N ADI
)REM A. I OUNTY NGIN[[R
WILLIAM A. JENSE.N, •UP'T OF ■UILDING
LO CRL7 �.
FOR APPLICANT TO FILL INTllESTr
CHOSE ST.
NUMBER FIXTU RIR OITEM EACH FEE
OwxEH r
WATER CLOSET SIM
BATH TUB 175 ADDRESS solo e_
SHOWER l tb CTTY TEL NO. r
LAVATORY IA5 CONTUCTOH r R
SRQ 135 ADDRESS
MSHWASHEE 135 CITY 1 TEL XO.
LAUNDRY TUB 133 CONTRACTOR'S STATE
REGISTRATION1f0. COUNTT
CLOTHES WASHER 135 DISTRICT NO ZONE pY
WATER HEATER 150
41
GAS SYSTEM OUTLETS 1_% 0MUNTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .70 B[SPECTIOIf RECORD
APPROVALS DATEINSPECI'OR•e e1G AjU RE
PERMIT ; 2 00 UNDER SLAB WORK I
It7ROUGH PLUMBING
TOTAL 17EE GAS PIPING
1 HERN0Y ACKNOWLEDGE TI-LAT [AT I HAVREAD THIS APPLICATION GAS VENT
AND STATE THAT THE AMOV[ IE CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCZA AND STATE LAWS REGULATING HOT WATER HEATER
PLUMSING.
1 HE1mY C30171 FY THAT I AM PROPERLY REGISTKIED AND/OR PLUMBING FIXTURES
L�-�UrO-RNLA
NEED AS
REQUIRED BY LOS ANGKINA COUNTY AND STATE OF 6A8 TEST
OR THAT 1 AM THE LEGAL OWN" OF,AND I-D TODE IN,THE ABOVE DCSCRIEED REEIDiM1AL PROPERTY. UTILITY CO. NOTIFIED
ATURE
PERMITTEE gfiILIZ
FINAL
LIDATION ROBERT A. WOOD
l/`cRJJ M.o. U,ari SUPERVISING MECHANICAL ENG'R
bj�0 7 2 1 8�2 JUL 9 5 D 3.25-
7
7&k587-CUe17 2-85
APPLICATION FOR PLUMBING ERMMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY EPIGINEER
BUILDING AND SAFETY DIVISION Bunzam
JOHN A. LAMBIE. COUNTY ENGIN[[R ADDRESS Z
COLEMAN W. JENKING. SUPT. of BUILDING LOCAIIT7
FOR APPLICANT TO FLU IN
NUMo[R FIXTURE OR ITEM IEACH F[[ OAIm
WATER CLofET fim -012
RATH Tn I ADDDD3M 7 r
SHOWER I.2i
-CITY TEL xo.
LAVATORYI ri COXTRACTOR
am I ADDRIdE Z
DISHWAR>� IJS CrrT TEL mo. -6
LAUNDRY TUB Im STATE LIC
LICENSE NO. -2 CLADS C b
CLOTHS WASH Im DI['TRICT GROUP [ TR M ■Y
WATER E EATER 1.50
i w QmuSTRIAL
GAS BTSTEK OUTLETR WASTE APPSOVAL
ouTLETs OVER Is PER wyvrEk .>b DISPECTION RECORD g
CD
Lu
55
APPROVALS DATE IN spxcTqpKs SI a NATu R[
PERMIT f 21 oo UNDER SLAB WORK ROUGHPLUMBING !T,
TOTAL. FEE GAB PIPING 1
1 HL1OY ACKNOWI-KDO[ THAT I HAV= erlAD THIS APPLICAT I ON GAS PENT C
AND STATI THAT TH[ ASOY[ 18 CO R1aCT AND ALRQ TO COMPLY '
WrlH ALL -COUNTY OI DIMANCK2 AND STAT[ LAWS RIOULATIwa HOT WATER HEATER
PLUwSINa.
1 KMMY C31ff1FY THAT I AN FROMWLCI
Y RLLISTtD AND/Ort PLUMBING FIXTURES
LIC XM@4[D AS RLQUIMM BY LOS ANat LXS COUNTY AND STATM OF GAB TEST
CAUFO" Olt w THE L[LAL OWN" OF,AND INTEND TO
Ri/IDL IN,TH[ UTi LITY CO.NOTIFIED
•IGNATURE
OF P[RMITT FINAL
,,-�IDATION JACK R. ALLEN
cK✓J
M.o, CASH SUPERVISING MECHANICAL EHO'R.
r Af' �64 -4 3Z8 DEC 21 5 D 1 5.00- V
.i,BA887&PE-8171_- a/73 s
APPLICATION FOR PLUMBING PERMIT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION /'�
MAKE CHECKS PAYABLE TO: ADbRREI LID ISS Ona
HARVEY T. BRANDT, COUNTY 1ENOINE4R
LOCA'L'ITY"
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM p FEE CROSS ST,
`
WATER CLOSET 1.75 OWNER
MAIL h
BATH TUB 1.75 ADDRESS (�
SHOWER 1,75 CITY it L. NO. 3
LAVATORY 1.75 CONTRACTO
f
SINK 1.75. ADDRESS 09
DISHWASHER 1.75 ` �' CITY Q TEL NO. 2_�O
CLOTHES WASHER 1.75 V STATE pp, LIC
.LICENSE NO. ty' - "i CSA$
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. tROUP E CE pY
LAWN SPRINKLER SYSTEM 1.75 ` OQ 7 r{
WATER HEATER 1.75 RRII (v, •L_
WASpPOVAL
GAS SYSTEM OUTLETS 1.78 INSPECTION RECORD S
OUTLETS OVER
5 PER SYSTEM .30 O
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APpROVAiS DATE IRGP[cTOR'e SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS-PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ Try IS APPLICATION HOT WATER HEATER
AND GTATE THAT THE ABOVE ID CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING GAS TEST
PLUM0.
BING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LI CE IIGED AS REOUIREp BY L06 ANGELES COUNTY AMD &TAT[ QF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
REGIDE IN THE ABOVE DESCRIBED RESIDENTIAL P oPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATIONCK. M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
L 3 ��DEC 1;r d 47 5 •3i6