Loading...
HomeMy Public PortalAbout5919 IVAR AVE_Plumbing__ CE 817(RFV.6/78) . ©S APPLOC ATRON FOR PLUMBONG PERWT COUNTY OF LOS,ANGELES BUILDING AND&FETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 1 ADDRESS NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET NEAREST BATH TUB CROSS ST. SHOWER OWNER LAVATORY MAIL ADDRESS � SINK CITY TEL. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING 6 GAS VENT HOT WATER HEATER IQ�� PLUMBING FIXTURES �� M GAS TEST f Plan Check fee UTILITY CO.NOTIFIED p � nips g PLUMBING PERMIT ISSUING FEE$ 0--D ` GI/✓ TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATION Name Address City Tel.No. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES C /� (1 AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 5 014, 1 ' Wv A I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS O O•O O'0 5 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 aa PROPERTY. 2'a O 13,00 1 3,Q Q 5'1G NATURE 1( I�/�/'( '\I f1C�^ (\ O O O 7 O O W , OF PERM ITTEE DISTRCToNO� PROC S D BY 0620-79 1 INDUSTRIAL WASTE APPROVAL 76A667r(CE-817)- 5/73 APPLICATION R- FPLL` 1�NG PERMIT COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION - MAKE CHECKS PAYABLE TO: ADDREBUILDING. SS �1 HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Z- Cji FOR APPLICANT TO FILL IN (PRINT OR TYPE) - NEAREST NUMBER FIXTURE OR ITEM @ YFEE CROSS ST: WATER CLOSET 1,75 OWNER MAIL_ � BATH TUB 1.75 ADDRESS. / SHOWER 1.75 71 J( C ITY TEL. NO. LAVATORY 1,75, ( CONTRACTOR � / �G§•��. SINK 1.75 J ADDRESS 0 �G �� d DISHWASHER 1.75 b�,/Op�,C�. TEL`NO3�f-pf,5� CITY CLOTHES WASHER 1.75 STATE (� ( / LIC �J / .LICENSE NO: / /�J CLASS i7 SWIMMING POOL RECEPTOR 1,75 'DISTRI T NO. GRO P ONE FR ESSED BY LAWN SPRINKLER SYSTEM 1.75 l WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL' GAS SYSTEM OUTLETS 1.75 "INSPECTION RECORD - - O OUTLETS OVER U n r• �^ 5 PER SYSTEM '30 '' r,4�j4,r;:r_/L - WI,'2z LLJ O U _ z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB,WORK ' Name ROUGH PLUMBINGr„F1'$ Address GAS PIPING City Tel. NO. GAS VENT Ar HOT WATER HEATER e �� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ` PLUMBING FIXTURES �, !1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST N !/ ` I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LIP LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM TVLR��I OWNER OF, AND INTEND TO ,v RESIDE IN THE ABOVE DESC ENTIAL PROPERTY. FINALSIGNATU ROF PERMITT PERMIT VALIDATION cK': M1 O, cnsH PLAN CHECK VALIDATION CK. M.0. CASH 5 U 1. 1.7 5 d .