HomeMy Public PortalAbout5941 IVAR AVE_Plumbing__ • .76A667 (CE-817)-4/72 Y Z .
APPLICATION F R PL RING PERMIT
CO uNTY OF LOS ANGELES
DE4PART Fq,NT OF COUNTY ENGINEER u
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS 5941 Ivar v�
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY Tem e City
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
@ FEE
NUMBER FIXTURE OR ITEM CROSS ST.
WATER CLOSET 1 753 OWNER Bade Construction Coo Inco
MAIL
BATH TUB 1.75 ADDRESS 20 Birchcroft
SHOWER 1.75 CITY Arcadia TEL. NO.
LAVATORY 1,75 D CONTRACTOR Owen Bros, Plumbin Inco
SINK 1.75 ADDRESS 4265 No. Baldwin Ave.
DISHWASHER 1.75 CITY El Monte 91731 TEL. NO. 443-0078
CLOTHES WASHER 1.75 STATE 7 LIC C36-20
LICENSE NO. 231 (41 CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP NE OCESSED BY
6_
LAWN SPRINKLER SYSTEM 1.75
-�
WATER HEATER 1.75 INDUSTRIAL I,-
WASTE APPROVAL 0
GAS SYSTEMOUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER �
5 PER SYSTEM .30 t 0
Cu
W
d
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS QATE SPECTO 'S IGNATURE
Plan check applicant UNDER SLAB WORK /G
Name ROUGH PLUMBING r� �„�°" ' °ql_
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER 1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES d `
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE CR & D RESIDENTI t-•p RO PER TY. FINAL
SIGNATURE
OF PERMITTEE r
PERMIT VAL 1�N CK.� m.o. CASH
AT
PLAN CHECK VALIDION CK. M.O. CASH ���N'
4 ^ 3 6 3 4''3 1101 16 5 D 2 2.254
76A667 (CE-817( - 11/75
APPLICATION F PLU i-IG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION "
MAKE CHECKS PAYABLE TO: BUILDING
ADDRES
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
r,
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
1 CROS
NUMBER \ FIXTURE OR ITEM @ FEE
WATER CLOSET
2.00 OWNER
MAIL
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY/ TEL. IN
I
LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS
DISHWASHER 2:00 CITTEL. NO S-),t4� I,
C LOTHES WASHER 2.00 STATE LIC
(CENSE NO. S16 CLASS
SWIMMING POOL RECEPTOR
DISTRICT NO UP ONE PRO ESSED BY
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS INSPECTION RECORD CJI
9 OUTLETS OVER 30 O
5 PER SYSTEM
H•-
U
- W
tl
Plan check fee See Reverse
I
PLUMBING PERMIT ISSUING FEE $ 3 00
TO L FEE
APPROVALS DATE INSPECTORS SIGNATURE
Plan check applican ^ r, �ovUNDER SLAB WORK
Name ROUGH PLUMBING
Address a f 7 - �^ GAS PIPING
e. GAS VENT
Cit Tel. S ��
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 s+4,,,,.
PLUMBING. � '6S f��/� d1�..*-7
1 HEREBY CERTIFY THAT I AM PROPERLY R GISTERED AND/ R .UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY OS ANGELES CO TY AND S-TAT OF e9 rtw Z, e1� .�s :1.°l/
CALIFORNIA OR THAT A T E LEGAL OWNE F, AND (HTE- 70j�gGE� "Q^-�46i! •f
RESIDE IN THE ABOVE DES Rl b RESIDENTIA ROP RT F NAL :L7"1U r t
SI GNATU RE �^\
OF PERMITTEE / I
;;.. r.„�. „-•: .• n.; �... PERTT VALIDATION cK. M,O: CASH
PLAN CHECK VALIDATION CK M.O. CASH