HomeMy Public PortalAbout6206 IVAR AVE_Plumbing__ 76A6e7`(CE-817)-4/72
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APPLICATION FZ Pol
LL4 BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS T
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) - NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.-
WATER CLOSET 1,75 OWNER
MAIL
BATH TUB 1.75 - ADDRESO K.J. -
SHOWER 1.75 CIT1�_ �� L_e •t t EL. NO.T —��
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS z59-3
DISHWASHER 1.75 CITY �. TEL. NO
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CLOTHES WASHER 1,75 STATE LICs�
LICENSE NO. _ � tJ CLASS
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO. GROUP ON F OCESSED BY
LAWN SPRINKLER SYSTEM 1.75 �g •� `� I
WATER HEATER 1.75 - INDUSTRIAL (J
WASTE APPROVALCD
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD C�
OUTLETS OVER
5 PER SYSTEM .30 CD
W
O..
N
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEES 3 00
TOTAL FEE �
APPROVALS DATE INSPECTOR'.5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
IE)
CERTIFY THAT LI AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL-OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, FINAL
SIGNATU RE
OF PERMITTEE �' �' PERMITVALIDATI -M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
3 773, JUN 2 2 5 D 4.°75N Cz
76A667 Cp�(CE-81`7BI'-975
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
ADDRESS 6206 N Ivar.St
NUMBER FIXTURE OR ITEM @ FEE
- WATER CLOSET LOCALITY Temple Cit
NEAREST
BATH TUB CROSS ST. (gyj
SHOWER OWNER CC Van erlas
LAVATORY MAIL
ADDRESS .6206 N IVa.r St '
SINK CITY Temple City TEL. NO.
DISHWASHER CONTRACTOR
Economy Plumbing
CLOTHES WASHER
ADDRESS 1580 E Walnut St
SWIMMING POOL RECEPTOR
CITY Pasadena TEL. NO. 793-8101
.LAWN SPRINKLER SYSTEM - !,
WATER HEATER ' S CENSE NO.TATE 271 90 CILASS 2 X21 d
O
DISTRICT NO. GROUP Z NE RO SED BY
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GAS SYSTEM OUTLETS �'
U �" o
OUTLETS OVER / 1-
5PER SYSTEM INDUSTRIAL W
WASTE APPROVAL N
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel. No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUM BI NG.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
PLUMBINGFIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST - ��7
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
AT,
TU RE �
OF PERMITTEE' LS �C/��'� L'-P�"��'i� FINAL ,�'�-7, C
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PLAN CHECK VALIDATION CK. M..0. C SH PERMIT VALIDATION CK: M.O: ASH
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76A667 ICE-817) - 1/75 �`=� _ ,(L. �`�����7,Y/
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r APPLICATION F b R PLUMBING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS.
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPED NEAREST
U CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
" OWNER
WATER CLOSET 2.00
MAIL /� .^�
t BATH TUB 2.00 ADDRESS1,& VO
a
SHOWER 2.00 CITY TEL. NO.
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tq LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS &1
DISHWASHER 2.00 CITY T L. NO.
CLOTHES WASHER 2.00 STATEu�]/n�'i LIC ^�
jE LICENSE NO. / // 7'O CLASS /p/ q0-
I SWIMMING POOL RECEPTOR 2.00 b w
DISTRICT NO.GROUP ONp PRO ES D BY
/ �..
I LAWN SPRINKLER SYSTEM 2,00 �5 ` /
WATER HEATER 2.00 INDUSTRIAL
I;. WASTE APPROVAL
I, GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD o
OUTLETS OVER 90 C�
5 PER SYSTEM
fo
ii W
C_
A Z
f
4
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEES D- "
TOTAL FEE
� APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB.WORK rr � ;
Name ROUGH PLUMBING 'S
v .-
Address GAS PIPING
'• City Tel. No. GAS VENT
1' 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
PLUMBING.
't I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DES BED RESIDENTIAL PAO PERTY, FINAL
SIGNATURE
OF PERMITTEE ✓�
ERMIT VALIDATION CK. M.O: CASH
PLAN CHECK VALIDATION CK. M.0. CASH /
, y 5D 13.50 ,&Z