HomeMy Public PortalAbout10114 LA ROSA DR_Plumbing__ 76A657-Cke173-59"
APPLICATION FOPLUMING
PERMIT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER f
BUILDING AND SAFETY DIVISION ADDRESS O G
JOHN A. LAMBIE. County Engweer
CASSATT D. GRIFFIN. Sup t of Building n
LOCALITY G.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET SIL ,�9
BATH TUB ADDRESS !/
CITY TEL. NO, r
SHOWER
LAVATORY CONTRACTOR a LbL
SINE ADDRESS C" Z L E v P,L V
DISHWASHER C1TY� TEL NO. SZ
CONTRACTOR'S y� STATE
LAUNDRY TUB REGISTRATION NO. -4 COUNTY
CLOTHES WASHER DISTRICTNO. I qROUP ZONE PR ESSED BY
WATER HEATER "�o
GAS SYSTEM INDUSTRIAL
t WASTE APPROVAL
14 INSPECTION RECORD
r I r
n w.�•.. I "Ile
d d
/ OR FIXTURE S I '-r
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
�� GAS PIPING
1 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
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN IAL P ERTY. UTILITY CO.NOTIFIED
SIGNATURE I
OF PERMITTE
FINAL �jj /I y.�
OF VALIDATION ROBERT A. WOOD, _
0K••
M.0. CASH SUPERVISING MECHANICAL ENG'R
O2 3 8 8 .]Ii"4 7 5 D 3 .0 U `°
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76A667-CE81712/59 TEMPLET CITY
APPLICATION FOR PLUMBING PERMIT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND E, AFETY DIVISION BUILDING O
JOHN A. LAMBI COUNTY ENGINEER ADDRESS ��J/� zz
WILLIAM A. JENSEN. SUP'T OF BUILDING
LOCALITY e
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB
ADDRESS G O
n
SHOWER CITY ��G , TEL. NO. /-]COUNTY
CONTRACTOR
LAVATORYSINK ADDRESS
DISHWASHER CITY rz TEL. NO.
CONTRACTOR'S LAUNDRY TUB REGISTRATION
CLOTHES WASHER DISTRICT NO. I GRR SUP I ZONE I ER SSED BY
WATER HEATER ♦ (/
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
0
O
V
G
O
U
W
a
N
Z
0 $1.00 PER ITEM
OR FIXTURE $ �'�'
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S CLQ 00 UNDER SLAB WORK
1-1
TOTAL FEE ROUGH PLUMBING /�%2�-C/ �a�µ4-v✓.�
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 HEAT
PLUMBING. ER A
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 1 I dldt.�0-lI (ti.Q ,�
LICENSED A9 REO D BY LOS ANGELES COUNTY AND STATE OF GAS TEST II
CALIFORNIA OR HA 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RES] ENTIA PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE �' n
OF PERMITTE FINAL
®. j1VALIDATION ROBERT A. WOOD. U
B.0. CASH SUPERVISING MECHANICAL ENG'R
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