HomeMy Public PortalAbout10144 LA ROSA DR_Plumbing__ 7GA667 -CE#817 2.62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGHIS,
DING
BUILDING AND SAFETY DIVISESS dol C4 1.to �o��
JOHN A. LAMBIE. COUNTY ENGIN
WILLIAM A. JENSEN. SUPT OF BUILDI
LITY
FOR APPLICANT TO FILL INEST
S ST.
NUMBER FIXTURE OR ITEM EACH /
ER L
WATER CLOSET $1.25 '
BATH TUB 1.25ESS
/ SHOWER 1.251 ' CITY TEL. NO.
LAVATORY 1.25 oZ O CONTRACTOR 7z
cf5geT
r, SINN 1.25 , S ADDRESS 40 . �A
DISHWASHER 1.25 CITYOr
-r COUIN TEL. STATE
NO. 33,ZppoS
LAUNDRY TUB 125 CONTRACTOR'S �/ A �/O COUNTY
REGISTRATION NO. !!OO AF ❑
/ CLOTHES WASHER 1.25 �� DIS ICT N GROUP ZONE OCESS ED B
WATER HEATER 1.50 s(j Y / (�
GAS SYSTEM OUTLETS 1.50 I 0 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD d
O
-a
APPROVALS PATE INSPECT_OR;S_s_ISNIATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING T O
TOTAL FEE 05 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY A_
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER1 ,20
PLUMBING. s`
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES -
LICENSEO AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST gbh443
CALIFORNIA OR THAT'I AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN..THE ABOVE.DESCRIBED RESIDE L PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL -
ALIDATION ROBERT A. WOOD
cK. . M.0, CASH SUPERVISING MECHANICAL ENG'R
LAC, 6 4 0 9 G Jli!I 18 5 D 1 5 .0 Q-