HomeMy Public PortalAbout10245 LA ROSA DR_Plumbing__ 16.669-CE n817 5-61
APPLICATION FOR PLUMBING PERMIT
COUNTY ODEPARTMENT OF COUNTYGELES ENGINEER
BUILDING AND SAFETY DON BUILDING /J
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ✓O Lit 160-SA /3iL. .
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY ��
t�/f'/_ F +�J 7 Y
FOR APPLICANT TO FILL IN NEARECROSS ST . 4/2"-, A/ .4th
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
ADDRESS •—.r '»�
BATH TUB
CITY TEL NO.
SHOWER
coNTancroa -7-47eP Y771E5-
LAVATORY
ADDRESS 7 D 2 Ll/ 77✓
SINK ✓
DISHWASHER CIT Z/4 lf.T TEL. Now'r
LAUNDRY TUB
H GSTATE
IISTRATION NO. rfi-SL F/? COUNTY ❑
CLOTHES WASHES DIBTR CT N(5% GROUP ZONE P e E88ED BY
WATER HEATER /p - d
GAS SYSTEM INDUSTRIALV
WASTE APPROVAL
INSPECTION RECORD Im
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W
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Z
® $1.00 PER ITEM
OR FIXTURE $ •/� APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK 1
TOTAL FEE Z ROUGH PLUMBING
G uH6+:• l..
S`P[PING.• I+•`t -1 -14;- 1
-r:eC4. :
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TMI9 PLICATION GAS VENT
ALL
AND 6THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORO
PLU MaIMG. �I 6 AND $TATE LAWS REGULATING '
HOT WATER HEATER
I HEREBY CERTIFY/ TMTH -WN
EGISTE ANDIOR PLUMBING FIXTURES
LICENSED AS REOU BNTY STATE OF
CALIFORNIA OR T ER THE ABOVE GAS TEST I
DESCRIBED RESIO T UTILITY CO. NOTIFIED
SIGNATURE . •� A ��
OF PERM[ FINAL C ��G'2. ��
VALIDATION ROBERT A. WOOD
CK. M.D. CASH SUPERVISING MECHANICAL ENG'R
3 1 2 7 0A" '?.5 5 D .2 5 b
L �.
76 A 667—CIE B17 8/68
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADID 102 La RjBaldwinAve.
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS St.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 / �� Dan DAvies
BATH TUB 1.50 ADDRESS 5076 La Mad
SHOWER Iso j CITY El Monte TEL. 44-113
LAVATORY 1.so coxnlACTOR Owen Brog Inc.
SINK 1.50 DDREss 4265 Norn Ave.DISHWASHER 1.50 CITY El Monte A —OO HCLOTHES WASHER 1.50 ATE LIC
LICENSE NO. 231 741S C 36SW'tMp11NG POOL RECEPTOR 1.50DISTRICT NOGROyP O 6 6 BVN SPRINKLER SYSTEM 2.00 CD
WATER HEATER 1.50 INDUSTRIAL z
WASTE APPROVAL CD
GAS S1'ST ENI OUTLETS 1.50 INSPECTION RECORD U
OItTLF,TS OVER .30 h
5 PER SYSTEM z
Plan check fee 2.;5"r of above. See reverse.
PLUMBINC PERMIT ISSUING I'6h: S 2 00
rar:�l. r e.r� too
APPROVALS DATE IN CTOR'S5 GN URE
Plan cheek aplilioant UNDER SLAB WORK
Name ROUGH PLUMBING IV
Address GAS PIPING n _
GAS VENT 7.-7'�
CILY Tel. Nn. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION cs.
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES I-7-771 O�./nrT i1�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TESTry/� /J
PLUMBING. 't 0 •FJ.YY� .JlJrl/
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 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDy^
E IN, TME ABOV S BEO RESIDENTIAL PROPERTY. FINAL �I�9jYV �I .PiTdIJ
SIGNATURE JACK R. ALLEN, SUPER VISIN HANI CAL ENG'R.
OF PERMITTEE Lx
PERMIT VALIDATION cK. M.o. CASH
PLAN CHECK VAL DATION CK. M.o. CASH
I Ar_,4 9'0 4�R 14013 5 D 8.0 0'~
75A 657 (CE-817)-4/72
APPLICATION `FOR PLZMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL ' D n �!
BATH TUB 1,75 ADDRESS_ OC
CITY - TEL.
SHOWER � 1.75
LAVATORY 7.75
CONTRACTOR /
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY t 7 TEL. NO. •�(��
CLOTHES WASHER 1.75 STATE O�IS� LIC
LICENSE NO./ (J O7 CLASS
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO. GROUP NE FR CESSE BY
LAWN SPRINKLER SYSTEM 1,75
WATER HEATER CLQ 1,75 S� INDUSTRIAL Y
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD G7
OUTLETS OVER 30 0
5 PER SYSTEM C1
W
LL
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S Oo
TOTAL FEE
APPROVALS GATE INSPECTOR I sicN ATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1VE 0 THIS APPLICATION
AND STATE THAT THE ABOVE 15 R CT NO AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES A TE LAWS REGULATING
PLUMBING. GAS TEST 2. 7Z)
I HEREBY CERTIFY THAT I ( PR ERLY RE TERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LY ANG ES COU AND STATE OF
CALIFORNIA OR THAT I AM T EG L OWNER NTEND.TO Or
RESI OF
IN THE ABOVE U,SC PERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION cK. .0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
ON
tl! 0 0 9 173 f-MIR 2 0 5 D50
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