HomeMy Public PortalAbout10709 LA ROSA DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
r Department of County Engineer
DIVISION OF BUILDING & SAFETY - PLUMBING
WILLIAM J. FOX. County ERAIRee/
DISTRICT NO. GROUP ZONEPERMIT NEI.
FOR APPLICANT TO FILL IN
PLUMBER �'� I FY RlUII GI(A OfI r1 nsnnle,n ..•. RECEIVED BY READY FOR DATE ISSUED
FIRST IN" CTION / _/ `V�
ADDRESS I n PA-7 V".1 1 rl ,• ��
BUILDING
CITY ROSElLIGI TEL No. Al n ADDRESS Q.
COUNTY 1J �
LICENSE NO. 93M EXPIRES
G V
Inn LOCALITY 6 /
- NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
I.AIL
WATER CLOSET(TOILET) 0.50 9 ADDRESS
BATHTUB ® 0.50 CITY TEL. No.
SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
/ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK ® 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY O.SD ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAB SYSTEM OUTLETS ® ❑.SD ❑F THE RESIDENTIA PROPERTY DESCRIBED ABOVE
SIGNATURE
WATER HEATER @ 0.50 PERMITTEEEE��///��YVV/
SLOP SINK ® 0.50 INSPECTION RECORD
FLOOR BINK ® O.SO
FLOOR DRAIN O.SO
DISHWASHER 0.50
DRINKING FOUNTAIN Q O.SO
URINAL Q 0.50 "I
Q
HOUSE SEWER O.BD Z
MISCELLANEOUS M
Of
O
APPROVALS
DATE INSPECiORrS MAME
ROUGH PLUMBING
GAS PIPING �I.D��' / S
OAS VENT
CESSPOOL Q J•OO CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.00 GAS TEST /
UTILITY CO.NOTIFIED ✓"�'3 's?
TOTAL FEE S
FINAL
76A667 DRS#17 G-52
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department F of CountBUILDING
Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Enuineer PLUMBING I
(STRICT O. GROUPZONE
FOR APPLICANT TO FILL IN
PLUMBER �� IFY R III FUA.7n PIIh".13INr rO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS inn F C VAI I FY RI V
n BUILDING
CITY ROSFMEAh TEL No. AT. Z-ZJI9 ADDRESSCOUNTY
LICENSE NO. 93M EXPIRES 6.30- LOCALITY C...
NEAREST
PERMIT FEES CROSS ST.
NUMRCq TYPE Of FIXTORE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 S ADDRESS
BATH TUB ® 0.50 CITY TEL NO.
SHOWER C.SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) O.SD APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNO RY TUB OR TRAY 0 0.50 ANOELE9 COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM__OUTLET9 0 0.50 SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE A//J//
SLOP SINK O.So INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER O.SD
DRINKING FOUNTAIN ® 0.50
URINAL @ 0.50 Q
HOUSE SEWER a 0.50 Z
MISCELLANEOUS _ 2
o
APPROVALS
DATE, INSPECTOR'S NAHC
ROUGH PLUMBING
GAS PIPING '
GAS VENT
CESSPOOL (@ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Qt 1.00 SEWER
PERMIT t.pp GAB TEST
Iq .1 UTILITY CO. NOTIFIED
TOTAL FEE S 3 V
FINAL
7GA667 DBS#17 6-52 -"
A 76A667 `
CE 817 IRE V.6/78I
GS
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN I PRINT OR TYPE) _ .BUILDING ^..A^ �5�
ADDRESS e.74
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY
WATER CLOSET
�J NEAREST
BATHTUB CROSS SL P/��Q✓A'A'7/✓>�r�
SHOWER OWNER
LAVATORY j_ „_ 7 MAIL
U V ADDRESS
SINK �/�!` CITY TEL NO. f ��E
DISHWASHER CONTRACTOR
CLOTHES WASHER V
ADDRESS
SWIMMING POOL RECEPTOR � /�
CITY !"- ?' '.TC TEL NO. 3J
LAWN SPRINKLER SYSTEM
TATE LI
WATER HEATER STCENSE NO I'TA�T ` QASS
/ GAS SYSTEM OUTLETS APPROVALS DATE INSPECTONATURE
OUTLETS OVER UNDER SLAB WORKyR'6
5 PER SYSTEM ROUGH PLUMBING
n _
GAS PIPING
GAS VENT V
HOT WATER HEATER Q
PLUMBING FIXTURES
GAS TEST J—## 27/J9 /.�xtA Z- {{{NLLL
Plan check fee UTIUTYCO.NOTIFIED Z_
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE .� FINAL
Plan check applicant _ - PLAN CHECK VALLIQIDATI N T
Name
Address L" C U F;1 '/ F 7
City Tel.No. R 3 6 a 7 A
1HEREBY ACKNOWLEDGE THAT I HAVE BEAD THIS APPLICATION AND STATE
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLYWITH ALLCOUNTY ORDINANCES 0 6 0 • 6 S
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT PROPERLY REGISTERED D LICENBEO AS ' '�• 2 500
PEOUIRED BY LOS ANGE E5 CO Y ANO 5 TE OF CALIFORNIA R Ai AM THE c
LEGAL OWNEfl OF,
AND
TEN RE51 THE ABOVE DES PI D ESIDENTIAL 6 2:.l O O U
PROPERTY. �I 2-79(�
SIGNATURE O Q 1 G—7 p
OF PERM ITTEE
DIS I . � d ' P ESSED BY:
IZ
INDUSTRIAL
WASTE APPROVAL