HomeMy Public PortalAbout10721 LA ROSA DR_Plumbing__ x
76 A 667-CE 819 8/68 1
5 APPLICATION FOR PLUMBING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �D7o7
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
6�1P,AGE iTV!
FOR APPLICANT TO FILL IN (PR NT OR TYPE) EA
NR SSE
NUMBER, FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET MAIL ,
BATH TUB L 0 J.., ADDA8A5 57,9'" E y/
SHOWER 1. 0 CITY - TEL. NO. L/44l/I J F1
LAVATORY I. 0 CONTRACTOR �E
SINK 1. 0 ADDRESS
DISHWASHER .1. 0 - CITY TEL. NO.
CLOTHES WASHER 1. 0 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 3. 0 DISTRICT NO GROUP ZONE PR D
LAWN SPRINKLER SYSTEM 2. 0 `� 0 d
O
WATER HEATER 1'.0 INDUSTRIAL U
WASTE APPROVAL z
0
GAS SYSTEM OUTLETS 1150I INSPECTION RECORD 1-
OUTLETS OVER ,36 /� / O_
5 PER SYSTEM
m:2
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSIJING VEE 8 00
TOTAL FEE
APPROVALS GATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK 7..,
Dame ROUGH PLUMBING
Address GAS PIPING
GAS VENT
CILy Tel. IN.. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AHO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST 4-9;--72-
l* --A,A Jif
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED /I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL O ER OF,AND INTEND TO /KI I r I ' V y
n
RESIDE INS THE ABOVE OEBCRIBED RESIO T L PR PERTv. FINAL W I 1 If
SIGNATURE JACK R. ALLEN, SUPERVISING HANICAL ENG-R,
OF PERMITTEE
PERMIT VALIDATION cK. M.D. CASH
PLAN CHECK VALIDAT CK. M.0. CASH
AUG /2 050 9
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DSION OF BUILDINof County Engineer PLUMBING
•DIVISION OF G & SAFETY
WILLIAM l.'FGX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONEF�RNIIT NU
S S,2617-7 -
PLUMBER VAI I EY R0I11 FvaDn DI 1194DIe,, nn RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 830 F T 1 41 1 ,'V 0111h
BUILDING
CITY ROSEIVfEAD TEL NU.• AT 0 n'iin ADD REBS
Zv -441-
COUNTY - _ -_ LOCALITY
LICENSE NO. 93M EXPIRES �..D71
NEAREST
PERMIT FEES cROS99T.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL Y -
WATER CLOSET(TOILET) Q 0.50 ® ADDRESS
BATH TUB ® 0.50 CIT' TEL. No.
SHOWER ® C.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) (a 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID L09
LAUNDRY TUB OR TRAY ® 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED AB E.
GAS SYSTEM_ OUTLET9 0 0.50 /
SIGNATURE OF /
WATER HEATER a O.BO PERMITTE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK ® 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 Q
HOUSE SEWER Q 0.50 Z
MISCELLANEOUS M
X.
APPROVALS
DATE INSPECTOR'S NhME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTICTANK: 11 SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1:00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
s TOTAL FEE
FINALI
76./.687 DHS#17 6-52 '
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY PLUMBING
WILLIAM J. FOX. County En Olneer
DISTRICT O. GRO P ❑N
FOR APPLICANT TO FILL IN �` i1
VALLEYEVAfM PLUMBING CO. J 6 b 9
PLUMBER RECEIVED BY READY FOR DATE ISSUED
SJUL) AST VALLEY BLVD. FIRST INSPECTION �
ADDRESS
RMLMEAU BUILDING
AT. 2.2719 ADDRESS / O /L� r �-SG
CIN TEL No.
COUNTY tlim
6.30- LOCALITY / • ` ••
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROBBST.
Nl1MBER TYPE OF FI%TIIRL OR ITEM FEE OWNER C
MAIL
WATER CLOSET(TOILET) @ 0.50 G ADDRESS
BATHTUB @ G.50 CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 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 ATATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY !$ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
® OF TME RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTL[TS D.50
SIGNATURE OF�/
WATER HEATER @ 0.50 PERM ITTEF a'm't' •`� [R c
SLOP BINK @ O.So INSPECTION RECORD v
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.90
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.90 Z
MISCELLANEOU ) 2
It
0
APPROV/ iS
/DA_TFJ INSPECTS R` NAME
ROUGH PLUMBING
GAS PIPING /
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ I.OD SEWER / 1
PERMIT I.DG GAS TEST
Q UTILITY CO.NOTIFIED�'T1F A A L
TOTAL FEE 3 V Q /
FINAL - d
76A667 DBS#17 6-52 `�