HomeMy Public PortalAbout9252 LA ROSA DR_Plumbing__ =667-=17-115/,
APPF os A TION FOR PLUMBING PERMIT
COUNTY 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION nnDREss CCS
JOHN A. LAMBIE, Count Engineer
CASSAIT D. GRIFFIN, Sup t of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST r�
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS �/
SHOWER CI EL. NO.
LAVATORY
CONTRACTOR
SINK ADDRESS Ls.
DISHWASHER CITY , TEL NO. �07
CONTRACTOR'S STATE
LAUNDRY TUBId
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO: GROUP ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
v, @ $1.00 PER ITEM �-- DATE INSPECTO ' GNATURE
OR FIXTURE $
UNDER SLAB WORK I`2. 183
PERMIT (00 ROUGH PLUMBING
TOTAL FEE ��D GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED,BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF ME ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL/.PROPERTY
SIGNATURE
OF PERMITT� 'O`L N'
ROBERT A. O D.
®F VALIDATION., l \ SUPERVISING MECHANICAL ENG'R
CK. M.O. CASH /�
�. o7 6 1 4 1 DEC 17 5 A 5.00 ..
76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEP TNENT OFNG AND SAFETY PLUMBING
COIINTY OFF LOS LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
GROUP I ZONE -F=MIT NO.
FOR APPLICANT TO FILL IN DISTRICT'!r--
� fi �I
7b �eI- —I
PLUMBER �'' • �i • R IVIED BY READY FOR ATE ISSUED
E- FIRST INSPECTION
�)
ADDRESS �• � _
BUILDING
CITY QO TEL. Nd:A' '5:3'% I ADDRESS
COUNTY �7 b"
LICENSE NO. / / V y EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST.
1
NUMBER TYPE OF FIXTURE OR ITEM FEE DWN ER
MAIL
WATER CLOSET(TOILET) 0 0.50 18 ADDRESS v �'
BATH TUB @ 0.50 CITY TEL No- ** 2
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND BTATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY"LICENSE. OR 1 AM THE LEGAL OWNER
OAB SYSTEM-1—OUTIETH 0.50
OF THE REBIDENTIA PROPERTY DESCRIBED
ABOVE—SIGNATURE OF L�o 1 �,1 +.orl,p ,
WATER HEATER 0.50 PERMITTEE7
SLOP SINK @ O.So INSPECTION RECORD
FLOOIQ SINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50
URINAL @ 0.50 } J
Q
HOUSE SEWER @ 0.50 _Z
MISCEL NEOUS CI
�� 13
0
APPROVALS
DATE INSPPEECTOR'9 NAME
ROUGH PLUMBING
GAS PIPING
OAS VENT
CESSPOOL 0 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO. NOTIFIED A
TOTAL FEE $ L! ss� 7/
7 FINAL
V