HomeMy Public PortalAbout9569 LA ROSA DR_Plumbing__ 76A667-CEI�817 6-65
APPLICATION FOR PLUM&NG PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER /
BUILDING AND SAFETY DIVISION BUILDING
767b p Q
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING /
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $125 MAIL /I�
BATH TUB 1.25 ADDRESS S`6 Ze, O 54
SHOWER 1.25 CITY �p�yl `' TEL NO.
LAVATORY 125 CONTRACTOR 'o' If�
f 3IHB 1 2SZS— ADDRESS
` DISHWASHER 125 ZcJ� CITY cse,/vr-O TEL NO.STATE LIC
LAUNDRY TUB 1 25 LICENSE NO 99 CLASS —J
CLOTHES WASHER 1.25 DISTRICT O GROUPZ P O EBY
WATER HEATER 1.50 f
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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V
W
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE S'a GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 96-6
/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
/-�DATTON
CK M O CASH
'1�o 3 1 5 3 1 JUN 2 9 5 0 4,50-
• DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY
I PERMIT APPLICATION
UMJFF LOS NTYENES BUILDING
WILLA . , COU (3NEER ADDRESS q 66
t t�L f6e)�
AOR APPLICANTO FILL IN LOCALITY -�(LnQ'�
BUILDING ( NEAREST /1 _L C� J ✓�(
ADDRESS N l _ r ,( AA CROSS ST
1 DISTRICT NO. GROUP �t�EE) PERMIT NO.
NEAREST �`LOCALITY :f— -7 7C7'76'n
CROSS ST / `IRECEEIIVED BY Ready for Inspection DATE ISSUED
OWNER � � I C
ADDRESS S �j a J INDUSTRIAL
l WASTE APPROVAL
CITY 1, A�JA4_e) TEL.rNO S, LJ —// -g�nSI INSPECTION RECORD
PLUMBER j( (!�J►tVJ J V4�� �
ADDRESS O I' elO , 1�IA I AZA /I UUdL I
CITY I QJJ,����,},G�) TEL.NO. (�
'I I ❑STATE
LICENSE NO. �''f'� COUNTY J
PERMIT FEES a
NUMBER TYPE OF FIXTURE OR ITEM FEE Q
WATER CLOSET(TOILET) @ 080 fQ Ix
J °
BATH TUB @ 080 D
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ _08-0
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80 Q
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GASSYSTEM —'OUTLETS @ 1.00 O(]
WATER HEATER @ 1 00 QQ
MISCELLANEOUS _
/ (��� ,I)l�,►.�t>>� APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /
PERMIT ; 1 00 ROUGH PLUMBING y'&17b'/,&&
TOTAL FEE 2LI
GAS PIPING
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Q
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST '0
AND STATE OF CALIFORNIA OR T)!AT I AM THE LEGAL OWN- / / p A "00'ER OF THE ABOVE DESCRIBED SIDENTIAL PROPERTY. UTILITY CO NOTIFIED ���I IIII %®'/9!
SIGNATURE ///
OF PERMITTEE1 j
FINAL
76A667 DBS 17 1/58