HomeMy Public PortalAbout9820 LA ROSA DR_Plumbing__ DEPARTMENT OF COUNTY ENGINEER. PLUMBING
DIVISION OF 'BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES I BUILDING `1 l
WILLIAM J. FOX, COUNTY ENGINEER 11 ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILOING NEAREST %1 �. �� ^
ADDRESS � R CROSS ST. A l
,p DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY 7- A4 C) I P- L—I ✓ �r/
NEAREST �1
GROSS ST. /ry/RECEIVED BY Ready for lnsoection /[T�� DATE ISSUED
OWNER 0. A /V [/ '• f `� I/-7,--5y
MAIL INDUSTRIAL
ADDRESS / A_ �, WASTE APPROVAL
CITY Tr ,-L 010 Lo, / /TEL.NO. INSPECTION RECORD
PLUMBER („ (!� y x / N
ADDRESS ( / /I r /I _ l b4 Te/o
CITY (
-1 Pj ./ ✓TEL.NO. /_ b 7 7 a
/ ,f ' a STATE C�'R
LICENSE NO. , c- 6 10 M L gCOUNT\' F Q
PERMIT FEES II G' I -``�//
2 `� s c� i s a--q Z
NlIM9ER TYPE OF FIXTURE OR ITEM FEE rJ ^
WATER CLOSET(TOILET) @ 0.80 $ 010 _yC Of.
O
BATH TUB @ 0.80 R
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
re 0
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SVSTEM.....l...OUTLETS @ 1.00 /
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING k V
TOTAL FEE - Do
I HEREBY ACKNOWLEDGE THAT 7 HAVE READ THIS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER �/A
TO REGULMPLY WITH ALL ATING ATING PLUMB NCOUNTY ORDINANCES AND STATE LAWS PLUMBING FIXTURES i�Ii,�I`60 4u.,(1 ff!t.5.--
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN.
ER OF THE ABOVE/DD CHIB£D RE ENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE // iC//!/ 0 w - ,I
OF PERMITTEE... ...:.......:.. ��!E1:................_..._._..... FINAL
i
76AG67 DBS 17 1/53
:76 A°667 - CE 817 769
APPLICATION FOR. PLUMB NG PERMIT `
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER M
,/�
BUILDING AND SAFETY DIVISION 9 iC0
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF'BUILOING '—�
�Q� � ��
FOR APPLICANT TO FILL IN (PR NT OR TYPE) // j Y�-
. QI�Nr<l 'Q.NUMBER FIXTURE OR ITEM EACH FEEd 5. //.( d SOrtJWATER CLOSET 1.50RATH'TUB, 1.50 gyj.�SHOWER 1.50 �, TEL. NO r/
LAVATORY 1.50 CONTRACTOR — /�C
SINK 1,50 ADDNESS.6/0 f�.o ��
DISHWASHER. 1.50 CITY N TEL. NO. �j-3%�
ATE LIC
CLOTHES WASHER 1.50 LICENSE NO. �j:%a, j9 CLASS (Z—Z
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE ROCESSED BY
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER. 1.50 INDUSTRIAL
WASTE APPROVAL - O
GAS SYSTEM OUTLETS 1,50 INSPECTION RECORD - (�
OUTLETS OVER
5 PER SYSTEM O
O.'
N
Z
Plan check fee 25% of above. See reverse,
PLUMBING PERMIT.ISSUING FEE_ S 00
'TOTAL FEE -
APPROVALS DATE INSPECTORS SIGNATURE'
Plan Check afipllean[ UNDER SLAB WORK .
Name - ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City-
el. No. - HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TNIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ..
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED: ANDJOR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED LD6 ANGELES COVNTY AND 6TA,,E OF
CALIFORNIA OR THAT AM T E LEGAL"DWNER Of.A INTEND TO
RESIDE INS THE ABO OE6CRI E ESID L,P P Y. FINAL r 'f' -]
'SIGNATURE JACK R. ALLEN, SUPER ISING MECHANICAL ENG'R.
OF PERMITT E
PERMIT VALIDATION CK. M.O. CASH
PLAN CIIECK.V4LIDATION CK. cnsI,
Ij O00 D-1) DEC 4 a'•F D 4•.75=`- n }
76l'667 (,C E-817)-B-71 �}c�ijq✓j ��
-APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESSING t
BUILDING AND SAFETY DIVISION ( ��z0 �0.UTY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) ST 5TNUMBER FIXTURE OR ITEM @ FEEWATER CLOSET i75 / R /r� O 0. O�BATH TUB 1.75 ESS T 1
SHOWER 1 ]5 �1 ♦ CITY ele eZ4TEL. NO.ZOLIO f727
LAVATORY 1,75 CONTRACTOR
SINK '1.75 ADDRESS CC
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR , 1.75
DISTRIC NO GROUP Z¢NE P C D B
LAWN SPRINKLER SYSTEM 1.75 `S� r "'/ ,/IFS '
WATER HEATER 1.75 - INDUSTRIAL 6
WASTE APPROVAL G
' GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD - V
OUTLETS OVER .30 Z
5 PER SYSTEM
O
I"
U
W
Q,
N
Z
'Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE APPgOVAIS DATE INSPECTON'S SIGNATURE
Plan check applicant UNDER 9t'Mre.V70RR' /�/-7?
L
,� S'Q ROUGH PLUMBING
ss Q ifQ Q / GAS PIPING
�;j` Tel No.f?�rP.•I7Z GAS VENT -
HOT WATER HEATER
RKNOWLEDGE HAT I HAVE HEAD THIS APPLICATION
ATE THAT THE ABOVE 5 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
ALL COUNTY ORDINANCES ANO STATE LAWS REGULATINGGAS TEST
INGREBY CERTIFY THAT I A PROPERLY REGISTERED AND/OR UTILITY CD. NOTIFIED
ED AS REQUIRED BY LOSMANGELES COUNTY ANO STATE OF
RNIA OR THAT I AM THE LEGAL OWNER OF; AND INTEND TO
IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, FINALTUREERMITTE
PERMIT VALIDA cK: en.o. CASH
PLAN CHECK V IDATION CK. M.O. CASH
L:1U0 J q 1 .i n MAY 5 D 8.2.5 . �,;