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HomeMy Public PortalAbout9829 LA ROSA DR_Plumbing__ 76A667-CES17-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FBUILDING G�7 BUILDING AND SAFETY DIVISION RESSJOHN A. LAMBIE, COUNTY ENGINEERCASSATT D. GRIFFIN. SUPT OP BUILDING ALITYFOR APPLICANT TO FILL IN REST SS STNUMBER FIXTURE OR ITEM WATER CLOSET L BATH TUB RESS D L SHOWER CITY ff .NO. LAVATORY JREGI$ TR TOR SINK RESS DISHWASHER TEL.NO. LAUNDRY TUB CO TATON 77COUNTY ❑ STATE CLOTHES WASHERSTRIC� I OR Up ZONE1E11r rorz Ixs PELT Ion WATER HEATER yT GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ 51.00 PER ITEM DATE INSPECTOR'S SIGNATURE ( OR FIXTURE S /�� UNDER SLAB WORK PERMIT 5 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE 0--rD GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOU18ED B LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I M TA. LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAh ROPERTY. SIGNATURE / ��� (rW FINAL OF PERM ITTE ©• VALIDATION ROBERT A. WOOb. SUPERVISING MECHANICAL ENG'R CY. M.0. CASH 4 6 7 5 F SEP11 5 A 2.00 �? D.B.S. n EBM SETS 12.44 APPLICATION FOR.PERMIT DEPARTMENT OF BUILDING AND SAFETY, COUNTY OF LOS ANGELES �`� �:- WM. .J. FOX: CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROur ZONE PERMIT NO. ROUGH COMPLETE HEATERCEBBPOOL - SEPTIC TANK RECEIVED BY. - READY FOR - 'DATE ISSUED" - FIRST INSPECTION l^'1^ GAS MISCELLANEOUS J!. APPLICANT-FILL IN HEAVILY OUTLINED ^PORTION ONLY C NAME Jj"p (,r, �'jy"/J .,�1 /�'LY' .- Jo NAME /'RrJI JA?I� /.�lly _ m ADDRESS 17 ) YL•. r /I t'�/✓"'�� - LOCALITY ./�fi7NNI d t6i; d d ssJJ �/p///.� �j - NEAREST. A CITY: IZA0 LI}LF'.. 6��o TEL.NO. - CROS..T.. COUNTY I r CERT.No' EXPIRES C NAME F Cl/46,4 LOCATION;OF SEPTIC TANS, OR CESSPOOL _' MAIL .3 'ADDRE9. NORTH O - • - CITY TEL.No.. 1- AM THE LEGAL•'POB.ESSOR OF THE ABOVE LOS - ANGELESCOUNTY CERTIFyIICCA/TE+E OFF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED • •' OWNER CORRECTIONS SOUTH d DESCRIPTION OF WORN �. 'BATH TUB FURNACE O SHOWER - DISHWASHER - LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER , - - SLOOR'SINK SANOTRAP - • SLOP SINK -FLOOR DRAIN •- WASH TRAY URINAL -.APPROVALS - WATER CLOSET DRINKING FOUNTAIN - DATE INRPECTOR'B NANL WATER HEATER DENTAL LAVATORY,• ROUGH PLUMBING • ".I ' _ . I . METER - GAB SODAFOUNTAIN - GAS PIPING I I OUTL _ GAS VENT CESSPOOL NOTAL NUMBER OF FIXTU RES SEPTIC TANK / CESSPOOl SEPTICTANK SEWER 8 TOTAL FEE UTILITY CO.NOTIFIED .• I _ 6-O FINAL