HomeMy Public PortalAbout9932 LA ROSA DR_Plumbing__ DB.S. 1I7, 10-55 APPLICATION FOR PLUMBING PERMIT
D 1
T IVIST,ON OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDEING 9�3
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS i
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST ti 1
q'/1 A CROSS ST. .i' uYl_.✓
OWNER Q�� ) AX � - �`7/_/ /'. Ai'i DISTRICTNO. GROUP DONE READY F.R I.SPECTox
MAIL
ADDRESSv 1,pDJ
INDUSTRIAL I ~
CITY TEL, NO. WASTE APPROVAL
PLUMBER „ INSPECTION RECORD
ADDRESS
T�
CITY / TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 S
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ 51.00
KITCHEN SINK @ $1.00
DISHWASHER @ 51.00
LAUNDRY TUB OR TRAY @ 51.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
OPP
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
( ROUGH PLUMBING
PERMIT b 1 00
1990, GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER/OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE A
OF PERMITTEE FINAL /
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATIO ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CN. Y.O. � CARX
�2 e �, sFp24 3 3.00
TSAss, APPLICATION FO.R 'PLU,MBINQ PE.RM'IT 1
DB5.19.10..55
DIVISION OF BUILDING,AND•SAFETY.
Department of County. Engineer - "
- OO11IIty Of ].OS 4yef93 BUILDING
JOHN A. LAMBIE: COUNTY,ENGINEER: ADDRESS
CASSATT D'. GRIFFIN; SUP-TOF SUICDINO' - - - - -
LOCALITY
FOR APPLICANT TO'FILL IN NEAREST
CROSS'.ST.
OWNER DISTRICT O. OUP ON REArY FOR INSPECTION
MAIL" jj _
rADDRESS //. d47
INDUSTRIALCITY 'TEL..NWASTEAPPROVAI
PLUMBE , INSPECTION RECORDADDRESS - t23 fS7CITY TEL�:NLICENSENO. 'ZNUMBER 4YPE OF FIXTURE OR ITWATER CLOSET:(TOILET) @ $1'.00 $ tOJ Q�-
BATH TUB -@ $1.00
SHOWER '@ $1.00
LAVATORY (WASH'BASIN). . ,@ $1.00
KITCHEN SINK _ @ $1.00
DISHWASHER @ $1.00• � N �-C>1
LAUNDRYTUB,OR TRAY @' $1.00
CLOTHES WASHER @ $1 00'.
t`
WATER HEATER " @ $1.000 GAS SYSTEM @ $1.00
APPROVALS
- - - JDATE INSPECTOR SIGNATURE
. UNDER SLAB WORK
PERMIT �_,,$ _ _ t 00 ROUGH PLUMBING -
_ _ ," ti
- - GASPIPING
TOTAL_.FEE GAS VENT
P HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS 'APPLICATION HOT WATER HEATER.
ANo STATE THAT THE'ABOVEAS:CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE' LAWS REGULATING
PLUMBING. PLUMBING'.FIXTU RES- - -
-
I HEREBY CERTIFY' THAT I AM 'PROPERLY ITEGISTERED'AND/OR GAS TEST
LICENSED AS-REQUIRED BY,'LOS.ANGELES, COUNTY AND.STATE OF, - -
'CALIFORNIA OR' THAT I -AM ,THE LEGAL. OWNER.OF. THE ABOVE UTILITY CO.NOTIFIED -
DESCRIBED RESIDE OPERTY: -
SIGNATURE
OF PERMITTE "FINAL
JOHN'A-..LAMBIE., NTY ENGINEER LIDATION -ROBERT A. WOOD: CHIEF'PLBG. INSPECTOR'
Y 0 CASH
{ 2x,0'7.8 D; 'SEP l 0 3 4.00
s r
76A667-CE6I7 6-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
B5D G AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. LCZ-U
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET SIL
ADDRESS
BATH TUB
CITY ^TEL. N
SHOWER
LAVATORY CONTRACTOR" G JSTATEE
if
SIIYXADDRESS — — ,CDISHWASHERo
CONTAAC70R'S /LAUNDRY TUB REGISTRATION NO. (
CLOTHES WASHER L7 DISTRICT NO. I GROUP I PVC.ICESSED BY
WATER HEATER ,4 TJ
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD I
U
/ —/ 0
O 81.00 PER ITEM -c•• `�i rJ
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK --
TOTAL FEE ROUGH PLUMBING i .
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �,...'Ln�H�I"�I !_ - xi?•"+I^. n
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ./-�� .1.+35 :- .?"Y
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED T�•�`•'�
SIGNATURE /
OF PERMITTEP
FINAL J �_, ;'ntS• / '"�.�s?��.�
®. VALIDA=U;I \ ROBERT A. WOOD,
R.D• C/�,..'/ SUPERVISING MECHANICAL ENG'R
L 6564% �aA . 2 5D 8.00
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