HomeMy Public PortalAbout9951 LA ROSA DR_Plumbing__ 76AO07•G E#EIT 9/83 T ��n �/ ry '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONTC
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDINGY
FOR APPLICANT TO FILL IN
T.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 71125 IBATH TUR - 1.25
SHOWER 1.25 CITY �7.y� �e TEL. NO.
LAVATORY 125 , CONTRACTOR• ..
SINE 1.25 I ADDRESS
"DISHWASHER 1.25 CITY � TEL. NO.
LAUNDRY TUB 125 CONTRACTOR'S - -STATE ❑
REGISTRATION NO. COUNTY 71
CLOTHES WASHER 1•25 DISTRICT NO, GRq.UPZONE
PR BY
WATER HEATER 1.50 q_
AS SYSTEM OUTLETS 1'50 IA
j D INDUSTRL a
WASTE APPROVAL O
OUTLETS OVER 5'PER SYSTEM .30 U
p s0 , �INSPECTION RECORD /J
O
Li
a
tT .��a.fs+1 z
APPROVALS DATE INSPECTOR'SSIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK T7.-�_/Q G{• L�A]11
- ^ ROUGH PLUMBING
TOTAL FEE V GAS PIPING 4C%G•GG. ,r�.'.+F-�+'/e._ _f•. 1�%�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT v d
ANO STATE THAT THIS ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER •i'-•••- '+.-���
PLUMBING.
HEREBY CERTIFY THAT AM PROPERLY REGISTERED AN'
PLUMBING FIXTURES '•( may/K/�f JJ
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �/� / y�y�/�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST / ! 1r L 1/1) ' F'rry
RESIDE IN, THE ABOVE OESCRNIED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE�/
OF PERMIyf EE- FINAL,
VALIDATIO�I'� ROBERT A•�WOOD
CK. M.0. CASN SUPERVISING MECHANICAL ENG'R
L&2 3,0 3e AUG 6 5 D 6.0.0 q,
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76A667 -CER61> 9/63 C' I • I - iT
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION F.BUILD1JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN. SUPT OF BUILDING FOR APPLICANT TO FILL IN �-
.NUMBER FIXTURE OR ITEM EACH FEEA to-
E-
WATER CLOSET SL2S Jc
BATH TUB 1.25
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR �'
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY O
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 �)
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL a
WASTE APPROVAL Q
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
V
W
d
N
Z
APPROVALS DATE INSPECTORS_SIGNATURE
PERMIT $ L2 00 UNDER SLAB WORK f
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THI5 APPLICATION GAS VENT
ANp STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY '
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES ',
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CAIIFOR NIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY,CO. NOTIFIED
SIGNATURE /��!/� .iywlyF
OF PERMITTEE �jjlA —
FINAL D L9
VALIDATION ROBERT A. WOOD
CK. M.0. cnsN SUPERVISING MECHANICAL ENG'R
[O 2 '/'6-8 Z AUG 17- '5 D .3.Z5 d