HomeMy Public PortalAbout9962 LA ROSA DR_Plumbing__ 76 A 667CEB17 8/68
APPLICATION OR PLUMBIN PERMITZ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING - D
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCAL
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL ADDRES
BATH TUB 1.50 S —
SHOWERI.50 TEL. NO.
LAVATORY 1.50 CONTRACT 'R
SINK 1.50 ADDRESS -
DISHWASHER 1.50 Al
TEL. NO
CUOTHES WASHER 1.50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT Np. GRO ZON P ESSED BY d
LAWN SPRINKLER SYSTEM 2.00
` 0JrJ'
WATER HEATER 1.50 INDUSTRIAL ZO
WASTE APPROVAL CD
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U
w
OUTLETS OVER .30 rn
5 PER SYSTEM -
Z
Plan check fee ?Sig of above. See reverse.
PLUMRING PERMIT ISSUING FEE S _
TOTAL FEE
APPROVALS .DATE INSPECTOR SIGNATURE
Plan check applicant UNDER SLAB WORK
Valve ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City 1c1. Na. HOT WATER HEATER
1 HE
ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
ANp STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM'THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABOVE pEB ED RE ENTIAL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL
OF PERMITT
PERMIT VALIDATION e -.-. CASH
PLAN CHECK VALIDATION. CK. M.0. CASH
rr o5, 1 .kid .3 5".D 3..50 °'
']6AR67 -CE#81] 5/63 n /
APPUcATION FOR PLUMBI GC/ /PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS Li
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING - LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEET
/� OWNER - ti•.
a WATER CLOSET 51.25 0 0
MAIL
BATH TUB 1.25 �f - ADDRESS
I SHOWER 1.25 W CITY TEL. NO.
LAVATORY 1.Y5 CONTRACTOR / E.� �]],,,�
SINE 1.25 ADDRESS 2.6J O/
DISHWASHER 1.25 CIN um TEL NO.f'Y3-00a
LAUNDRY TUB 125 CONTRACTOR'SSTATE
REGISTRATION NO. COUNTY
CLOTHES WASHER 7.25 DISTRICT NO. GROUP ZONE PROCESSED BY
f WATER HEATER 1.50 J O Vy Q� Z�J
' }
GAS SYSTEM_ OUTLETS1'S0 V SEWATAPPROVAL O
OUTLETS OVER 5 PER SYSTEM .50 _ INSPECTION RECORD
OW
<S�bWr. A N ✓cv - 1-14 ec%
5bl/cPrA4 �/�S,k �G b
APPR_OVAL'9DAT♦E INSPECTOR'S SIGNA,T�{{RE
PERMIT S 2 00 UNDER SLAB WORK T G �Pdll ad�.J/�i'1
,ROUGH PLUMBING o /
TOTAL FEE 6 0Td GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND
STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER {�
PLUMBING. IQh /J
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COVNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST V wRV A '( i
RESIDE IN•THE ABOV OEBCR RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED / y
SIGNATURE
OF PERMITTEE
FINAL �J
/V'y4LIDATION - ROBERT A. WOOD �v
1/`OK/./// M.D. CASH SUPERVISING MECHANICAL ENG:R
L X-0.9!5 8 6M JUDO 1 5 D 1625-