HomeMy Public PortalAbout9040 LAS TUNAS DR_Plumbing__ 76A667 = C 5¢17 5/70 / a
• APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGUMER
BUILDING AND SAFETY DIVISIONRESS BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JE`NKINS. SUPT OF BUILDING FOR APPLICANT TO FILL IN PR NT OR TYPE) OSS T
NUMBER FIXTURE OR ITEM EACH FEE
/ p h OWNER _ L/
WATER CLOSET . MAIL
BATH TUB 1. O ADDRESS
SHOWER 1. CITY TEL. NO.
LAVATORY 1 s CONTRACTOR
SINK i. rC .ADDRESS
DISHWASHER 1. 0 CITY �y TEL. NO.��j�3j'1ySTATEq
LfC
CLOTHES WASHER 1. LICENSE NO ZD / y� CLASS
SWIMMING POOL RECEPTOR 1. DISTRICT NO. GROUP NE PR ES �D—BTY/
LAWN SPRINKLER SYSTEM 2. 0 � Cks�s(HCl%
f� WATER HEATER 1 0 /y(7 IAL
PPROVAL
GAS SYSTEMOUTLETS 1. 0 INSPEC ON COR �KJ
OUTLETS OVER 30 Z
5 PER SYSTEM
O
G. -
H
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 3 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
�� , _ v
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No.
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 I AM PROPERLY REGISTERED AND/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 DESCRIBED RESIDENTIAL PROPERTY FINAL `
SIGNATURE '� JACK R. ALLEN, SUPERVISI G MEC NICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION CK o CASH
PLAN CHECK VALIDATION CK M. CASH
LAW � 8 7 4 N AN 7 5 D 2 9.2 5 N 7