HomeMy Public PortalAbout9133 LAS TUNAS DR_Plumbing__ 76A667 (CE-817)-4/72 r
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FNEAREST
HARVEY T. BRANDT, COUNTY ENGINEER "' `,
FOR APPLICANT 40 FILL IN (PRINT OR TYPE) . '<
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNER
. ,.
MAIL
BATH TUB 1,75 ADDRESS
SHOWER 1,75 CITY TEL. NO.
LAVATORY 1,75 � �!� CONTRACF,O�;.:A/ -;,.•s.•-^J
SINK 1,75 . ADDRESS
DISHWASHER 1,75 CITY"
.�.
CLOTHES WASHER ' 1,75 STATE � f r LIC
SWIMMING POOL RECE OR. 1,75f— IL'N
No. < ( // %{ CLASS
T NO. GROUP ZONE ESSED QY
LAWN SPRINKLER SYSTEM 1,75 jWATER HEATER 1,75AL
PROVA yGAS SYSTEM OUTLETS 1.75 / I P.ECTION RECORDU�wsweVER
Plan check fee See Reverse
I
PLUMBING PERMIT ISSUING FEE $ 0
TOTAL FEE '�. 7 ,,�
APPROVALS DATE INSPE TOR'. SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
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 REGULAT4NG
PLUMBING. GAS TEST
I 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 1OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL $ROPERTY�' FINAL
�..
SIGNA�TU RE '' .. •� :;,dam
OF PERMITT4'F .�^•' - I
i PERMIT VALIDATION CK. M.d. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
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76AGS7 .(CES-617) - 1/711 A -
APPL.ICATION R PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: sul�olNG
ADDRESS
HARVEY T. BRAND*", COUNTY ENGINEER LOCAu75r ;"
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST r
CROSS ST.
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET
2.00. OWNER I r•,?.r.}+'jl �I .,„; .%^”
MAIL,
BATH TUB 2.0 •. ADDRESS t/
SHOWER 2. CITY - '' TEL. NO.
LAVATORY2'. CONTRACTOR, ''
SINK 2.JO ADDRESS ✓' r� r,' f
D ISHWASHER IV2.PO
CLOTHES WASHER + 2 0 STATE �+ LIC -
LICENSE NO., °r C CLASS
SWIMMING POOL RECEPTOR. 2 O
1DIST ICT NO.GROUP Z, NIE ESSED 8Y
LAWN SPRINKLER SYSTEM
WATER HEATER ' LLi�gg II
P.30 W StETAPPROVAL V
GAS SYSTEM OUTLETS INSPECTION RECORD �
OUTLETS OVER
5 PER SYSTEM
O
4
i
Plan check fee See Reverse
{' PLUMBING PERMIT ISSUING FEE $ 3 00
1 TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Pon check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. N0. GAS VENT
1, HEREBYACKNOWLEDGE THAT I HAVE READ -THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS 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 AND/OR UTILITY CO. NOTIFIED
LICENSED AS REO'UTAED BY LOS ANGELES COUNTY AND STATE OF
CALI'ORNIA OR THAT I AM THE LEGAL OWNER OF, 4N15„ TE RU TO
RESIDE IN THE ABOVE DESCRIBED RESIDENT",
ESIDENT,4 •FINAL
SIONATU RE r' t
OF PERMIT' 4
PERMIT VALIDATION '^CK M.O: CASH
PLAN-CHECK VALIDATION CK. M.O: CASH '
it 3 46 it AIL 3 Is 9 4. ,s