HomeMy Public PortalAbout9155 LAS TUNAS DR_Plumbing__ 76A667 (CE-817) - 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION f
SNAKE CHECKS PAYABLE TO: FBD
SS / S � N i9•sHARVEY T. BRANDT, COUNTY ENGINEERITY-FOR APPLICANT TO FILL IN (PRINT OR TYPEI ST
ST. t7 6Y
NUMBER FIXTURE.OR ITEM @ FEE
OWNER
WATER CLOSET 1.75MAI L
_
BATH TUB 1.75 ADDRESS 110 r7 � !�/�S -LI
�T
SHOWER 1.75 ,, .cpU• 7—®�7
CITY
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESSC
DISHWASHER 1.75 CITY TEL. N0.
CLOTHES WASHER 1.75
STATE LIC ,
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NVQ. GROUP ZON ROC LS ED�
LAWN SPRINKLER SYSTEM 1.75 Lam, 0
WATER HEATER 1.75 INDUSTRIAL O
WASTE APPROVAL d
GAS SYSTEM OUTLETS 1.75INSPEC710N RECORD v
OUTLETS OVER
5 PER SYSTEM .30 O
N
U
' W
CL
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE �Jj'
APPROVALS DATE INSPECTOR S 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 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED'
LICENSED AS REQUIRED B. LOS ANGELES COUNTY ANO STATE OF
CALIFORNIA OR THAT THE LEGAL OWNER OF, AND INTEND 70
RESIDE IN THE ABOVE DE (BED RESIDENTIAL P E TY
FINAL �.- w' r
SIGNATURE - 1
OF PERMITT
PERMIT VALIDATIO cK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
6.0 8 c:AI G 20 5 0 4..7 5 A98
76A667A (CE 817B( -4/77
.` .-APPLICATION FOR PLUMBING PERMIT
1
a
BUILDING A SAFETY DIVISIO
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE
ADDRESS I
WATER CLOSET LOCALITY
BATH TUB NEAREST ® D
CROSS ST. CY
SHOWER OWNERMAIL
LAVATORY ADDRESS
SINK CITY Ps a TEL.NO. :1
87 0 7
DISHWASHER CONTRACTOR
CLOTHES WASHER / �
A DDRESS!1
SWIMMING POOL RECEPTOR
CITY r,4 Aj C�1� (�',� TEL.NO.
LAWN SPRINKLER SYSTEM
STATE(CENSE NO. �. ` o - � CLASS /
WATER HEATER r
GAS SYSTEM OUTLETS ,c Z DISTRICT NO. GROUP ONE CESSEDIBY
V Vr
OUTLETS OVER1 1 2' O
5 PER SYSTEM INDUSTRIAL r C.2
i" WASTE APPROVAL OC
INSPECTION RECORD CD
U
W
d
h
Z
Plan check tee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE O
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES ,
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ,�"fw�'�F! _,+
LEGAL OWNER OF,AND END TO RESID IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE G
OFPERMI FINAL
PLTiW1,q4C r Jffl11IU Ti�QN ®MpESMT ."� 10,01 PERMIT VALIDATION cK. M.Q. cnsH
6.8 91-c--DEG 15 5 D: 1 U.5 Ci ��r
POLICY HOLDER:
POLICY NUMBER: