HomeMy Public PortalAbout9202 LEMON AVE_Plumbing__ 76A667-CE#817 2-66
APPLICATION FOR PLUMB NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING G� 9 O�
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /OC
' _
COLEMAN W. JENKINS. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE I '
OWNER
WATER CLOSET $1.25
MAIL 2,
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY dL. NO.
LAVATORY 1.25 CONTRA OR
SINK 1.25 ADDRESS ''
DISHWASHER 1,25 CITY TEL. NO. jo�
STAT LIC
LAUNDRY TUB 1,25 LICENSE CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR CELS D BY
WATER HEATER 1.50 _37D a s GYS
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL r
WASTE APPROVAL p
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
O
U
W
d
to
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE O GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING' HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DE IBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE /
FINAL S
VALIDATI JACK R. ALLEN
CK M O If CASH SUPERVISING MECHANICAL ENG'R.,
LAl 7:0:'2. 2,18 FEB 7 5, D 3.5 0-
76A667 (CE-817)-4/72
APPLICATI FOR P MBING PERMIT
COUNTY OF LOS ANGELES ;
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
ADDRESS � (�
HARVEY T. BRANDT, COUNTY ENGINEER ADORELOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE OWNER S
WATER CLOSET 1.75
MAIL
BATH TUB 1,75 ADDRESS
SHOWER 1,75 CITY TEL NO.
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL NO
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO GROUP ef FR CESSED BY
LAWN SPRINKLER SYSTEM 1.75 (D�
/ WATER HEATER 1.75 1,74INDUSTRIAL IX
WASTE APPROVAL
f GAS SYSTEM OUTLETS 1.75 / 7 INSPECTION RECORD V
OUTLETS OVER - •
5 PER SYSTEM ,30
O
8
CLJ
W
a
h
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
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 IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
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 OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL !� 7
SIGNATURE f �'
OF PERMITTEE
PERMIT VALIDATION CK M,o CASH
PLAN CHECK VALIDATION CK M 0/
CASH
3 6 1 675 OCT 5D 6 .5 J A
v 76A667i(CE-817), 4/72 ,
' u
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS 72172--
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST
* _
WATER CLOSET 1.75 OWNERT MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY TEL NO
/ LAVATORY 1,75 CONTRACTOR �� 12,
SINK 1.75 ADDRESS g5ene2z C-7
DISHWASHER 1.75 CITY TEL NO
CLOTHES WASHER 1,75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO OUP ZONE CESSED EY
LAWN SPRINKLER SYSTEM 1,75 6;��Q �yL�
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL G
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER OC
5 PER SYSTEM '30
V
W
a
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS D E PECTOR 5 SIGNATURE
Plan Check applicant UNDIER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
00
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
IE)HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSEAS 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 "
C-
0F PERMITTEE
is I PERMIT VALIDATI N + cK M.0 CASH
PLAN CHECK VALIDATION CK M O CASH
u(' 2 8 5 513 AUG-22 5 D 8.25Q