HomeMy Public PortalAbout9464 LAS TUNAS DR_Plumbing__ APPLICATION
761667
ce aI7 a_s6 APP LICATION FOR PLUMBIBRIG PERMIT1
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BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDIN
JOHN A.L.AMBIE,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APP CANT TO FILA. IN NEAREST
CROSS ST.
OWNER ` DISTRICT NO. GROUP /ZO �J, READY FOR INSPECTION
MAIL
�aJ
-DDR
INDUSTRIAL
CIT �) E NO f. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS _ }lam-
CITY F TEL. NO ( C4 I)
LICENSE NO. 3 I s
>
NUMBER TYPE OF FIXTURE OR ITEM FEE -j
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00 ✓ - _�
LAVATORY (WASH BASIN) @ $1.00
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' KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS-SI•GNjL7URE
UNDER SLAB WORK aQ '
PERMIT $ 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING FIXTURES
PLUMBING FIXS
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL 0 NE OF THE ABOVE UTILITY CO.NOTIFIED G
DESCRIBED RESIDENTI 1PR'
SIGNATURE !fir ;:�rns�'��
OF PERMITTEE FINAL r-7
ROBERI -Ir
JOHN A. LAMBIE,COUNTY ENGINEER VALIDATION
SUPERVISING MECHANICAL ENG'R
CK. H.917, FASH ,.,,...
76A667—CE 8174-68
APPLICATION FOR PLUMBING PERMIT '"
COUNTY OF LOS ANGELES v
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fNEAREST
DDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING OCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) ROSS ST. C
NUMBER FIXTURE OR ITEM EACH FEE OWNER L
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS r' i
SHOWER 1.50 CITY TEL. NO.,
`
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS -
DISHWASHER 1.50 CITY; r: TEL. NO.., < ��
.•-• //
CLOTHES WASHER 1.50 STATE
LICENSE NO. -�' G �/ LIC
CLASS " 3C�
SWIMMING POOL RECEPTOR 1.50 DISTRICTf10. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 yF- CL'
v
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL �_
GAS SYSTEM j OUTLETS 1.50 `,;1 INSPECTION RECORD u••
r
OUTLETS OVER �
5 PER SYSTEM .30
I 1 a
W
C—
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 1 2 00
TOTAL FEE ' '
�, APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
-- GAS VENT
City Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 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.
i I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
CE
LINSEDAS 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, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE •+'�•
PERMIT VALIDATION-''•c'� M.O. CASH
PLAN CHECKVALIDATION CK. M.O. CASH
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