HomeMy Public PortalAbout9519-9521 LAS TUNAS DR_Plumbing__ 7-
76A687-CE#8.17 10-87
•7+` APPLICATION FOR PLUMBING PE IT `--/--
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �r
BUILDING AND SAFETY DIVISION ADDRESS /�t3 �/ / .
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) CROSSSST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER B ��
WATER CLOSET 1.50 MAIL ` /JBATH TUB 1.50 ADDRESSSHO
WER 1.50 CITY 00 TEL. NO._1.50 CONTRACTORSINK St 1.50 ADDRESS�6 7Vd 4 L�J,
DISHWASHER 1.50 CIT L `; EL. NO.CLOTHES WASHER LIC
1.50 STATE '0� Q_, 4 CLASSLICENSE NO. J SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZO E SS�E,DD By
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 1.50 V D INDUSTRIAL U
WASTE APPROVAL
CD
GAS SYSTEM OUTLETS 1.50INSPECTION RECORD V
W
OUTLETS OVER �
5 PER SYSTEM •30
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
,Plan check applicant UNDER SLAB WORK .�
Name - ROUGH PLUMBING "
Address GAS PIPING
GAS VENT IV tt
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.
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 1 AM TH LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCR D RESIDENT L PROPERTY. FINAL
SIGNATURE JACK R. ALLEN,..SURERVISIING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH'
PLAN CHECK VALIDATION CK M.O. CASH _ --
A 6. 9 6 .7' SEP 28 7 M .Y..
/p� ppago ■■p^_ app T �■y � 1 1g1Nyp/�� ®wp� PERMIT DBS-17 10.95 FOR
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D._GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER DIST N0. GROUP I ZONE I READY FOR INSPECTION
MAIL /y
ADDRESS Gs p
13 INDUSTRIAL -
CITY TEL. NO.- WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS' 40
/ /7
CITY gy'yAj--�+� TEL. NO. {„//'2
LICENSE NO. �R� L/.�/�fir/ - -
NUMBER TYPE OF FIXTURE ORATEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
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 I
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT. $ 1 00 ROUGH PLUMBING q. L• �AL'_
GAS PIPING
TOTAL FEE 00T
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Gas GAS vENVEN ER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES �e �{'SZ
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER 0 THE BOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL RTY.
SIGNATURE r
OF PERMITTEE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. M.O. CASH
`'.Q 3 0 1 0 DEG 4 3 4'.00 a