HomeMy Public PortalAbout9526 LAS TUNAS DR_Plumbing__ 76A667A ICE 8176) -4/77
APPLICATION FOR PLUMBING PERMIT
BUILDIN D SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING _
NUMBER FIXTURE OR ITEM Q FEE ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST"
SHOWER OWNE f
LAVATORY MAIL �2
ADDR S
SINK CITY L.NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRES
SWIMMING POOL RECEPTOR
CITY TEL.
LAWN SPRINKLER SYSTEM
STATE LIC. f
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS / DISTRICT NO. GROUP ZONE.r PR ESSED
U
J EZ t
OUTLETS OVERo CD
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL
INSPECTION RECORD C:)
U
I -77 Ci4ti��b /NSP' ��`tDG LoGfE�v I N
Plan check fee ' Z�173ip d'r>7' o
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE 117
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 IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
L
RTIFY THAT I AM PROPERLY REGISFE ICEN'ED AS PLUMBING FIXTURES
ELES COUNTY ANDFATE OF CALIFORNIA THAT I AM THE L "r ND TEND TO RES IN THE ABOVE DE IBED RESIDENTIAL GAS TESTUTILITY CO.NOTIFIED FINAL
2 J4
PLAN CHECK VALIDATION CK. M. C H PERMIT VALIDATION CK. M.O. CASH
4 C.5 v
1 O C-1DEC y � � A
76A667 (CE-817) - 1/75
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING J
ADDRESS � � � 1.�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
Cc'
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEARESTST.
CROSS
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET
2.00 OWNER
MAIL
BATH TUB 2.00 ADDRESS , Sp, M
SHOWER 2.00 CITY / TEL. NO. a`�
LAVATORY 2.00 CONTRACTOR 1-/ R (� �S 'FA D MR
SINK 2.00 ADDRESS Q i �� � �}`&_
DISHWASHER 2.00 CITY TEL. NO.
CLOTHES WASHER 2.00 STATE [[ CLASS
LICENSE NO. 7
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 C i
WATER HEATER D� INDUSTRIAL
WASTE APPROVAL p
GAS SYSTEM OUTLETS 2.00 INSPECTIO RECORD CD
OUTLETS OVER 30
5 PER SYSTEM L
W
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant -UNDER 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
AND STATE THAT THE ABOVE IS CORRECT AND EE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORD A-N'LE AND STATE LA. S REGULATING
PLUMBINGAS TEST
G. 1) 1/
IHEREBY T Y THAT I M PROPER REGISTERED D/OR UTILITY CO. NOTIFIED
LICENSED AS RE IR D BY S ANGELES 0 NTY AND S A�
CALIFORNIA R AT HE LEGAL OW OF, - IN EN T
RESIDE IN T E ESC IBED RESIDENT L PAOPE FINAL
SIGNATU
OF PER
PERMIT VALIDATION CK. M.O: CASH
PLAN CHECK VALIDATION CK. M.0. CASH
76A667- CE#617 5-61 h
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT.OF COUNTY ENGINEER
BUILDING AND SAFETY DM$ION BUILDING `
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUP'T OF BUILDING
LOCALITY '
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR,ITEM OAR J 1
WATER CLOSET W
bum V
BATH TUB ` ADDRESS
SHOWER
CITY Q t,cam-✓L- TEL NO.
CONTRACTOR LIT
LAVATORY r
SING ADDRESS •� �.
DISHWASHER CITY TEL NO. s�
CONTRACTOB'S STATE
LAUNDRY TUB REGISTRATION NO. If Q a COUNTY'
CLOTHES WASHER DISTRICT NO. GROUP ZONE ' P SED BY
WATER HEATER* _ IL
GAS SYSTEM INDUSTRIAL U
_ WASTE APPROVAL
INSPECTION RECORD �'
Lu
@ $1.00 PER
ITEM7t�s
OR FIXTURE' $ � A
APE
PROVALS DpA,TE INSPECTOR'BSIGNATUR
PERMIT $ 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
_ GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION p AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT tl
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER -
PLUMBING.
I HEREBY CERTIFY THAI AM .PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUI D Y LOS ANGELES C NTY AND STATE OF GAS TEST _
CALIFORNIA OR AT A THE LEGAL ER OF THE ABO E
DESCRIBED RES EN A - oPERTY. UTILITY CO. NOTIFIED
SIGNATURE / 1ni•�
OF PERMITT FINAL T1 / �, ,y,, Com''
AUDATION ROBERT . WOOD 1
CK. M.O. CASH SUPERVIS114GJMECHANICAL ENG'R
LACE 7 5.8.3 At'] 3 0' 5 D 18 .0