HomeMy Public PortalAbout9549 LAS TUNAS DR_Plumbing__ 76A667-C E#817 10-67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION A
DDRESS f C
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING
FOR APPLICANT TO FILL IN (PR NT OR TYPE)
NUMBER FIXTURE OR ITEM EACH FEE - /)
WATER CLOSET 1.50 OWNER
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY v' TEL. NO.
LAVATORY 1.5 0 CONTRACTOR
SINK 1.50 ADDRESS
,DISHWASHER 1.50 CITY17
ATE �y �y TEL. NO.,), 39/
CLOTHES WASHER 1.50 LIC
LICENSE NO. ?. ?i -/ 9 b CLASS �3 ,6
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY
CL
LAWN SPRINKLER SYSTEM 2.00
INDUSTRIAL _ 0
a V
Ce
WATER HEATER 1.50 �� WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
U
OUTLETS OVER
5 PER SYSTEM .30
2
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE rd
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 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 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 I AM THE LEGAL OWNER OF,AND INTEND TO <;
RESIDE IN,THE ABOVE DESCRIBED RESIDE IAL PROPERTY. FINAL
SIGNATURE - JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
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