HomeMy Public PortalAbout9811 LONGDEN AVE_Plumbing__ -7 A.667.=.FE 817 468
4. APPLICATION FOR PLUMBIN ERMI
COUNTY OF iOS ANGELES �.
DEPARTMENT OF COUNTY ENGINEER
'��BUILDING AND SAFETY DIVISION BUILD/ADDRESs
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE '
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS
T
SHOWER 1.50 CITY j C TEL. NO.
LAVATORY 1.50 CONTRACTOR 4.
SINK 1'.50 ADDRESS
DISHWASHER 1.50 CITY TEL.NO: -z-
CLOTHES WASHER 1.5LIC
0 LICENSE NO.STATE -7?j CLASS l ?,,O
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GRO ZONE TIWE
S Y
LAWN SPRINKLER SYSTEM 2.00 ; Cv
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER30
5 PER SYSTEM
- H
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 .00
TO AL aE Q.
r APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant DER SLAB WORK
Name `j ROUGH PLUMBING
Addres S'� C'L� GAS PIPING
GAS VENT
City.rj L 1. No. 3�
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 LAW. REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 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 OWNEM OF,AND INTEND TO
RESIDE IN,THE AB RIS ARES DE 1, PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPER ISI ECHANICAL ENWR.
TTEE
OF PERMI
PERMIT VALIDATION CK M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
tr,-R2 4 5w APR 9 5 D 3 ^,.
78A887#.,CEil817y9/63 - - • —
APPLICATION FOR - PLUMBONG. PERMIT , ;.
: COUNTY OF 'LOS.:ArTGELES _
DEPARTMENT OF COUNTY• ENGDMR
BUILDING AND SAFETY' DIVISION BUILDING
JOHN A. LAMBIE. COUNTY'ENGINEER •" ADDRESS` 8.
WILLIAM A.JENSEN,SUP+OF BUILDING m. -
-
• r •. _ -LOCALI'1'Y'
FOR APPLICANT TO FILL IN ' NEST -
CROSS ST:. e�
e NUMBER, FIYTURE.OR ITEM .EACH FEE
OWNER
WATER CLOSET •` 31:25.
0 MAIL
PATH TUB. 1.25 1 • •2 I, 'ADDRESS.•'
SHOWER 1.25. ,L CITY TEL. NO.
LAVATORY . 1.25 •0 CONTRACTOR JOSEPH,P
SINK :2s �' 2
ADDRESS-7-S21 - E ' ,G:AFt VE Y
: DISHWASHER ,. 1.25 : ' e. •_25. C S'o SAN• GABRRI-EL' TECN6.'28.0.�r,3L+9
CONTRACTOR'S STATE
LAUNDRY TUB, 1.25 REGISTRATION NO. 4' C: 6 COUNTY ].
.
:CLOTHES WASHER I.25
._Ve' 2 .-DISTRICT,NO. o GROUP r 'ZONE/ PROCESSED•'BY
X WATER HEATER
GAS SYSTEM. . .� OUTLETS I•� .._5.0: WASTE APPROVAL'" o.
.0•
OUTLETS OVER 5.PER SYSTEM :30 INSP�E)CTON RECORD'° U
- C4 t.'4 z
AP' OtVALS bATg INSPECTOR'S SIGNA r`RE.
PERMIT' $ 2 00' UNDERALlXB,WORK-
' - -
ROUGH PLUMBING �`•
TOTAL FEE 1•6 2 Gas PraaNG
1 HEREBY ACKNOWLEDGE-THAT 1 HAVE,READ THIS APPLICATION i GAS'VENT
AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY
WITH 'ALL COUNTY .ORDINANCES AND STATE .LAWS REGULATING
PLUMBING.. - a H.OT WATER HEATER -� l ,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDCOR PLUMBING FIXTURES
LICENSED AS REQUIRED LOS ANGELES COUNTY ANO STATE OF I
CALIFORNIA OR THAT AM THE LEGAL OWNER'OF• NTEND TO GAS.TEST '.�� h'-pl,a;. `•'�?� 1 ;,,; �{F,•
RESIDE IN,THE ABOV DEB -IBEO RE$IDEN AL PR r .UTILITY CO:NOTIFIED•. •�4 d
NA
SIGNATURE -
OF PERMITTEE
,,. FINAL-•
I.IDATION., ROBERT-A.'WOOD'
'cK. •. M.O. - CASH. .%SUPERVISING MECHANICAL ENG'R•, ,
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