HomeMy Public PortalAbout9834 LONGDEN AVE_Plumbing__ 76AS67 ('C6-817) - 1/73
APPLICATION FOR-- PLUMBING PERMIT, -
COUNTY
-
C.OUNTY OF LOS ANGELES
DEPARTMENT OF,COUNTY ENGINEER'
BUILDING AND SAFETY DIVISION -
MAKE CHECKS PAYABLE TO: &LRES
bINGS- 983 Q' - 'Longden Ave
I HARVEY T. BRANDT, COUNTY ENGINEER �yq
LOCALITY_�.em IP. V1t
FOR APPLICANT TO'FILL IN'(P.RINT OR TYPE) NEAREST. ,
CROSS ST.-
NUMBER FIXTURE-OR ITEM FEE OWNER
WATER CLOSET 2.00' OWN-E.. So-
MAIL.-
BATH TUB 2.00 ADDRESS .,as- above
SHOWER ' 2.00` CITU '+ 'TEL. NO. ' 287-61842
LAVATORY 2.00 CONTRACTOR W, Ea ,Graham -. Plumbin
SINK 2.00 ADDRESS 9127 Las Tunas' DT
DISHWASHER 2.00, CITY TEL. NO.:.ug_
CLOTHES WASHER' 2.00 STATE VCLICENSE NO. Q �' �p'.(p CLASS
SWIMMING'POOL RECEPTOR 2:00,
DISTRICT'NO.GROUP NE R ESS D..B
LAWN SPRINKLER SYSTEM6
2.00 r y
I
WATER HEATER, 2.00 '` INDUSTRIAL
` U' WASTE APPROVAL
GAS SYSTEM ` OUTLETS 2.00INSPECTION RECORD v
OUTLETS OVER w
5.:PER SYSTEM . •30' OLLI
I...
CL.
-Plan check,fee See Reverse
PLUMBING.PERMIT ISSUING FEE $'
' TOTAL FEE . - '•'�
APPROVALS DATE 'INSPE'CTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS-PIPING '
City Tel: No. GAS VENT -
HOT WATER HEATER
I HEREBY,ACKNOWLEDGE THAT 1 HAVE READ mtls.APPLICATION ..
AND STATE-_THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY' :. P.LUMBI NG FIXTURES
WITH 'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING: LAGAS TEST
I HEREBY CERTIFY THAT I AM,PROPERLY 'REGISTERED AND'/dR ! 'UTILITY CO`. NOTIFIED '
LICENSED AS RECIUIRED BY LOS ANGELES COUNTY-AND STATE OF = ,
'CALIFORNIA OR THAT I AM THE LEGAL ONER OF, TEND''TO
•RESIDE IN THE ABOVE DESCRIBED RES TIAL PAOP FINAL r
SIGNATU RE
OF PERM[T E , ,y _
_PERMIT VAL16ATFOtV M,o: 'CASH
PLAN-CHECK VALIDATION CK. M..O. SH
76A667-CE#617 5/69 - - • '
' APPLICATION- F®R. 'P
'� � • LUMB6NG ' PERMIT
COUNTY. OF'LOS ANGELES _
DEPARTMENT OF COUNTY 'ENGINEER
BUILDING AND'SAFETY' DMSION BUILDING
JOHN A.LAMBIE.COUNTY ENGINEER ADDRESS 83 •
WILLIAM A..•JENSEN,SUPT OF BUILDING
LOC
ALITY• ,
FOR APPLICANT TO FILL•IN NEAREST t
CROSS ST..'.. ."".
NUMBER FIXTURE OR ITEM EACH FEES
OWNER
WATER CLOSET 51:25 MAIL-
BATH TUB 1.25 :ADDRESS • .
SHOWER 1.25 CITY, TEL.'NO.
�'
LAVATORY 1,95
d b , CONTRACTOR
ADDRESS �y r
'SINS ' - 1.25
DISHWASHER 1.25 CITY ;TEL. NO..7T�'-�WLAUNDRY TUB 3.25'• CONTRACT..OR'$ ' ' COUNTY
p STATE-'
REGISTRATION NO. /p .
' CLOTHES WASHER 1.25
CISTRICT NO. Gm.ROUP ZONE PROCESSED BY, '
WATER HEATER 1:50 I ,r
" a
'GAS' SYSTEM .- OUTLETS 1.50 INDUSTRW: O
WASTE APPROVAL U
OUTLETS OVER 5 PER SYSTEM All INSPECTION RECORD
Z
liA.�"wL'y
APP DV L'S�•'1"'� DATE SPECTOR�W .TL RE
?? PERMIT $, 2 00 UN_DEF{ WORK
d _ UGH PLUMBING 1~ �
TOTAL FEE J GA s PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT _
AND STATE.THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY _ _ A
WITH ALL COUNTY ORDINANCES AND STATE -LAWS IVEGULATING
PLUMBING. ; HOT WATER HEATER
I HEREBY CERTIFY THAT I •AM PROPERLY REGISTERED'AND/OR PLUMBING FIXTURES P 'per '
LICENSED AS REQUIRED BY 'LOS ANGELES COUNTY AND STATE OF • ..7t +�
CALIFORNIA OR
R-THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST- +. ./�i,
RESIDE IN,THE ABOVE DESCRI D•RESIDENTIAL PROPERTY. > UTILITY C.O.NOTIFIED
SIGNATURE
OF PERMITTEE _
..FINAL:, �
LID
ATIQN ROBERT A.WOaOD '
cK;
M.
CASH SUPERVISING MECHANICAL ENG'R
L-co
2 0•.4 OCTIG 3 0 5 n 2:=3.3 5~ a