HomeMy Public PortalAbout10657 LORA ST_Plumbing__ 76AS67 (.CE-81.7)x6=71
'APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER.
BUILDING AND SAFETY DIVISIONBUILDING:
" ADDRESS 10657 I6ra
LOCAL•'ITY
'TempleC1t�T
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST .
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
r� OWNER %John-Sell.
WATER CLOSET 1.75
AIL
BATH TUB •1.75 ADDRESS , ' 2023 Bella Vista Dr, E.
,mSHOWER 1.75 �. CIT! AI'CaCL13• TEL.NO,- ,,? 2
LAVATORY .1.75 3 O CONTRACTOR Owen Bros: Plumbing: Ina*
'SINK 1.75Z. ADDRESS 4265 No•e Baldwin Avec
DISHWASHER '1.75 �� CITY: .TEL. N.O. •.
El•Monte 1 ' 1 —W78 '.
CLOTHES WASHER 1.75 j STATE2 '1 ry,,--qq LIC" • 6
LICENSE NO. 3 .r`�'1'..- CLASS C 3
SWIMMING POOL RECEPTOR 1.75
DISTRICTNO. GROUP ZONE PROCESSED''BY'
LAWN SPRINKLER SYSTEM 1.75 Q ', OU ( '
WATER HEATER - 1.75 7 �. INUSTRIAL
" WASTE APPROVAL
GAS SYSTEM OUTLETS' 1.75 / Z. ' INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30 Z
Z,
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE I PECTO 'S ffIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUM-BI
Address' •'�q.f'^ GAS PIPING- -
city _ Tel:NO. GAS VENT ••
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER •'
SAND. STATE THAT THE ABOVE 15 CORRECT. AND AGREE TO 1CpMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
PLUMBING. GAS TEST 7
I 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 1 AM THE LEGAL OWNER OF; AND INTEND TO
RESIDE IN THE ABOVE D CR RESIDENTIAL PROPERTY. FINAL
SIGNATURE _
OF PERMITTEE
PERMIT VALIDATION cli. M.O.-' CASH
NJ
PLAN CHECK VALIDATION CK.. M.0. CASH