HomeMy Public PortalAbout10674 LORA ST_Plumbing__ OF COMTrY LWGlNEER PLUMBING . V
�'v.�bIV%SYON OF BUIL'DING.ANDSAFET-Y 4. PERMIT APPLICATION
J COU2= OSI' LOS ANGELES
WILLIAM J.,FOX, COUNTY ENDINEER ::ADDRESS lbro° �i � Lori
LOCALITY C..
s FOR APPLICAN1,J0 FILL I
UILDING _
T NEAREST /
ADDRESS ` V/�.�e CROSS ST. �C9
B 1
DISTRICT N0. GROUP ZON ERMI NO
LOCALITY T I
NEAREST, •1� (((
CROSS ST.. jG&EMEIDLIBY
Ready for Inspection. DATE ISSUED
OWNER
MAILINDUSTRIALS
ADDRE O C t— WASTE APPROVAL
CI (,t TEL.N INSPECTION RECORD
PLUMBER
ADDRESS:
°A CITY V V TEL.N i
[]STATE a
LICENSE NO. ❑COUNTY
i
PERMIT FEES 'f
z
dl1M9ERTYPE OF FI%Tl1RE OR ITEM FEE - 0
WATER CLOSET(TOILET) @ 0.80 S �� y
BATH TUB _ 0.80'
SHOWER - r 0.80
LAVATORY-(WASH BASIN) 1 @ 0.80 00
KITCHEN SINK @ 0.80 S
LAUNDRY,T.UB OR TRAY @ 0.80 O 14
SLOPSINK.. @ 0.80 .
FLOOR SINK . @ 0.80 O A� �^' �� •'�` f f /4 Fra
FLOOR DRAIN @ 0.80 ++� ���'*r" � ,F�•
.DISHWASHER
DRINKING FOUNTAIN @ 0.80 ' -
URINAL@ 0.80
GAS SYSTEM... ._OUTLETS @ 1.000/
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S/SIGNATURE
:.UNDERSLABWORK
PERMIT E 1 '00 :ROUGH PLUMBING
TOTAL FEE 00GAs PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS'CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL'COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. 'PLUMBING FIXTURES'
I HEREBY CERTIFY THAT I AIN PROPERLY REGISTERED
AND/OR LICENSED. AS REQUIRED BY LOS ANGELES COUNTY GAS.TEST
AND STATE OF CALIFORNIA OR THAT I ANI THE LEGAL OWN-
ER OF THE ABOVE D SCRIBED RESIDENTIAL PROPERTY, UTILITY CO.NOTIFIED
SIGNATURE. �
OF PERMITTEE.._ ..._.._.._•---•-- _... — p,
FINAL
L 76A087 DBS 17 Pj w_e c / Z111-1J aur
76A667 ,(CE-817)-8-71C�`CA, d
Y APPLIC ION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUADDRESSILDING
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CNEAREST
ROSS ST. �
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. N
LAVATORY 1.75 CONTRACTOR •Z�_
SINK 1.75 ADDRESS G J
DISHWASHER 1.75 CITY
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS
DISTRICT NO.. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 ./
WATER HEATER 1.75
INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
'5 PER
OUTLETS
STOEMR .30 y
V
Am
96
z
0
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 0
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 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST G
I HEREBY CERTIFY THAT 1 AM PROPERLY REGIS ED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY A D STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF D INTEND TO
RESIDE IN THE ABOVE DEs I ED R IDENTIAL PR P RTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
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