HomeMy Public PortalAbout10601 LOWER AZUSA RD_Plumbing__ 76A667•(C 6-817)-4/72 �FOCR;
APPLICATIO;::� P MB1NG .PERMIT
Y COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
AIA KE CHECKS PAYABLE TO: BUILDING
ADDRESS ®LUei�` ,Zf/ �•
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. �NE+ig
NUMBER FIXTURE OR ITEM @ FEE
'
WATER CLOSET 1,75 OWNER
��
MAIL.'
BATH TUB 1.75 ADDRESS _V C1 L/'
P •
SHOWER 1.75 CITY e W. k/t_ EL" NO.
LAVATORY 1,75 CONTRACTOR W f� V, •��1� A�u ��k ' '
SINK 1,75 S ADDRESS 5Z-e5 ho�lq_
DISHWASHER 1,75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATLICENSE NO. 3> .CIC C - J(m
SWIMMING POOL RECEPTOR '1,7.5
DISTRICT NO. -GROUP ZONE OCES ED�+BY
LAWN SPRINKLER SYSTEM 1,75
WATER HEATER 1,75f 7s'' INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1..75 S. „ INSPECTION RECORD V
OUTLETS OVER ..,30 -
5 PER SYSTEM
O
'U
F/oo:, J/,�f�{'1 a 1 K- DO W
it lw. a
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3• 00
TOTAL FEE' :Z S
APPROVALS DATE I ISPECTO s JGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING -
City Tel. No. GAS VENT
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 OROINANC ES AND�STATE LAWS REGULATING.
PLUMBING. GAS TEST
HEREBY CERTIFY THAT LOAM .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 DESCRIBEDRES DENTI PROPERTY. FINAL - _
SIGNATURE
' OF PERMITTEE r "t
PERMIT VALIDAT ON )M.0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
r :1. 1 0 6+73, MAY 1.4 5-D 3x2.75
76A667 (CE-817)-4/72
APPLICATION .FOR PLUMBING ,PER-MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER.
BUILDING AND SAFETY DIVISION s'
h1AKE CHECKS PAYABLE TO.: ADDRESS
HARVEY T. BRAN-DT, COUNTY ENGINEER, LOCALITY
FOR APPLICANT TO FILL IN IMPRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET' 1.75
MAIL 1T�jO wVC�j /
BATH TUB 1.75 ADDRESS, ,C��4d
SHOWER 1.75. CITY � xl' /iT!¢S TEL. NO. liF012I0
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS/03,1-Z.> IIIf
h'74W A E
.DISHWASHER, 1.75 CITY'-
' ,014:P TEL.-NO. 6Z.=-C,�`SJ- . -
CLOTHES WASHER 1.75 STATE LICENSE NO. J-� %S LI A Z 1
SWIMMING POOL RECEPTOR .1,75
DISTRICT NO. GROUP ZOIqE RO SSED-BV
LAWN SPRINKLER SYSTEM 1..75
WATER HEATER - 1.75 INDUSTRIAL G G�
WASTE.APPROVAL Q
GAS SYSTEM . OUTLETS,. 1.75 INSPECTION RECORD' V
OUTLETS OVER '
5 PER SYSTEM ..30
Plan Check fee
See Reverse
PLUMBING PERMIT ISSUING FEE-$ 3 00
TOTAL FEE
APPROVALS DATE IN5',PECTOR'5 SI.NATURE
Plan check applicant
UNDER SLAB WORK
Name 'ROUGH PLUMBING
Address GAS PIPING
City,. - Tel.'NO. GAS VENT
-HOT'WATER HEATER '
I HEREBY ACKNOWLEDGE THAT K NAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE I'S CORRECT, AND AGREE-TO COMPLY `PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - - -
PLUMBING. - GAS.TEST '
I HEREBY CERTIFY THA \I AM, PROPERLY REGISTERED AND/OR UTILJTY,CO. 'NOTIFIED.
LICENSED AS REOUIRED LOS ANGE ES COUNTY AND. STATE'OF ez
CALIFORNIA OR THAT I A -THE LEGA OWNER OF, AND INTEN D'TO _
REST DE.IN THE ABOVE-DE CRI ED RES ENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT
- " -
PERMIT VALIDATION cK. M.11. -CASH
PLAN CHECK VALIDATION cK. M.0. CASH
76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING [gyp
ADDRESS ®!Y(/ W t
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
1
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST,
NUMBER FIXTURE OR ITEM @ FEE /
WATER CLOSET 1.75 OWNER a 4G1-x
BATH TUB 1.75 ADDRESS �� (.(,� 0(/i4l,4
SHOWER 1.75 CITY TEL. NO.�J�'�Z�1S'
LAVATORY 11.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY �y TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. 7T. CLASS
oq
DISTRICT NO.
77.ONE.LAWN SPRINKLER SYSTEM 1.75
WATER HEATER_ 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CD
V
OUTLETS OVER
5 PER SYSTEM .30 C:)
V
W
d
<n
Z
Plan Check fee See Reverse.
PLUMBING PERMIT ISSUING FEE $ 3 . 00..
TOTAL FEE 5
APPROVALS DATE INSPECTOR'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 IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
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 DES ED RESIDENTIAL PROPERTY.. t� ,. FINAL'
SIGNATU RE - -
OF PERMITTEE
PERMIT VALIDATION CK.' 'M.O. CASH'-
PLAN CHECK VALIDATION CK. M.0. CASH
I
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