HomeMy Public PortalAbout9913 LOWER AZUSA RD_Plumbing__ 76 A 667- CE 817 7-69 1%'- J y -
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APPLICATION FOR PLUMBING PERMIT
DEPACOUNTY
TNT COUENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE. COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING —=-r• ,
FOR APPLICANT TO FILL IN PR NT OR TYPE ST
NUMBER FIXTURE OR ITEM EACH FEE :FN WATER CLOSET 150 BATH TUB 1 50 SHOWER 150 TEL. O
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADDRESS DISHWASHER 150 C jo- bCLOTHES WASHER 150 STATE LICENSE NO pASS
SWIMMING POOL RECEPTOR 150 DISTRICT NO GROUP ZONE I IORCICESSE12 BY
LAWN SPRINKLER SYSTEM 2 00 aJ
WATER HEATER 1 50 WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50 R%1LE=qA gCqjT
OUTLETS OVER
5 PER SYSTEM 30 f ��
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
ity Tel No HOT WATER HEATER
LA-
No EREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
BINGEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
SED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF
ORNIA OR THAT I AN THE LEGAL OWNER OF D INTEND TO
E IN.THQ ABOVE DEBCRIBED RESIDENTIAL PRO FINAL
ATURE ACK R. ALLEN, SUPERVISING MECHANICAL EPERMITTEE
PERMIT VALIDATION CK M O C ASH
PLAN CHECK V IDATI cK M O CASH ►}
( i'„81 0 7 0 9 M@ l 5 D -3—5 0'Y a
ak
76 A 667 - CE 817 769
APPLICATION FOR PLUMBIN PERMI
COUNTY OF LOS ANGELES ,
DEPARTMENT OF COUNTY ENGINEER,
BUILDING AND SAFETY DMSION v BUILDD1G r
JOHN A LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALTR
17
FOR APPLICANT TO FILL IN PR NT O TYPE �SS$_
NUMBER FIXTURE OR ITEM EACH FEE
OWNS$
WATER CLOSET 1 50 I4AII.
BATH TUB 1 50 ADDREW AV
SHOWER 1 50 CTR
LAVATORY 1 50 co
SINK 150 0 AT)D$EBS
DISHWASHER 150 CTR i 1 TEL
CLOTHES WASHER 1 50 STATE d LIC
LICENS O (/ CLASS
SWIMMING POOL RECEPTOR 1 50 DIV ICT NO GRbUP E ESSED BY
LAWN SPRINKLER SYSTEM 2 00 e771
WATER HEATER 150 INDUSTRIAL DU TIAL
RVAL
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD
OUTLETS OVER 30 Q
5 PER SYSTEM
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE APPROVALS DATE INSPECTOR 8 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No
HOT WATER HEATER
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMC) STAT[ THAT THE ABOVE 18 CORRECT AND AGR[[ TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING GAS TEST
PLUMBING
1 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 D[ RIB[ ID[NTIAL PROPERTY FINAL
SIGNATURE JACK R. ALLEN, SU PERVI 1 6 MECHANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION 4:2!p> M o CASH
PLAN CHECK VALIDATION CK M o C A S�-I 5 3 J�c��- APR
Ar, 5 50 3.50- c
D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT N5;.,
ROUGH FIXTURES COMPLETE
NEATER CESSPOOL _I SEPTIC TANKR RIVED READY FOR DATE ISSUED
FIRST INSPECTION
AS MISC LAN US (�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB r
C NAME C ADDRESS '
WS
ADDRESS .YZ ! LOCALITY
g
J NEAREST i
a CI rt TEL.NO. CROSS ST.
COUNTY
CERT.No. EXPIRES m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICAT :O QUALIFICATION.
� r tiBsx
I A � E LEGAL OWNER OF THE PROPtRTY DESCRIBED
ABOVE.
OWMiR
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
ATH TUB FURNACE a
HOWER DISHWASHER
__LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK *AND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
{ WATER CLOSET DRINKING FOUNTAIN DATE INSP[CTOR'i"ME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METE+ GAS *ODA FOUNTAIN
OUn GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK
TOTAL FEE l O' gEWgR
s UTILITY CO.NOTIFIED
�j
(`� FINAL