HomeMy Public PortalAbout5011 MCCLINTOCK AVE_Plumbing__ 7G,,A 6.67;• Ci, 817 8/68 4 y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �� // �e
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS..SUP'T. OF BUILDING ,.LOCALITY
PR NT OR TYPE) N
FOR APPLICANT TO FILL IN EARESTT
CROSS S .
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 MAIL
,y
BATH TUB 1.50 ADDRESS�v//
SHOWER 1.50 CITY TEL. NO. iLq
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOH.RECEPTOR 1.50
DISTRICT NO. GROUP I.,PNE SEED BY Y
.LAWN SPRINKLER SYSTEM 2.00
CD
WATER HEATER 1.50 7 INDUSTRIAL OVAL Z
/ O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD F-
v
OUTLETS OVER 30 a
5 PER SYSTEM
rn
r.
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 4 ,00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address
PIPING r�o�h"?I ow,C��•� U_�.�
v GAS VENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS'APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 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 INT6°ND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE .TACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK M:o. CASH.
'PLAN CHECK VALIDATION CK. M.O. CASH