HomeMy Public PortalAbout5516 MCCLINTOCK AVE_Plumbing__ 76 A 6_67--SCE 817 468 ✓���.+
� ' APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER A C
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY a _. A
FOR APPLICANT TO FILL IN(PRINT OR TYPE) NEAARCROSSTT. L�-K
NUMBER FIXTURE OR ITEM EACH FEE
OWNER - y
WATER CLOSET 1.50 (�
MAIL
BATH TUB 1.50 c ADDRESS '-> L�
SHOWER 1.50 , CITY ` TEL. NO. J-61 90L
LAVATORY 1.50 O CONTRACTOR j G
SINK 1.50 P ADDRESS Z
DISHWASHER 1.50 CITY TEL.NO. Z
CLOTHES WASHER 1.50 Q STATE LIC
LICENSE O. �( (, CLASS C— )
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE I PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 1.50 Q INDUSTRIAL u
APPROVAL
GAS SYSTEM OUTLETS 1.50 JNSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30 I'
LLB
D.
Vf
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
s pa I TOTAL FEE APPROVALS qATFjECTOR'S URE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GASVENT
City. Tel. No.
HOT WATER HEATER �? �,/�' „.,�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �y-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH AM THE LEGAL OWNER OF N END TO r J A
RESIDE IN.THn
ESCRIBED R IDENTIAL P E Y. FINALSIGNATUREJACK R. ALLEN, SUPERVISINNG CHANICAL EN'G'R.
OF PERMI
PERMIT VALIDATION CK. M.O. CASH
PLAN CITE ALIDATI CK. M.O. CASH
'„5 4 3 4:® APR 18 5' D 1 7.Q01?