HomeMy Public PortalAbout5823 OAK AVE_Plumbing__ 76A667 (CE-817) - 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING ADORESS
I..- ` ,?}HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY Ji - !'F V
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST. s `
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 ou OWNE
MAIL
nr► ADDRESS /? i
i BATH TUB 1,75 /
SHOWER 1.75 �c,~ CITY f P TEL. NO. _ 4=
r; LAVATORY 1.75 '7 CONTR QR7 / ! s
SINK 1,75 J "" ADDRESS
DISHWASHER 1.75 �� CITY } f TEL O,
CLOTHES WASHER 1,75 rr STATEG./; '_ lt. CLIC
LASS �� L
LICENSE NO. �. ,,.
SWIMMING POOL RECEPTOR 1,75
STRIC O GROUP E RVIESED BY
LAWN SPRINKLER SYSTEM 1,75 r�
WATER HEATER 1,75 ✓" INDUSTRIAL p
WASTE APPROVAL olev
GAS SYSTEM OUTLETS 1.75Lj-1INSPECTION RECO "J
OUTLETS OVER .90 L`
5 PER SYSTEM
r
0
w
Plan check fee See Reverse
I' PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEES
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
j. 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 ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL-PROPERTY, FINAL K
C
SIGNATU RE :'` '
OF PERMITTEE ✓� ''� ' j 1"�'�F✓�'G.
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
76ASS7 (CB 017) 1/73
•
If
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANDT COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST c/i✓
NUMBER FIXTURE OR ITEM ® FEE
2 00 OWNER L�Di1/ O /f/�i' f/L
WATER CLOSET
BATH TUB 2 00 ADDRESS � i /POt��il/Cra
SHOWER 200 CITYTEL NO JV
LAVATORY 200 CONTRACTOR C r
SINK 200 ADDRESS 0
DISHWASHER 2 00 CITY TEL NO 41
CLOTHES WASHER 2 00 STATELIC
LICENSE NO OZ1p�� CLASS 1
SWIMMING POOL RECEPTOR 2 00
DISTRICT NO GROJJP ,AZO P CE BY
LAWN SPRINKLER SYSTEM 200 �ppuu O iLLT /I/�
WATER HEATER 200 WASTE APPROVAL a
GAS SYSTEM OUTLETS 200 INSPECTION RECORD v
OUTLETS OVER C�
5 PER SYSTEM 3D O
C~7
W
d
N
Z
Plan Check fee See Reverse 00
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE00
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING +S
City Tel No GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE 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 1 GAS TEST -�
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 THAT 1 AM THE LEGAL OWNER OF WPM i ND TO
RESIDE IN THE ABOVE DESCRIBED RE81D NTIAL PROPER FINAL FM 7S
w
SIGNATURE
OF PERMITTER
PERMIT VALIDATION CK M o CABN
PLAN CHECK VALIDATION CK M o CASH l�
6 2 Ort SEP 11 5 �/1 r / 9 0 0 .9f3
a