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APPLICATION FOR PLUMBING ' PERMIT
COUNTY OF LOS. ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
ytL
JOHN A.'LAMBIE, COUNTY ENGINEERADDRESS
`
COLEMAN W..JENKINS. SUPT..OF BUILDING LOCALTlY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST. � '�'- �'��•
NUMBER. FIXTURE OR ITEM EACH FEE _
WATER CLOSET 1.50 OWNER. Al
MAIL
BATH TUB 1.50 ADDRESS (fid L+/YE
SHOWER 1.50 CI TEL. NO. ""BZW
LAVATORY 1.50 CONTRACTOR
SINK 1..50 ADDRESS dir—A4 1r1
DISHWASHER 1.50 CITY STATE TEL.
CLOTHES WASHER 1.5 LIC
LICENSE NO. �(pCLASS (::57 J�
SWIMMING POOL RECEPTOR DISTRICT NO. OU� ENE_37.0
) OLESLAWN SPRINKLER SYSTEM 2.00 0 .
WATER HEATER 1.50 INDUSTRLAL C 7
WASTEAPPROVAL _ tr
GAS SYSTEM OUTLETS C:)
OUTLETS OVER3'0 7y y a
5 PER SYSTEM
b Cn
CC }fi%)/d 14, t LE
Plan check fee 25%.of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 00 -
TOTAL FEE i , APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City, Tel.. NO. 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 ORDINANCES AND STATE LAWS REGULATING GAS TEST e.r/ d. -
PLUMBING. _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO:NOTIFLED
LICENSED AS REQUIRED BY LOS . NGELES LINTY A D STATE OF _
CALIFORNIA OR THAT 1 AM GAL O. ER OF INTEND TO
RESIDE IN,THE ABOVE DES IBE RESID IAL P Y. FINAL _
SIGNATURE
OF PERMITTEE TACK R. ALL U E CHANICAL EN G'R.
PERMIT V ATIO CK. M.O. CASH
PLAN CHECK VA IDATIO CK. M.O. CASH
Mo.6:9
76A667-CEiftI7 4-64 ,
v, -
APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF 'COUNTY ENGINEER t
B Rl jAND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET s =1.25 MAILq f3 %
HATH TUR 1,� ADDRESS
SHOWER 1.25 :CITY TEL. NO.
LAVATORY 1.25 .(�
CONTRACTOR t
SINS 1,25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.Q:Z7 qK4
LAUNDRY TUR 1.25
CONTRACTOR'S
EGIN S RATION NO. C3 COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P7c)ldgsqo B
WATER HEATER 1.50 (�• j
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
W
Z
APPROVALS DATE INSPE OR'S SIGNATURE
PERMIT 5i •2 00 UNDER SLAB WORK 414 .f
ROUGH PLUMBING _+,
TOTAL FEE 1111561 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I' HAVE READ THIS APPLICATION GAS VENT. _ 1
AND STATE THAT'THE ABOVE IB CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER.HEATER
PLUMBING. -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/.OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THELEGAL OWN R OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIA PRO RTr. UTILITY CO.NOTIFIED
SIGNATURE ds
OF'PERMITTEE
FINAL
DATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL- ENG'R
...__. - Lk'a l 6 0 6Z- APR 28 5 D $.Jr 0 M
76A667 (GE-817)- 5/7
• APPLICA N FOR P •MB1NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO:
B
UILDING.'
HARVEY T. BRANDT, COUNTY ENGINEERLITY '
Lr�
1100,
FOR APPLICANT TO FILL IN (PRINT OR TYPE) S ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNER
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY' TEL: NO
LAVATORY 1,75 CONTRACTORAJ�+
SINK 1,75 ADDRESS
DISHWASHER 1,75 CITY TEL. NO.""
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1,75' LICENSE NO.. CLASS
DI ICT NO. GROUP SS D NE CEB
LAWN SPRINKLER SYSTEM 1.750 Com? � J�
WATER HEATER 1.75 INDUSTRIAL �/
WASTE APPROVAL
j GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER v
5 PER SYSTEM .30-
C.1
W
Cl,
V7
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 7�
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING ,
City Tel. NO. GAS VENT leiv _ t
i �1It I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
HOT WATER HEATER47 V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING \f 11;
PLUMBING. GAS TEST + y a,d 1 ' 'n
.Cl HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED f,-Ilk
LIENSED AS REDUIRED BY LOS ANG COUNTY AND STATE OF
CALIFORNIA OR THAT I AM E OM NER OF, AND INTEND TO .fi•
RESIDE IN THE ABOV I IDE TIAL PROPERTY. FINAL
SIGNATU RE Alf
OF PERMITT '
PERMIT VALIDATION CK. 0. CASH
PLAN CHECK VALIDATI CK. M.O. CASH76-62 . APR
23 5 D 4.7 5 °-48
J
' 76A867-(CE-617)- 5773
APPLICATION F PL'U.M•RI PERMIT-
COUNTY OF LOS ANGELES -
DEPARTMENT,OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: 77
!'G
HARVEY T. BRANDY COUNTY ENGINEER Jl
Q.G h
FOR APPLICANT TO FILL IN (PRINT OR TYPE) �6 e L
.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNERMAIL
�0�/�.��. �te �•
BATH TUB 1.75 �L ADDRESS I
SROWER 1.75 CITY �� Z.� TEL NO. // _6jS-2_
LAVATORY 1,75 CONTRACTOR ,, ep_ 7",Gb, ,
SINK. 1.75 ADDRESS . SG t0/1J
DS
DISHWASHER 1.75 CITY C C TEL:IVO.S :����' D
CLOTHES WASHER 1.75 -STATE r7 [I LIC .
fIN
E NO.. G T b -CLASS•
•SWIMMING POOL RECEPTOR 1.75
TRICT NO. GROUP N CESSED BY
LAWN SPRINKLER SYSTEM 1.75
:.
WATER HEATER 1.75 RIAL
APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM •30 C
t;
CL.
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE Q d
Plan check applicant APPROVALS DATE INSPECTOR'S SIG'NAT,URE
UNDER SLAB WORK
Name C ROUGH PLUMBING LJ_ r ,' / ���
Address`, . C.r per„ � GAS PIPING �j
GAS VENT
Cit Tel. No.
Y �, O LT C3* HOT WATER HEATER' f
1 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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ,,r-,,,f A.LICENSED AS REf1UIRE0 BY LOS ANGELES COUNTY AND STATE.OF ,. ■
CALIFORNIA•OR THAT I AM THE LEGAL OWNER. 0 , AND INTEND:TO
RESIDE IN•THE ABOVE DES I DRISIDENTIAL 0 E 7Y. FINAL - '
SIGNATU RE
'"TTEE
PERMIT ALIDATION K. M.D. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
8 :4'7 FEB . '0 ` - ..0 O A-
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