HomeMy Public PortalAbout5548 PAL MAL AVE_Plumbing__ DEPARTMENT OF COUNTY LNGINEES
PLUMBING 1
DIVISION OF BUILDING AND SAFETY J� �PERMR APPLI ATION
OOUNTY OF LOS ANGELES BUILDIN
WILLIAM J. FOX, COUNTY ENaINE[R ADDRESS
_, PPLICAN TO FILL IN LOCALITY
BUILDING ^ NEAREST
ADDRESS I CROSS ST
1 DISTRICT NO GROUP ZONE PERMIT NO
LOCALITY = O
NEAREST J.
CROSS ST IV D BY Ro[Oy for I[HYet m DATEISSUED
OWNER
MAIL 11L
ADDRESS / .l WASTE APPROVAL
C lic [L No INSPECTION RECORD
PLUMBER (( rl �
ADDR
V/
CITY TEL NO
STATE
LICENSE NO LINTY J
PERMIT FEES
z
YYY![• TYr[ Or rYRYY[ YY IT[M r[[ Q
WATER CLOSET(TOILET) ® 020 s
G
BATHTUB 000 D
SHOWER 0 020
LAVATORY(WASH BASIN) 0 000 D
KITCHEN SINK 0 000
LAUNDRY TUB OR TRAY 0 0 60
SLOP SINK 0 0 so
FLOOR SINK 0 000
FLOOR DRAIN 0 000
DISHWASHER 0 000
DRINKING FOUNTAIN -000
URINAL 000 O D
GAS SYSTEM OUTLETS 100
WATER HEATER ® 100
MISCELLANEOUS _
_ APPROVALS
D INSPECTORS SONATU [
UNDERSLABWORK e— 3 Tj
PERMIT = 1 00 ROUGH PLUMBING /
TOTAL FE 0 BAS PIPING n� /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AMD/OR LICENSED AS REQUIRED BY LOS ANGE8 COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE GAL OWN.
ER OF THE ABOVE ISE ESLD TIAL P P RTY UTILITY CO NOTIFIED r
SIGNATURE
OF PERMITTEE
FINAL
T&A08T DBS IT 1/08
/72
TBA;BT .CE °IAAPPLICATION FOR PLUM ING PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING L
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANDT. COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN IPRINT OR TY PEI NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM O FEE
OWNER
WATER CLOSET 1 75
MAIL LA
BATH T AD
1 73 DRESS
SHOWER 1 75 CITY TEL NO 4W—44
' LAVATORY 1 75CONTRACTOR
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITY TEL NO
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 73
LAWN SPRINKLER SYSTEM 1 75 D�STRICi N GRO 2 PRO Y
J o
WATER HEATER 1 75 WAPPR
ASTE OVAL
GAS SYSTEM OUTLETS 1 75 og INS$Eq0ON RECORD
OUTLETS OVER
5 PER SYSTEM 30
Ci
W
LL
Plan check fee SBL RBVou
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
APPROVALS DATF, /ik.PECTW A SIGNATURE
Plan Check a licanat 00 1 UNDER SLAB WORK 77—
Name V ROUGH PLUMBING (.L ti
Address GAS PIPING A/ C
GAS VENT
Clty Tel NO '
HOT WATER HEATER
IXLRLBY ACRMOW L[D[! TX I MAV! RCAD TNI! APPLICATIO
AND STATE THAT THEABOVE IS CORRECT AND AOR[[ TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY 0ROINANC[S AND STATE LAW[ RLLULATING
PLUMBING GAS TEST 240-73
I NLR[Br CERTIFY THAT I AM RoIIRLY Rf01 [ALD IID/OR UTILITY CO NOTIFIED
LICENSED At R[OUIN'
R[D BY O! NO[ �OUMT I T
CALI IORNI. OR THAT I AM E [GALWT.
L OI
LFINAL
R[BIDE IN TX! Aeov! ouI ! RCBI
SIGNATURE 1
OF PERMITTEE
PERMIT VALIDATION CK0 CASH
PLAN CHECK VALIDATION CK M 0 CASHif
S.AW7079E^.2 X14 5 0 10.00