HomeMy Public PortalAbout9023 PENTLAND ST_Plumbing__ Ta AG67C (cc 8178) -Y/TS
APPLICATION FOR PLUMBING PERMIT 'fl
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY 1
BATH TUB NEAREST
CROSS ST
SHOWEROWNER ,
LAVATORY MAIL
ADDRESS aG�•�C
SINK CITY - „� TEL NO
DISHWASHER CONTRACTOR
L
CLOTHES WASHER
ADDRESS rj
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEM
STATE C LIC
WATER HEATER �a LICENSE NO �' CLASS S
GAS SYSTEM OUTLETS DISTRICT NO GTUP ZONE OCESSED BY V
Q� C
OUTLETS OVER �A �O
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL H
INSPECTION RECORD Z
Plan check tee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE a
Plan check applicant
Name APPROVALS DATE INGR¢TOR s OIGN ATURE
UNDER SLAB WORK
Address
ROUGH PLUMBING
L
Tel NO GAS PIPING
EflEBY ACKNOWLEDGE THAT I XAVC READ THIS APPLICATION GAS VENT
TATE TXAT THE ADOVE IS COORECT AMO AGREE TO COMPLYALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
INGEREBY CERTIFY THAT I AM PROPERLY REGISTERED PND/OR PLUMBING FIXTURES
EDAS REOU IRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
RNIA OR THAT I AM THEM. GAL OWN OF ANO ENO TO IN THE A80VE Of SC ED E910ENT1 PRR UTILITY CO NOTIFIED
ATUREPERMITTEE
PLAN CHECK VALIDATION CK M 0 CASH, _ PERMIT VALIDATION cK M 0 CASH
5.2 0FZAPR 6 5 8 7-50 AM
r)c PLUMBING 1
DEPARTMENT OF COU= ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTT OF LOS ANGELES BUILDING
WILLIAM J FOX, COUNTY ENGINEER ADDRESS 3 i
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST
ADDREss �O'y3 �C A) TLAA/D cnosasT
DISTRICT yD� OROUP ZONE PERMIT NO
LOCALITY /7,2,s IS Me-A j� 5 Z �"
CROSS ST CJ 5 C—M f A L ✓D RECEIVED BY Ready ter Inspection DATE ISSUED
OWNER (jA/ 11,4A� ;)
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
Cm TEL NO INSPECTION RECORD
PLUMBERT^!(K 49 r( F40 Mrs.A✓4
ADORESB /LII/ /'5 C 7C A&Ia^1A
ITY TEL NO ED. —3G
9 �7 STATE
LICENSE NO ! Z,i ID�COUN"
PERMIT FEES �"tt Z
Ru.sER _ TYPE OF FIXTURE OR ITEM FCQ
WATER CLOSET(TOILET) tia 040 $ Of
BATHTUB a 060 d
SHOWER 0 080
LAVATORY (WASH BASIN) ® 0 Be
KITCHEN SINK Q 0 Be
i
LAUNDRY TUB OR TRAY 0 080 O
-`S
SLOP SINK 0 080
FLOOR SINK a 080
FLOOR DRAIN 0 080
DISHWASHER 0 080
DRINKING FOUNTAIN 0 080
TURINAL 0 080
GASSYSTEM OUTLETS 0 100 OG
1
WATERHEATER 0 to O
MISCELLANEOUS _
__ APPROVALS
DATE INSPECTOR' 816 NATURE
UNDER SLAB WORK /
PERMIT $ I 00 ROUGH PLUMBING
TOTAL FEE 6QI GASPIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD THIS APPLI GAS VENT
CATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER NEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAW8 /
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED-13Y LOS ANGELES COUNTY GAS TEST J ff
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
OIF PERMpTTEE [�[�[aC _
"FINAL y'/ J,
78A667 DBb 17 1/58