HomeMy Public PortalAbout9027 PENTLAND ST_Plumbing__ 76 A 667 - CE 817 7-69 U�
APPLICATION FOR PLUM PERMI
COUNTY OF LOS ANGELES r
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION wn�aFss Q Z
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T of BUILDING LOCALrrY
FOR APPLICANT TO FILL IN PRNT OR TYPE NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1501
MALL
BATH TUB 1 50 ADDRESS
R uc2t,
SHOWER 150 CITY TEL NO
LAVATORY I50 CONTRACTOR SINK 1 50 ADDRESS 2,vDISHWASHER 150 CITY vk I, TEL NOCLOTHES WASHER 1 50 STATE � - / LICLICENSE NO ZL CLASSWIMMING POOL RECEPTOR 150
DISTR/IC♦1T NO GROUP ZONE LAWN SPRINKLER SYSTEM 2 00 I� V �
WATER HEATER 1 50 (INDUSTRIAL 8
(WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD
OUTLETS OVER _
5 PER SYSTEM 30
i to
Z
Plan check fee 29% of Bbo%e See re%ersc ,
PLUMBING'PERMI I ISSUING PEE S 2 Ob
TOTAL ICE
APPROVALS ` DATE INSPECTOR 8816NATURE
Plan check appllcanL UNDER SLAB WORK
Name ROUGH PLUMBING
Address ' GAS PIPING
GAS VENT, _
City, Ill No
HOT WATER HEATER
I HER[GY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IE Co RR[CT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I H[R®r C[RTIrY THAT I AM PROPERLY REGISTERED Ano/OR UTILITY GO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATC OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWN OP AND INTEND TO
BESIDE IN THE ABOVE D[SCRI O R[ DENT L ROP[RTr FINAL
SIGNATURE JACK R ALLEN, BUPERVIBIN HANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION cK M D - CASH
PLAN CHECK VALIDATION K M o CASH i --
' Ar_3939R KAR 3 ;g 0 350-
DES T7 1 APPLICATION FOR PLUMBING PERMIT -
OBB 1]12!4
DIVISION OF BUILDING AND SAFETY
` Deportment of County Engmeer
County of Los Angeles BUILDING
�G. / J
WM J FOX COUNTY ENGINEER ADDRESS {� AIV�"
CA68ATT O GRIFFIN Bw T of BDILBINc LOCALITY TQ.H Ple G� ��
FOR APPLICANT TO FILL IN NEAREST
7
ROSS T
OWNER DISTRICT NO OR? ZONE a6ABY FOR INSPECTION
MAIL L A--I
ADDRESS
INDUSTRIAL
CITY
1 (' TEL NO WASTE APPROVAL
PLUMBER A / /�/Jf1Q C NC , INSPECTION RECORD
ADDRESS /� p 110 l
CITY47�4 /tel-OIu Ae TEL NO . O/
LICENSE NO 3 6
NUMBER TYFE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATHTUB
SHOWER _
LAVATORY (WASH BASIN) _
KITCHEN SINK _
DISHWASHER _
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO o Bo D APPROVALS
/ I.a DATE INSPECTOR 5 SIGNATURE
GAS SYSTEMOUTLETS ® 100
O UNDER SLAB WORK 1
�- WATER HEATER - — -® 100
ROUGH PLUMBING =-
PERMIT S I O0 GAS PIPING LL
TOTAL FEE 1 7aC> GAS VENT
I HEREBY ACFNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 1-(I-,t
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE 41�
OF PERMITTE FINAL F K
WILLIAM J FOX, COUNTY ENGINEER VALIDATION
X0'7 3 e� rEw21' "3 ' 7.0.0 *.
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BY
/ DEPUTY