HomeMy Public PortalAbout9034 PENTLAND ST_Plumbing__ 76AS67-CES17-8-58
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APPL.IICATIION FOR PLUMBING PERMIT
COUNTY 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION EOD.DENG
CJIrOHN A. LAMHIE, CouWp Eagm wr ADDBFSS
HSATS D GRIFFIN,Rup t of 9.=dmq LOCALITY
FOR APPLICANT TO = IN Rp+^ *
CR088 9S
NUMBER FIXTURE OR ITEM -�-
OWNER
WATERBATHr CLOSET MAIL ADD
aA78 IIIE ADDRESS
SHOWER CRY TEL NO
CONTRACTOR 1 1
LAVATORY S KH�t r/
RENE ADDRESS �//'�11� ffJ S• .9 �)
DIRHWASfEM 0" L,e.r}�fl�.,ar,� TEL N /A. S IV
CIOH'S �1 `` „t STATE-
LAUNDRY SOB HeGHReAf10N NO / �(f'�� COUNTYCl
CLOTHES WAST-M DISTRICT N GROUP Z NE P 6SED BY
WATER HEATER /O(J
GAR SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
OR PER
a DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT S 2100 ROUGH PLUMBING
TOTAL FEE GAS PIPING /
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHD/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELSE COUNTY AND SE OF
CALIFORNIA OR THAT 1 AM THE LER AL OWNER OF THE TATABOVE UTILITY CO NOTIFIED /
DESCRIBED REST �N7TR PR�ERTY
SIGNATURE ( !�
OF TUR r FINAL
ROBERTA WOODI r
®r VALIDATION/ SUPERVISING MECHANICAL ENG R
CR M O , CASH//1 <
0V
JC66 9 1 3 % All 10 5 D 3.00 'Ma,•
76AG67 (CE-617)- 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES City of Temple Clary
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
AIA KE CHECKS PA YAB IE TO ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE( NEAREST Fratus & Pent an
NUMBER FIXTURE OR ITEM CROSS 5T
e FEE
WATER CLOSET 1 75 OWNER Ho;gara D. Lane 642 9
MAILBATH TUB 1 75 ADDRESS H me
SHOWER 1 75 CITY TEL NO 447-144
LAVATORY 1 75 CONTRACTOR aA` mmuroN �+
SINK 1 75 ADDRESS WO %NEST BLVD.
DISHWASHER 1 75 CITY LOS AnQelq TEL NO PL 3-2NI
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO C •36 I518" CLASS
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP ZONE OCES ED BY
LAWN SPRINKLER SYSTEM 1 75 B _f
1 WATER HEATER T 75 IIN0.5TE7A.VAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD
OUTLETS OVER Bp Ready for Intpection Now o
5 PER SYSTEM
WAM SOFT@Qi W
1
N_
Plan check fee See Rev.,.*
PLUMBING PERMIT ISSUING FEE B B 00
TOTAL FEE
APPROVALS DATE INSPECTOR s SIGNATURE
Plan Check applicant UNDER SLAB WORK
NBnIe ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HERE ACKNOWLEDeE THAT I HAVE READ TN16 APPLICATION
AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMEINB GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED j r
11CINSED A6 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO -
R[SIOE IM THE ABOVE DESCRIBED RESIDE L JPO FINAL
SIGNATURE {J//gyp
OF PERMITTEE
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION CK M o CASH 2 3 8�PMAY 19 5 0 4.7 5 Ay0
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