HomeMy Public PortalAbout9327 PENTLAND ST_Plumbing__ I
7GA667 (CE-817)-8-71 1
APPLICATION FOR PLUMBING PERMIT n
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION5AD
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S
Y
FOR APPLICANT TO FILL IN (PRINT OR TY PE) �y
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NUMBER FIXTURE OR ITEM ®WATER CLOSET 1 ]5
BATH TUB 1 ]5 S7,22SHOWER 1 75 TEL NO O a
LAVATORY 1 75 / OR L
SINK 1 75 ADDRESS
DISHWASHER 1 75 I CITY v .TEL NO
CLOTHES WASHER 1 75 ` STATE III, LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 76
DISTRICT NO GROUP Z N PR C ESSFD BY
LAWN SPRINKLER SYSTEM 1 75
WATER HEATER 1 75 S
WASTE APPROVAL Q
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD V
OUTLETS OVER 30 Z
5 PER SYSTEM
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U
W
111.
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Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INS PecraN S Slanwrune
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
HOT WATER HEATER
HEREBY ACKNOWLEDGE THAT HAVE READ GRE APPLICATION70COMPLY
AND STATE THAT THE DIVAN 16 CONNECT ANO LAWS
TO EATING PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND !TATE Lw W] NE4U EATING
PLDMBiNc GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED GY LOS ANGELES COUNTY AND STATE OF 41
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO tl 11 -117
RESIDE IN THE ABOVE DE RISE RESIDENTIAL PROPERTY FINAL
SIGNATURE I
OF PERMITTEE �(
PERMIT VALIDA CN M o cwSH
PLAN CHECK VALIDATION CN M O LASH
- ` e
JIGO 4 9 7 1-jj JAN 10 5 D 4.75-
v
7MW7-CM17 6-60 0 172
APPLICATION FOR PLUMBING PERMIT
CO OF LOS ANG 3
DEPAR i OF COUNTY ENG"VEER
BioII DING�AMNB E A�FoETY DUNTY NMG.SNIEO�N BBUUHMING �DRESS E. Pentland
WILLIAM A JENSEN SUPT OF BDILDING
LOCALFYT Tem Cit
FOR APPLICANT TO FILL IN NEORE T
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER Noel Baldwin
1 RATH TOB ADDMH F8S 01 N. Baldwin Ave.
1 S HOWELL crryTerrple City Tm- NO AT 6-082
2 LAVATORY CONTRACTOR Belvedere Plumbi Co.
1 Bm ADDRESS 11900 E. GarveyAve.
1 DLSHI WASHEB Cm El Monte TEL No GI 89836
CONTRACTORS STA,
LAUNDRY TOR REGISTRATION NO Z 68 COUNTY
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CLOTHWASHES DiSTRY NO GROUP I ZONE HeSED BY
WATER HEATER 5-Q
GAS SYSTEE7 DMUSTHIAL
WASTE APPROVAL
078PEC770N RECOSD
`I ' `!/ 0
0 83 00 PER ITEMI
11
OR FLEXURE f 11.00 APPROVALS DATE INSPItCTOR 9i91GNATURE 1
PERMIT t Z 00 UNDER SLAB RK / I V
TOTAL FEE / OQ ROUGH PLUMBING `� I
GAS PIPING v
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER i
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURE
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST r�� w'S IY LJr'✓
CALIFORNIA OR AT 1 AM THE LEGA NER OF THE ABOVE _
DESCRIBED T L PROPERTY UTILITY CO NOTIFIED I l
SIGNATURE
OF PERMI FINAL 7
®. VALIDATION RO ERT A' 000
I ERVISINO MECHANICAL ENG R
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