HomeMy Public PortalAbout9333 PENTLAND ST_Plumbing__ 76 A 667 CE 817 7-69
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. _ APPLICATION FOR PLUMBING PERMIT/ I
COUNTY OF LOS ANGELES u
DEPARTAIENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7AB3� ����JOHN A LAMBIE COUNTY ENGINEER COLEMAN WJENKINS SUPT of BUILDING Fl17 FOR APPLICANT TO FILL IN PR NT OR TYPE � /_' /r NUMBER FIXTURE OR ITEM EACH FEEfWATER CLOSET 1503 /�J /'F � �/� tBATH TUB - 1 50
SHOWER c 1 50 CITY TEL Nt+Y2,,rlf G ��
LAVATORY 1 50 COR7RAC70R el
�+ //�'�S
SINK 1 50 ADDRESS Q f" C i�A�U .�1
B DISHWASHER ' so CITY E�yy TEL NO /J `JQ
1 " STATE 7 LIC
CLOTHES WASHER 1150 LICENSE NO ��I�/ CLASS L- �/
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP ZONE PR B
LAWN SPRINKLER SYSTEM 200 C) ' _ /
WATER HEATER 1150 INDUSTRIAL ¢¢¢
_
W� ASIE APPROVAL,
' ' -
GAS SYSTEM OUTLETS 1 50 INSPE 101 CORD
OUTLETS OVER
5 PER SYSTEM 30 / Q ,�I O
IL? U
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Plan check fee 25a of above See reverse
PLUMBING PERMIT ISSUING F EE 8 2 00
TOTAL FEE
rtAPPROVALS DATE INSPECTon sEIONATURE -
Plan check applicant UNDER SLAB WORK,
y
Name ROUGH PLUMBING t
Address ^f GAS PIPING
GAS,VENT
-
City Tel NO
HOT WATER HEATER
1 HEREPY ACKNOWL[DOE THAT 1 HAVE READ TMI! APn LICATI
AND eTATE THAT THE AwVE I\,CORRECr AND AO TO CON r PLUMBING FIXTURES _
W?H ALL COUNTY ORDINANCES AND \TATE LA REGU IND GAS TEST
PLUMBING
I HEI 11Y CERTIFY THAT I A PROPERLY R ED ANO/OR UTILITY CO NOTIFIED =
LICENSED A\ R[OUI REO EY L NGELES CO N Y O TATE OF
CALIFORNIA OR THAT I,,AM T 'AL
O I/ANO 1 ND TO
REU DEIN THE A80VK DE\C SID T PERrr FINAL - (/
SIGNATURE JACK R` ALLEN, SUFERVISIN HANICAL ENG R
OF PERMITTEE cK „
w PERMIT VALIDATION M o CASH
PLAN CHECK VKLIDATION CK M o 4 CASH '
L(�9`3.3 5 3n A114 °° 5 D 3.5 01
76A667 CE817 12/66 �,�e�� 96
APPLICATION FOR PLUMBING PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUThD NnGLaA §i ,,' FETY 2I NEON EMssG Pentland
WILLIAM A JENSEN SUPT OP BUILDING
LOCALITY Temple Clt
FOR APPLICANT TO FILL IN NEAR
caossEST sr
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER Noel Ba1dlYin
MAIL
ADDRESS
BAT!{ TUB
CITY TEL NO
SHOWER
LAVATORY ADDRESS � -
SLM ADDRESS
DffiI{WASHER CITY TEL r
LAUNDRY TM REGISTRAATT'IONSNO 179568 COIINA7TEAJY
CLOTHES WAS DISTRI O GRO ZONE I P OCESSED BY
]z WATER HEATER �O
GAS STSTEM D ERIAL WAAPPROVAL
INSPECTION RECORD
7 iJG
NDw K . a
a
11 ° 0.00, lrE $ 11.00
APPROVALS DATE INSPECTOR SSIGNATURE
PERMIT $ Y 00 UNDER BLAB WORK
TOTAL FEE ROUGH PLUMBING -71161
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT i
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �/ �wl � Q
CALIFORNIA OR THAT 1 AN THE LEGAL WNER OF THE ABOY
DESCRIBED RESIDERTIA RR'JaP//E_�RTT�Y^�pp'� �Q g UTILITYCO NOTIFIED//
SIGNATURE ('�e�w^"��✓J "T•��(// 1
OF PERMITTEP FINALX��
®r VALIDATION R ERT A VyOO - V
–� — t[ M 0 cAIDI ERVISING MECHANICAL ENG R
UE- s6a2e 15 5 D 1300 2