HomeMy Public PortalAbout9416 PENTLAND ST_Plumbing__ 75AB07 CE*817 12-64 B 9944
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APPLICATION FOR PLUMBING PERMIT I�JI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 9416 Pentland
COLEMAN W JENKINS, SUPT Or BUILDING LOCALITY Tem
ple city
FOR APPLICANT TO FILL IN NEAREST
EARECROSS ST Rosemead
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1 25 OWNERA. Fink
MAIL
BATH TDB 125 ADDRESS Same
SHOWER 125 CITY TEL NO
LAVATORY 125 CONTRACTOR General Installation Co.
Sore 125 ADDRESS 6558 West Blvd.
DISHWASHER 125 CITY Los Angeles TEL NO PL 3-2541
CONTRACTORS STATE
LAUNDRY TUB 125 REGISTRATION NO C-36 151839_ 78rkO NTY
CLOTHES WASHER 125 DISTRICT NW I GROUP ZONE PRO ,BE�D
_EY
WATER HEATER 1 50 0 Zl '7i
CAS SYSTEMWASTE APPROVAL IL
OUTLETS 1 50 INDUSTRIAL
OUTLETS OVER 5 PER SYSTEM SB INSPECTION RECORD
C.3
softener 1 50 Ready for Inspection Now 0:
0
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W
6
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APPROVALS DATE INSPECTOR 5 SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE ,3 O
GAS PIPING
1 HCw[CY ACRNOWLSpOE THAT I HAVE flGD THIS APPLICATION
AND STATE THAT THE ABOVE If CORKER AND AGR[[ TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMSINO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATS OF GAB TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
wES1 DE IN THE ABOVE DESCRIBED wEElo[PEIwL PsoPE r UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATION ROBERT'A WOOD
cK M D CASH SUPERVISING MECHANICAL ENG R
La� 6 2 4 6�— DEC 7 5 D 350- 4
7SA667 (CE-817) - 5/73
t APPLICATION FOR' PLUMBING PERMIT
. 1 - I Y i I I " 0'
-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE r . ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER L. LOCALITY
777
- FOR•APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM FEE
WATER CLOSET 1 75 OWNER �� •, ^ " '0 iG
MAIL
BATH TUB 1 75 ADDRESS-1 111 C •j—o4 d,•
SHOWER 1 75 CITY "r• TEL'NO
LAVATORY _ - 1 75 CONTRACTOR
SINK 1 75 ADDRESS '
DISHWASHER 1 1 75 � ' I ` R„ ` - -'
Gam• J ^
CITY p,Lj TEL NO
CLOTHES WASHER 1 75 `
LICENSE NO r r CLASS-f ' 14 1 1
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1 75 1l _ �� C `
WATER HEATER 1 75 INDUSTRIAL _
WASTE APPROVAL
GAS SYSTEM OUTLETS 175 I NSPECTI ON RECORD o•
OUTLETS OVER
5 PER SYSTEM 30 o
CD
•� W
Y
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE 5 3 00
TOTAL FEE
APPROVALS DATE INs vcc rOR s BIrNAru RE
Pldn�check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
i
GAS VENT
City, - Tel No
HOT WATER HEATER
, I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
ANO STATE THAHATHE AT THE ABOVE IS CORRECTIO, COMPLY PLUMBING FIXTURES
WITN ALL COUNTY ORDINANCES AND STATTE LAWS LAWS REGULATING
PLUM BIND GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO NOTIFIED
LICENSED AS REOUIRED By
LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO ,
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL C
SIGNATURE fL \\I Y 1\
OF TU RE TEE'��'• n�.�NN/N
PERMIT VALIDATION CK M 0 cASH
PLAN CHECK VALIDATION CK M 0 +CASH
c 3 8w;DEC c4 5 C 4.7 5 ♦y,