HomeMy Public PortalAbout9425 PENTLAND ST_Plumbing__ �,BAEBT CE'K" 4
EAPPLICATC%ICf-4 FOR PL UMBI NAWtM IT
i COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION FlIDDRESS
JOHN A LAMBIE COUNTY ENGINEERCOLEMAN W JENKINS SUPT OF BUILDING FOR APPLICANT TO FILL IN T
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1125
BATH TUB 125 ADDRE
SHOWER 125 CITY I TEL NO
LAVATORY 1251 CONTRACTOR
SINK I Z5 ADDRESS D
DISHWASHER 125 C TEL NO
LAUNDRY TUB 125 STATE o LIC
LICENSE NO �a CLASS
CLOTHES WASHER 1 25 DISTRICT NO GROUPZO PR CESSE BY
WATER HEATER 1 50 // l
GAS SYSTEM--OUTLETS- 1 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 00 INSPECTION RECORD
CD
- U
K
CD
U
W
d
H
� Z
APPROVALS DATE INSPECTOR 5 SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUUTING HOT WATER HEATER
PLUMBING
I HE CERTIFY THAT 1 AM PROPERLY REGISTERED ANOIOR PLUMBING FIXTURES
LICENSED A$ REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN TME ABOVE DESCRIBED RESIOEN L PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL L o
/VLID
AATION JACK R ALLEN
cK / M D CASH SUPERVISING MECHANICAL ENG'R
Lko12 2 8:8 JAN 10 3: D 350 v
16A667 17 25M BETS T. APPLICATION FOR PERMIT"
DEEARTOF BUILDING AND SAFETY
COUNTY
PLUMBING
ro.
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN / ��
PLUMBER tDISTRICT
CE��Y READY FOR ATE ISSUED
FIRST INSPECTION � �ADDRESS
TEL NO COUNTY -{ ,/ RESS
LCENE NO mJ � G EXPIRESALITY
I CERTIFY THAT I POSSESS THE ABOVE VAI I LOS NEAREST
ANGELES COUNTY LICENSE CROBBST
OWNER
MAIL
PLUMBER ADDRESS
PERMIT FEE IS $1 O FOR THE FIRST FIXTURE OR CITY TEL No
ITEM LISTED BELOW, PLUS BOC FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE
$100 MINIMUM FEE FOR ANY PERMIT $1 OO EACH
GAB SYSTEM IS A SEPARATE ITEM
[WNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN BINK
LAUNDRY TUB R TRAY _
GAB 9YBTE M, OUTLETS
WATER HEATER
SLOP BINK J
Q
FLOOR BINK Z
FLOOR DRAIN L2
DISHWASHER 0
O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR B NAME
ROUGH PLUMBING I—f /
OAS PIPING
DAB VENT
CESSPOOL
SEPTIC TANK -DRAIN ( ) PIT ( ) $ SEPTIC TANK
CESSPOOL $ _ SEWER
HOUSE SEWER $ GAB TEST
TOTAL FEE UTILITY CO NOTIFIED
$ �f-
nNAL TI �e