HomeMy Public PortalAbout9447 PENTLAND ST_Plumbing__ 76A66`Y - CEBIT 5/70 'C/��&�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAUST
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BUILDING AND SAFETY DIVISION ADDRESS G/
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING DD
Y
FOR APPLICANT TO FILL 1N PR NT OR TYPE NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 0BATH TUB 1 0
SHOWER 1 0 CITY TEL NOa�d, 4
LAVATORY I CONTRACTOR
SINK I ADDDISHWASHER 1 TEL NO�
CLOTHES WASHER 1 0 STATE / LIC
LICENSE NO 6 CLASS
SWIMMING POOL RECEPTOR 1 0 DIBTRICT NO
LAWN SPRINKLER SYSTEM ] 1 0
WATER HEATER 1 WASTEAPPROVAL /}�(
GAS SYSTEM OUTLETS ' ,.0
DIaPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM 0
Plan check fee�21,% of above See reverse
PLUMBING PERMIT ISSUING FEE E 00
TO7 AL FEE APPROVALS DATE INavcCTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
I H[RCBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMO STAT[ TKAT THE ABOVE Ie CORRECT AND AOR[[ TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS R[OULATINO GAS TEST
PLUMBING
I HER"
Y C[RrIPY THAT ( AM PROPERLY REGISTERED AMD(OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AMD STATE OF
CALIIORNIA OR THAT I M TH[ LEGAL OWNER O AMD INTEND TO
B[>m[ IN THE ABOVE Rlem Ras It uL P [Rrr FINAL
SIGNATURE 1 JACK R ALLEN, SUPE V SI G ME HANICAL ENG R
OF PERMITTEE
PERMIT VALID
AT CK M o CASH
PLAN CHECK VALIDATION CK M o CASH -
LlIL0A 7.7N JhN28 a 4.75-
/
74^667_(Ce-aril - 1/75 vT �)�� e.r /
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRE'
NG
MAKE CHECKS PAYABLE TO S
944? Pentland
HARVEY T BRANDT, COUNTY ENGINEER ITY Tem e City
FOR APPLICANT TO FILL IN (PRINT OR TY PEI T
ST
NUMBER FI%TURF OR ITEM ® FEEWATER CLOSET 2 0 Robert Griffin
9y1y� pentland
BATH TUB 2 0 OSS q285590 SHOWER 2 0 CITY Temple City TEL NoLAVATORY 2 0 CONTRACTOR Econom PlumbiSINK 2 O ADDRESS 1580 E Walnut
DISHWASHER 2 0 / CITY Pasadena TEL NOCLOTHES WASHER 2 $TATE 1 ��.A�� 11 LICLICENSE NO LL'Sii 24y190 CLASS
SWIMMING POOL RECEPTOR 2
DISTRICT NO 1GROLIPI ONE P ESSED BY
LAWN SPRINKLER SYSTEM 2 1�$7 L '1 d l
WATER HEATER 2 0 WASTE APPROVAL
a
GAS SYSTEM OUTLETS 2 he OQ INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM 30
r
U
W
C.
Z
Plan Check tee See Reverse
PLUMBING PERMIT ISSUING FEE a
TOTAL FEE
APPROVALS DATE INSPECTOR a aICNATVRc
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING I
(�
Address GAS PIPING /11
City Tel No GAS VENT
HOT WATER HEATER
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES A
WITH LL COUNTY ORDIMAMC E9 ANO STATE LAWS REGULATING
PLUMB I No GAS TEST �i D
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED IF
LICEN SEG AS REQUIRED ST LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO /)
RESIDE IN THE ABOVE GESE ISEO RESIDENT AL PROPERTY FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATIONcK M 0 CASH
PLAN CHECK VALIDATION CK M 0 CASH
509r=App 23 5 D 22.50A�7
I'76AW7-CES17-1157
J APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
]]OHN A. JAMIE County Ensp ADDRESS —
CASSI4TT D GRIFFIN Supt of Bmdwp LOCALITY
FOR APPLICANT TO FILL IN cBNEo�sr
NUMBER FIXTURE OR ITEM
f WATER CLOSET OWNER J T
BATH TDB ADDRESS �/�7�/�1_ PkAl-rL A/ HJT,
r SHOWER CITY LE C/7 TEL NO
I LAVATORY CONTRACTOR/
SINE ADDRESS
DISHWASHER CITY TEL NO
LAUNDRY TUB REGISTRATION
S STATE El
REGISTRATION NO COUNTY
CLOTHES WASFffi8 pI5TR7.QNp GROUP E/ READY FOR INSPECTION
WATER HEATER V!
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
3 @ $100 PER MEM 3 G(/ DATE INSPE SIGNATURE
OR UNDER SLAB WORK
PERMIT E 00 ROUGH PLUMBING fj
TOTALFEE S 6FV GAS PI PING
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 Z
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LASTEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA PROP RTY
A
SIGNATURE
OP PERM=Mb
TT FINAL —i,
ROBERTA WOOD
®' VALIDATION SUPERVISING MECHANICAL ENG R
C[ M O CASH 1
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M5978 —� OCT22 5 A 500