HomeMy Public PortalAbout9502 PENTLAND ST_Plumbing__ X76 A 667 - CE 817 7-69
~ " APPLICATION FOR PLUMBING PERMIT
` COUNTY OF LOS ANGELES Y '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7KA
L NL7
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING nG
FOR APPLICANT TO FILL IN PR NT OR TYPE �O/l J-
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET IL
1 50 f 5 1
BATH TUB 1 50 ORERR
SHOWER 150 Q CITY TEL NO
LAVATORY 1 50 3 CONTRACTOR{
SINK 1 50 LJ�Q ADDRESS /��9 +�✓ _CT
DISHWASHER 1 50 S crry7VjA4ltiL,..L TEL NO313-.;2U j—
CLOTHES WASHER 150 `� S STCATE ENSE NO vJ 7 d y LIC
/-��J " WSJ CLASS Cn.. i�
SWIMMING POOL RECEPTOR 1 50
• DISTRICT NO GROUP ZONE PR SEED pY
LAWN SPRINKLER SYSTEM 2 00La'+-
WATER HEATER 1 50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM Z OUTLETS 1 50 INSPECTION RECORD Z
OUTLETS OVER
5 PER SYSTEM 30
LTA is° ) o
N
Z
Plan check fee 2S% of above See reverse
PLUMBING PERJRI ISSUING FEE 8 2 00
1OlAL 1,EE P7
APPROVALS DAT 4INSPECTOR L6.�SIGNATURE
Pian check applicant UNDER SLAB WORK ��� �I J �� t//✓ i
NOI1e ROUGH PLUMBING
Addreqs GAS PIPING O
GAS VENT
City Tel No
MOT WATER HEATER
I NCTAT ACKNOWLEDGE THAT 1 HAVE AND THISGRE APPLICATION
AN0 sinT[ iNAT TN[ ABOVE Ie Coww[cT wwB waw[[ TO coNCLr PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCE[ AND RAT[ LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGI[TER[O ANO/OR UTILITY CO NOTIFIED t
LICEN➢[O AS REQUIRED BY LO[ ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TML/ GAL HER OF AND INTEND TO
RESIDE IN THE ABOVE D[K RIB[ A IS NTIA P'VFERTY FINAL
SIGNATURE r - JACK R ALLEN, SUPERV191N ECH ANICAL ENG'R
OF PERMITTEE
PERMIT VALIDAU � M o CASH
PLAN CHECK VALIDATION CK
3 8.2 s� FEB 5 0 1 7.00
v � r •I V } r