HomeMy Public PortalAbout9503 PENTLAND ST_Plumbing__ 1
713A667-CE817 338
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTrDISHWASFUM
COUNTY ENGINM
BUILDSAFETY DIVISION BURRING v
C rA88AFFlNIE �Sup� of mldlvq ��LOCALISMFOANT TO FILL INxT.nxxrCAossSTNUMBERFIXTURE OR ITEMOWNEB ✓CLOSET MAILUB ADDREBBR CITY RY CONTRACTOR �,ADDRESSSFUM QTY Z ,3
LAUNDRY TUB co croRs RTA
REGISTRATION NO O C% �% G G COUNTY
CLOTHES WASHER DISTRICTNO GROUP ONE CESSED BY
WATER HERTEH
GA8 SYSTEM IIlDQSIRIAI
WA87E APPROVAL
/1 INSPECTION RECORD
Q &RDD PIE33 MEN
FETUE S
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT E 2 00 UNDER SLAB WORK
_W__TAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF T ,ABOVE
DESCRIBED RESIDENTIAL PROPERTY // UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
®. j�ALIDATION ROBERT A WOOD
/ y p CAW SUPERVISING MECHANICAL ENG R
DC2998 -� SEP22 5 A 3.00
7eAG.7 APPLICATION FOR PLUMBING PERMIT ].
''4e T=DMSION OF BUILDING AND SAFETY
_ Department of County Engineer
County of Coe ENGI
ABU
O C' -Tree, ND
WM J FOX COUNTYY gel
ENGINEER ADDRESS
ICJ
CA89ATTD GRIFFIN BUITOIBWLDING ILDLOCALITY
FOR APPLICANT TO FILL 'IN cRoss sT
OWNER F DISTRICT NO GROUP ZONE ADT FOX II PE.TION
MAIL ,r
ADDRESS S
CITY I Y TEL NO ^ WA TET
RIAL
1APPROVAL
PLUMBER 1 A DL(J'-t4j e INSPECTION RECORD
ADDRESS
LL���/�Ii�
CITY TEL NO
LICENSE NO 7
NUMBER TIP.OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO o Bo APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM OUTLETS ® 100
WATER HEATER 1 00 UNDER SLAB WORK 1(J _ TJ.{p/'1yAA�(• ..� .
ROUGH PLUMBING r
PERMIT s 1 00
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL ROPERTY // s� A
SIOF PERM TTEE (////F wA,�_'
FINAL
/I
WILLIAM J FOX COUNTY ENGINEER VALIDATION R A WOOD CHIEF PLBG INSPECTOR
I
9 2 0 5—� OCT20 3 260,
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