HomeMy Public PortalAbout9527 PENTLAND ST_Plumbing__ TeAGO -CSRe9/63 � y ,
LI
APPLICATION FOR PLUMBING PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING ANP, SAFETY DIVISION BmLDING 1
JOHN A LAM IE COUNTY ENGINEER ADDRESS a,
WILLIAM A JENSEN SUPT OF BUILDING
LOCALITY Q. 1
FOR APPLICANT TO FILL IN HE
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $175 ¢
BATH NB 1 75 ADDRESS
SHOWER IRS CITY q TEL NO
LAVATORY 1Z5 CONTRACTOR
SINK 175 ADDRESS
DISHWASHER 125 CITY TEL NO
LAUNDRY TUB 175 CONTRACTOR STATE ❑
REGISTRATION NO COUNTY
CLOTHES WASHER 125 DISTRICT NO G ONE PR BY
WATER HEATER 1 50 / N- O�
CAS SYSTEM-OUTLETS--
S0 INDUSTRIAL o.
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
K
0
F
V
w
a
N
Z
APPROVALS 17ATE, INSPECTOR.5 SIONATu
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING q ' �� N �•�!
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ICATION GA$VENT
AN STATE THAT TM[ ABOVE I[ CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY o1lplNwgc[B AND "ATE uwe q¢auuTING HOT WATER HEATER
PLUMBING
I HER®Y CERTIFY THAT I AM PROPERLY REGISTER¢➢ AND/ON PLUMBING FIXTURES
CALIFORNIAL ICC
HSEDAD R¢ HAT I N LOS ENABLES COUNTY AND STATE OF GAS TEST
CALIFORNOR THAT 1 B THE LEGAL ES C OF AND INTEND TO OF
RESIDE IN THE ABOVE DESCRIBED RESIDENTIA •Rope RTY UTILITY CO NOTIFIED U C ' IF
SIGNATURE
OF PERMITTEE
FINAL
/-'%ALIDATION ROBERT A WOOD
DH M D CASH SUPERVISING MECHANICAL ENG R
X02 6 5 4Z AUG 14 5 D 1125-
""""' 25M SETS 7 'S APPLICATION FOR PERMIT
'DEPARTMENT OF BUILDING AND SAFETY PLUMBING
�� � � 7
COUNTY OF LOS ANGELES
WN J FOX,CHIEF ENGINEER
;OFS TI D G O E P
PHIZATER
EH COMPLETE _ A -1 3/OL BEPTICTANK RECS V® ByREADY ECRDATE ISSUED
} FIRST INSPECTION CANT FILL IN HEAVILY OUTLINED PORTION ONLY
Joe
) ADDRE
m ADDRESS
S
jNEAREST
G CITY TEL NOr CROGS ST
COUNTY
LICENSE NO IDIPIRES K NAME f/ t
ZRIAMNO
LOCATION OF SEPTIC TANK, OR dESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY TEL No
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF,QUALIFICATION
PLUME{R
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWN=
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
ATM TUB FURNACE
Q
kI----------FLOOR
OWHR DISHWASHER D
VATORY REFRIGERATOR
TCHEN SINK WATER SOFTENER
SINK SANDTRAP
OP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
/ DATE IN�FP+[CTOR•NAM[
WATER MEATIER DENTALLAVATORY ROUGH PLUMBING �J?=Y9 L"'
/ ETERJ GAS "ODA FOUNTAIN'
OUTL SAS PIPING
OAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
S� C � UTILITY GO NOTIFIED
TOTAL FEE
�'�-