HomeMy Public PortalAbout9550 PENTLAND ST_Plumbing__ 76 A 667 —'ZEE 817 7-69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION F
LDINGST.
JOHN A. LAMBIE, COUNTY ENGINEER DRESSCOLEMAN W. JENKINS. SUPT. of BUILDING CALITY
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEARF ST.CROSS
,ZQ
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Lc
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY — L lT TEL. NO.
LAVATORY 1.50 CONTRACTOR r �� 3a C?
SINK 1.50 ADDRESS �
DISHWASHER 1.50 CITY L �T/ TEL. NO. 7
CLOTHES HASHER 1.50 STATE / LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZONE P OCESSED Y
LAWN SPRINKLER SYSTEM 2.00 da .
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD u
OUTLETS OVER
5 PER SYSTEM .30
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u
LLB
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Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
city Tel. NO. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBEDQRESIDENT L PROPERTY. FINAL •t
'iSIGNATURE JACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
OF PERMITTEE
n amm-mm PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
f'„ 6 .5 1' 59 A'27 5 D 3.50- -:
j- , �/, �/4 Cs CITY
76A687-CE0817 10-62
APPLICATION. FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER 4 ADDRESS 955Q Pentland
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Te le CZt
J
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER GKeene
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS 9550 Pentland
SHOWER 1.25 CITYTmple C• TEL. NO.
LAVATORY 1.25 CONTRACTOR Pacific Installem
SINK 1,25 ADDRESS 10920 E. Grand
DISHWASHER L25 O1TYT@ le CLty TEL. NO. 2-12
CONTBACTOA'S STATE $�
LAUNDRY TUB 1.25 REGISTRATION NO-23.1828 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT N GROUP ONE P SS D BY
WATER HEATER 1.50 1- 0 �c ,1
GAS SYSTEM OUTLETS 1.50 STAPRWAE OVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u
(J
replacement ull
u.
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k!
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 1 3159GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION g
AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR `` PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,THE ABOVE DESC IBED RESIDENJfIAL PROPERTY. UTILITY CO.NOTIFIED r
SIGNATURE
OF PERMITTEE FINAL
ALIDATION ROBERT A.WOOD
GK. M.0. CASH SUPERVISING MECHANICAL ENG'R
-$
9 3 2.G AUG 1 5 D 3S o-