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HomeMy Public PortalAbout9563 PENTLAND ST_Plumbing__ ... 7GA667 (CE-617) - 1/75 - 1 APPLICATION OR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER: ' BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING C'4/` HARVEY T. BRANDT, COUNTY ENGINEER ADDRESS ((Dv�J LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. G NUMBER FIXTURE OR'ITEM ® FEE WATER CLOSET. 2.00 OWNER MAIL 'BATH TUB '2.00 ADDRESS SHOWER 2.00 CI ige TEL. NO. LAVATORY 2.00, CONTRACTOR �Lv SINK 2.00 ADDRESS d DISHWASHER 2.00 CITY �� TEL. NO.�� ; CLOTHES WASHER 2.00 STATE LIC LICENSE NO. 7 �- CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.JGROUPJ E 'ESSEY BY LAWN SPRINKLER SYSTEM 2.00 Jj J— WATER HEATER 2.00 INWASTE A•D/'USTRIAL PPROVAL GAS SYSTEM OUTLETS 2.00 d L) INSPECTION RECORD CD OUTLETS OVER COO 5 PER SYSTEM .3U Cd CD , W CL CO) - Z rPlancheick e See Reverse G PERMIT ISSUING FEE $ sn TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE pplicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT HOT WATER•HEATER. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ CHIS APPLICATION .- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �1 &`- PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS. Na LES COUNTY A STATE OF CALIFORNIA OR THAT I A TH EOAL OWNER'OF, A fR TEND TO RESIDE IN THE ABOVE DE 1.3 ESIDENT� PROPER FINAL - - Z, S_IGNATU RE OF PERMITJ'EE YU y PERMIT VALIDATION CK. M.O: CASH PLAN CHECK V DATION CK. M.O;. CASH f' ' 6 1 ©:PM - 5 5 D 7.5 0 oz's DEPARTMENT OF COUNTY ENGINEER PLUMBING I DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J#.FOX, COUNTY ENGINEER ;;ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEARESTAUZ ADDRESS CROSS ST. DISTRICT N0. GROUP I ZONE 1176 LOCALITY -�^�+ � �p C. J � ,��•� CROSS ST. /L&R� � /!l raj RECEIVED B�Y,p Ready for Inspection DATE ISSUED OWNER ALM �©!— ADDRESS Q �` XASTE �C L A L ^7 WASTE APPROVAL CITY7k~/!7f✓L� L� EL.No.17'—/�J ;Zf-:16 INSPECTION RECORD PLUMBER ��A� C O SLR 0 ADDRESS CITY �L L TEL.NO. T } +� [�STAVE LICENSE NO. / / I .B�NTY J PERMIT FEES z VUMSER TYPE Or rIXTURE OR ITEM FEE n WATER CLOSET(TOILET) 0 0.80 S PD O BATH TUB 0 0.80 SHOWER df 0.80 LAVATORY(WASH BASIN) df 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY df 0.80 SLOPSINK df 0.80 FLOOR SINK df 0.80 r FLOOR DRAIN 0 0.80 DISHWASHER df '0.80 DRINKING FOUNTAIN df 0.80 URINAL df 0.80 GAS SYSTEM..... ..._OUTLETS df 1.00 WATER HEATER df 1.00 MISCELLANEOUS APPROVALS DATE INSBFOCTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING y /yi•�,t ."lp.� GAS PIPING �d` "G'ti s`� 1- TOTAL FEE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GASVENT f CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIF NIA OR THAT 1 AM E LEGAL OWN- ER OF THE ABOVE ED RES ENTI ROPE TY. UTILITY CO.NOTIFIED ~ w k SIGNATURE 78 OF PERMITT ... ._. _. ... _.._..._._.._.._.... F a. FINAL 1 2-54 76AG67 DBB 17 r� e, loor