HomeMy Public PortalAbout4818 PERSIMMON AVE_Plumbing__ T•
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APPLICATION FOR PLUMBING PERMIT
z COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS ,PG
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
i
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. a Cc- r.! S
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 1.75 �} ADDRESS
SHOWER 1,75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR ✓ c
SINK 1.75 ADDRESS 7�'
DISHWASHER 1.75 CITY TEL. NO. Z
CLOTHES WASHER 1.75 STATE LIC //��
LICENSE 'O.'jQ L CLASS �T•
SWIMMING POOL.RECEPTOR 1.75
DISTRICT NO. GROUP ZONEI PRor.ESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL yy
WASTE APPROVAL 3.
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER4'
5 PER SYSTEM :30 J h, 7�12- .5 etA..dl_
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE SPECTO Ws AIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBINGFIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT F
CALIFORNIA OR THAT I HE LEGAL OWNER OF,I AN NTE 0
RESIDE IN TH.E ABOV.E SC BED RESIDENTIAL PROP Z ,
SIGNATU RE FINAL
OF PERMITTEE
PERMIT VALIDATION '. cK. M.O. CASH
PLAN CHECK(YE
CK. M.O. CASH
L,o 9 1 9 03 00711 1 0 9 4;00- a
76A887-CE#817 4-64
APPLICATIO FOR PL RIIBING PERMIT
APPLICFATIO
COUNTY OF LOS .ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUMDING AND SAFETY DMSION BUILDING
JOHN A.LAM IE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIl1,TURE OR ITEM EACH FEE OWNER
All
WATER CLOSET SIAS : :;L'5' MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL.110..
LAVATORY 1.25 ^' CONTRACTOR
SINS 1.25 ADDRESS Z(�
DISHWASHER 1.25 CITY. TEL-
NO.
RNSTRT
LAUNDRY TUB 1.25 / ;w-
CONTRACTOR'S
COUNT
Y 1TY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GRO Z NE PR CES Y
WATER HEATER 1.50 0
1.50 INDU4— STRIAL SYSTEM OUTLETS— APPROVAL a
O
OUTLETS OVER 5 PER SYSTEM :30 INSPECTION RECORD V
O
F-
V
W
d
t/1
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING I
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
GAS VENT +
AND STATE THAT THE ABOVE IB CORRECT AND.AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE .LAWS REGULATING HOT WATER HEATER
PLUMBING.
v
1 HEREBY CERTIFY THAT '1 AM PROPERLY_ REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM qHE EGAL OW R OF, INTEND TO
RESIDE IN,THE ABO E DESCRI E�DENTI PR E UTILITY CO:NOTIFIED
SIGNATURE
OF PERMITTE FINAL
.o.
LMATION ROBERT A.WOOD
cK M.o. CASH SUPERVISING MECHANICAL.ENG'R
LAj,o 2 4 5 '5% JLK 2 5 D 1 125-
76A667 (CE-817)-4/72 /
APPLICATI FOR UMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING +
ADDRESS •�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY'
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CNEARE
ROSS ST.
NUMBER FIXTURE OR ITEM 0 FEE
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 1.75 ADDRESS 40_:—>/
SHOWER 1,75 CITY TEL. NO.
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT N0. GRO P N P C�SSE BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 WASTE APPROVAL >'
cL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER .30
5 PER SYSTEM
O
v
W
CL
h
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 31 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I 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
PLUMBINGGAS TEST
.,,
I HEREBY 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 DESCRIBED RESIDENTIAL PROPERTY. FINAL 7 7
SIGNATURE
OF PERMITTEE
PERMIT VALIC,1 TI N � M.O. CASH
PLAN CHECK VALIDATIO CK. M.O. CASH
Ar, 1 9 6 273 JUL 2 5 D 4,7 5 N