HomeMy Public PortalAbout5545 PERSIMMON AVE_Plumbing__ 760A 667—CE 817 8/68
APPLICATION FOR PLUMBING P.ERIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION FD
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JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUP'T. OF BUILDING 1 7'FOR APPLICANT TO FILL IN(PR NT OR TYPE) . Y L/
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNERKAIL
BATH TUB 1.50 DRESS D'`
SHOWER 1.50 CITY ��N C d TEL. NO.
LAVATORY 1.50 CONTRACTOR . tVd p
SINK 1.50 ADDRESS 9 f 3 Z'4
DISHWASHER 1.50 CITY E7�/�qq�0��C TEL.NO.
CLOTHES WASHER 1.50 STATELIC
LICENSE NO..�d �O �/3 CLASS
SWIMRIING POOL RECEPTOR• 1.50 DISTRICT NQ _ GROUP ZONE I PROCERPEP BY
LAWN SPRINKLER SYSTEM 2.00 5 . (rjp)
7.-
-WATER HEATER 1.50 INDUSTRIAL
WAqTE APPROVAL
GAS SYSTEM OUTLETS 1..50 ✓ / INSPECTIO RECORD tv
OUTLETS OVERd
5 PER SYSTEM .30 ' Cn
77 z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE J'
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK _
Name ROUGH PLUMBING
Address GAS PIPING
GAS HENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS: APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
LRESIDE
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
S REQUIRED BY LOS ANGELES COUNTY AND STATE OF
OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO HE ABOVE DE RIBED RESIDENTIAL ROPERTY. FINALE •• JACK R. ALLEN, SUPERVISING HANICAL ENG'R.
ITTEE
SEEM PERMIT VALIDATION � M.0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 � 8• 6 3ZZ4 fEB17 - 5\aD 3.50N
76 A 667-�CE 817.8/68
-_ .APPLICATION FOR PLUMBING PERM[
r.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER r
BUILDING AND SAFETY DIVISION BUILDING r• �� n� e, O
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST_ •
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNERMAIL
y
BATHTUB 1.50 ADDRESS
SHOWER 1.50 CITY pt, (a TEL. NO.
LAVATORY 1.50 CONTRACTOR .57WAjaqjSa /ro IA)(!.,
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY 7VVPZ ff &G�✓ TEL.NO.
CLOTHES WASHER 1.50 SATELIC
LICENSE NO. A00%40 CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT N GRO7 ZONEPRO
LAWN SPRINKLER SYSTEM 2.00 Q CD
WATER HEATER 1.50 INDUSTRIAL 0
WASTE APPROVAL CD
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD Lu
OUTLETS OVER 30 y
5 PER SYSTEM Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 0
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 I HAVE READ THIS APPLICATION
_ AND STATE THAT TME ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST 1
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TH LEGAL OWNER OF,AND INTEND TO
RESIDE;.IN;THE'AB.OVE.DESC'RI RESIDENTIAL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUP,ERV SIN CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH 03