HomeMy Public PortalAbout6057 PRIMROSE AVE_Plumbing__ 7SA667 (CE-817)-4/72 0/d.� At 'V�/��
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING �+
ADDRESS 0l
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY —
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST /� ,•
NUMBER FIXTURE OR ITEM ® FEE CROSS ST.. CT
WATER CLOSET 1.75 OWNER I\d P
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR S�
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 J STATE LIC
SWIMMING POOL RECEPTOR 1.75 DISTRICT NOGROUP ZONE CLASS PCESSED BY LICENSE NO. .
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1..75 INDUST• IIAL-
WASTE APPROVAL p
f GAS SYSTEM OUTLETS 1.75 S INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30
W
a
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 31 oo
TOTAL FEE 16d
APPROVALS .DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING „Ay a �,ys1J
Address GAS PIPING r
City Tel. No. GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGA
PLUMBING. GAS TEST
BIi �c
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS RE1IUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 THE LEGAL WN OF NO INTEND TO /J
RESIDE IN THE ABOVE D S RI D R ID TI RT FINAL e 2-'7' /�'�I�• (;
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. ASH
PLAN CHECK VALIDATION CK. M.O. CASH
�,--• 27 5 D 6.5 0
78A887f►1 CE 8178) -477
.APPLICATION FOR PLUMBING PERMIT
. S
BUILDIN D SAFETY DIVISI
FOR APPLICANT TO FILL IN IPRINT OR TYPEI BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS (� -f 7rag
WATER CLOSET LOCALITY
BATH TUB NEAREST
CROSS.ST.
SHOWER OWNER yP
LAVATORY MAIL
ADDRESS
SINK CITY TEL.NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. CLASS
/ GAS SYSTEM OUTLETS. DISTRICT NO. GRA ZONE P CESS BY
PES55 R YTEM C.:
INDU
WASTE APPROVAL a
INSPECTION RECORD
CL
CL
v
I Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APP VALS DATE INSPECTOR'S SIGNATURE
Name gale 4 UNDER WORK �Z �7
Address A!7 m �' ROUGH PLUMBING a
City 7--,C- Tel.No. q,� 7 G GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY'CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES yy -
REQUIRED BY L05 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE VE DESCRIBED RESIDENTIAL .�
PROPERTY. UTILITY CO.N TIFIED
SIGNATURE.
oFPERMITTEE FINAL ./
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALI DATIO K. M.O. CASH
5 51RAPR 6 5 0 1 .0 0 ,& a
• • •j ,
•96A47A WE 81711311-1 7/76 - -
'APPLICATION FOR PLUMBIN.G PERMIT
,
BUILDINGA SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 0 a
WATER CLOSET LOCALITY
BATH TUB NEAREST I
CROSS ST. .6 .
SHOWER OWNERS If r
LAVATORY MAIL
ADDRESS SizP'
SINK ° CITY TEL.NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE z___ LIC.
WATER HEATER LICENSE.NO. CLASS
GAS SYSTEM OUTLETS DISTRICT NO. GROUP
� NE CESSED.•BY
OUTLETS OVER `— IX-31
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD in
OA
Plan check fee
PLUMBING PERMIT ISSUING FEE$ �}
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECIOR'S SIGNATURE
UNDER SLAB WORK �- -?7
Address ROUGH PLUMBING
City Tel.NO. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THEABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING: HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED-AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND.STATE OF CALIFORNIA OR THAT I AM THE 'GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. ) UTILITY CO.NOTIFIED
SIGNATURE ✓ ,
OF PERM ITTE JFINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION - CK. M.O. FI
9 8 4 k."NOV 4 5 0 1 3.5 0 bid
"ASP-CE817 8-58
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUWING AND SAFETY DMSION BUILDING
JOHN A.LAMBIE. County sr ADDRESS
CJ TT D. GEn W.Sup t of 'WIL9 LOCALITY
FOR APPLICANT TO FILL IN NEAREST -
CROSS.ST. -
NUMBER FIXTURE OR ITEM
OWNER '
WATER CLOSET MAM
RATE TUB ADDgp
SHOWER CITY TEL.NO
LAVATORY CO 08
Sm ADDRESS
DISHWASHER CTLY TEL.
C0ffm9wrs STATE
LAUNDRY TOB REGffi ON NO. COUNTY
Rmly zz -
CLOTHES WASHER DISTRICT NO. I GROUP 140NE P OCESSED BY y
WATER HEATER II
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
�- �Aw) IJ401 6_f7_ 4--O
/°r_c1,5/ /cDiP d-d/ IAI,- '
• Gt/iTffv PMT � /N,�f�-
• OR FD[TTURE $ I
APPROVALS DATE I SPECTOR'S SIGNATURE
PERMIT $ 2 00 'UNDER SLAB WORK s'•T.(_'&_ v
TOTALFEE ROUGH PLUMBING 2 '(/,y2
r GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE-TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM -PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED LOS GELES COUNTY-AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 M E LEGAL ER OF T ABOVE
DESCRIBED RESIDENTIA R RTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMUTE �
FINAL
®" VALIDAllO oBERT A.WOOD,
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