HomeMy Public PortalAbout6316 PRIMROSE AVE_Plumbing__ �^' /-:\' tom,- - � ' 1 � - �•
7614507-CE81710-60
APPLICATION FOR PLUMBING PERMIT• �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY'ENGURM
BUILDING AND SAFETY.DIVISION suunINc 1
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 3/ )',q.,iqiebmz
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY - fM C /7-
FOR
TFOR APPLICANT TO FILL INCROBS ?� I._ON c-L CA4
NUMBER FIXTURE OR ITEM
OWNER /Z 0 pvt 1c./L. - -
WATER CLOSET .3�. N0LM
BATH TOB ADDRESS
CITY TEL NO.
/ SHOWER /I
coNTRACToa c�l'i�l►/D T) L dAA /w.fr Co ,
LAVATORY 2•c�b
sm
DISH{NASHSE 1 clrYb.B w-- TEL No. L,V, 7-
STA El
LAUMBY TOB r , �IS�ST WN NO. COUNTYEl
�• CLOTHES WASHER DIST CI'NO. GROUP ZONE 8ED BY
WATER HEATER
GAS SYSTEM If-O MDUSfEfAL
/5 �� WASTE APPROVAL
2% J BVSPECTION RECORD
q—/2,-G't S'�ow �aH C1lc O
f F s U)
0 $1.00 PER ITEN
OR FIRTORE
ABP�RO,V,ALS �_f OATF,,„ INSPECT6R'8'SIGNATURE-
PERMIT $ 2 00 UNDER-`SL'AB WORK r'{kI#
TOTAL FEEO ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISAPPLICATION
AND STATE THAT THE ABOVE I8 CORRECT AND AGREE TO'COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. 'HOTWATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY RE¢ISTERED AND/OR PLUMBING FIXTUREGe- I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT•I AM THE LEG L OWNER OF HE ABOVE
DESCRIBED RESIDENTIAL PRO UTILITY CO.NOTIFIED
SIGNATURE r /
OF PERMITTE FINAL
ALMATION ROBERT A. WOOD.
cK. M.O. CASH SUPERVISING MECHANICAL'ENG'R
LACO 2 9 5 O FJ AUG 14 ' 5 D 1 7.5.0'”- 4 .
� ®V
76A667 (CE-817)-8-71
APPLICATIO'N OR PLXJK4BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY'ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS (r
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST r
CROSS.ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 MAIL /
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO
LAVATORY 1.75 CONTRA66R
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. N -Z5 J
CLOTHES WASHER 1.75 STATE V LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. �� �� CLASS:
DISTRICT NO. OUPWN—EQCESSED BY
LAWN SPRINKLER SYSTEM 1.75 J 09 � l
I i
WATER HEATER 1.75 �
INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.750 RECORD u
OUTLETS OVER
5 PER SYSTEM .30
V
w
1%
z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 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
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T E LEGAL OWNER OF, AND INTEND TO v
RESIDE IN THE ABOVE DES BE RESIDENTIAL PR ERTY. FINAL A14 —1
SIGNATURE
OF PERMITTEE
PERMIT V DATION CK. M.O. CCAS.
PLAN CHECK VALIDATION CK. M.O. CASH
tt'. 1 0 6 173 f i�Y 1 0 4,`7 5-