HomeMy Public PortalAbout6330 PRIMROSE AVE_Plumbing__ 7
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APPLICATION FOR PLUMBING 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 IPRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET 1.75 OWNER
MAIL — I
BATH TUB 1.75 ADDRESS , .
SHOWER 1,75 CITY TEL. N0. ,7.07,7
6
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY wfv I- TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 `7 INDUSTRIAL C►�
WASTE APPROVAL 0-
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER 30 O
CD
5 PER SYSTEM .
W
_ H
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEES 3 00
TOTAL FEE 7�
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
I HEREBY ACKNOWLEDGE THAT 1 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 GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF `
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOWFCR'ID RESIDENTIA ROPERTY. FINALSIGNATU REOF PERMITTE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
4
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APk LRCATI®N FOR PLUMBING ING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMM OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION RIIILDING
JOHN[A. LAMBIE, COUNTY'ENGINEER ADDRESS 633:0 Primrose
WILLIAM A. JENSEN, SUP!T.OF BUILDING
LOCALITY Temple 'City
a FOR APPLICANT TO FILL IN - NEAREOSS Si. Lo den
NUMBER FIXTURE OR ITEM OWNER Miller & Price
2' WATER CLOSET MAD:
14. BATH TUE ADDRESS
Cur TEL NO.
1' SHOWER
21 LAVATORY - - CONTRACTOR Standard Plumbing -Coo ,
S>NS ADDRESS . 4.1.11 FFlorAve . .
1 • DISHWASHER
CITY all TEL,NO. OLU 7-1124
CONTRACTOR'S
LAUNDRY TU REGMTRATION No. 39243 COUNTY.
CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY
Z
WATER HEATER a oG/iL
1 GAS SYSTEM IIRDIISTRIAL
WASTE APPROVAL, }
D i' A o 8 a 1 / . INSPECTIO
O
lu
Q .31.00 PER ITEM `.sd IR
12 DR FDMORB $ I _ 15.50 A ROYALS DATE INSPECTOR'S SIGNATURE
PERMIT 'S 1 $ 00 '• UNDEFrS=WORK 9,- _,r, I- .irAL csl vas®
TOTAL 17 FEE =, ROUGH PLUMBING ^/ —(p
_ 50 '
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THitf GAS PIPING APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND.AGRSE TO COMPLY k GAS VENT r✓!!A
WITH 'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING :
�Z PLUMBING. - - r HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 'AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I
r LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -t• �yV -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF HE ABO E GAS TEST
' DESCRIBED RESIDENTIAL PROP ry. UTILITY CO.NOTIFIED
SIGNATURE I{/}fIe , til rP/�la�el'
OF PERMITE
FINAL � b`/ /� �✓� .
ALIDATION
.ROBERT A. WOOD
cK. M.o. CASH SUPERVISING MECHANICAL ENG'R
( ,3.4 1 ?% AUG 2.3 5 D. 1 750 •