HomeMy Public PortalAbout4860 ROBINHOOD AVE_Plumbing__ 7GA667 (CB-817) - 1/75 -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER.
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS /3f/� ®(J�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM ® FEE CROSS ST. A PAL
2.00 OWNER f, HAr/S
WATER CLOSET MAIL.
BATH TUB 2.00 ADDRESS YA,-a,IL
SHOWER 2.00 CITY TEL. NO.
LAVATORY 2.00 C O NTRAC TO
SINK 2.00 ADDRESS r
DISHWASHER 2,00 �g
CLOTHES WASHER 2.00 LICESE NO. je ClgO ro CLASS
SWIMMING POOL RECEPTOR 2.00
s DISTRACT NO.ji3FIOUPj ZONE PROCESSED BY .
LAWN SPRINKLER SYSTEM 2,00 ' — r r
WATER HE CC2,00 �j INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD
OUTLETS OVER V
5 PER SYSTEM .30
O
O..
h
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant 3 UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No.
HOT WATER HEATER
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, XN13 fNTEHb TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PAO ERTY, FINAL -'��-�"f .A..,�,`
1
SIGNATURE
OF PERMI'r_TEE C
PERMIT VALIDATION �M,o: cases
PLAN CHECK VALIDATION CK. M.O. CASH
2 6 3 cnr_r 1.1 5 0 7,5 0 A98
. 7 '.
BS-1r
7-1APPLICATION ICA°T ION FCR PLUMBING PERMIT
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fB8.10-SB
• DMSION OF BUILDING AND SAFETY
Department of County Engineer9MLZIP
County of Los Angeles BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESSFW
d
CASSATT D.GRIFFIN,SUPT OF BUILDING
I LOCAL
OR APPLICANT TO FILL IN NEAREST df
CROSS ST
+e,
OWN J. DISTRICT NOf GROUP I ZONE I REAOY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
EL. NO. WASTE APPROVAL
Pi U INS 6PECTION RECORD
ADDRES r J.FI .�/ �+ y/k, Jet
e l t'
f �y
CIT TEL. �_s i-.:w� rf s n Ci ��'✓�7
LICENSE NO.v�la
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ .$1.00
/ CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ •$1.00 6
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERrc
MK � 'y i
SB WORK •��
v /
PERMIT $ 7 00 ROUGH PLUMBING �3 f(�'?`; Ir/ q ll•bly
GAS PIPING -' �f •l�l�e.-�C'L1_�
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' HOT WATER HEATER �+�v.• st;Y+�:
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. ♦ ✓+ L�
I HEREBY CERTIFY THAT I AM PROPERLY- REGISTERED AND/OR GAS TESTLICENSED ANGELES
OF
CALIFORNIASOR THIATDIBAMLOS THE LEGAL 0 NEB F THEATE AB VE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT PROPERTY. v
SIGNATURE
OF PERMITTE FINAL
OHN A.L.A .COUNTY ENGINEER VALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
CH. Y.O. CASH
�! 4 2 8 6P; NOV 14 3 11 -00