HomeMy Public PortalAbout5543 ROBINHOOD AVE_Plumbing__ 76AG67 -CE#817 12.64 CITY OF TEMPLE Cgf),,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS L7 �T ll J
COI,EMAN W. JENKINS, SUPT OF BUILDING
LOCALIT S�7N1)LG e- l -y
FOR APPLICANT TO FILL IN NEAREST ' p
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY TEL. NO.
SHOWER 1.25 'P
LAVATORY 1.25 CONTRACTORG/��5�
SINS 1.25 ADDRESS -
DISHWASHER 1.25 CITY�_/t Per,`G TEL. NO.9,3 .1O!D 3
LAUNDRY TUB 1.25 REGISTRATION NO. �' en Z COUNTY �❑
CLOTHES WASHER 1.25 DISTRICT I GROUP ZONE Y
WATER HEATER 1.50 J
GSYSTEM-OUTLETS- 1.50 INDUSTRIAL CL
AS
WASTE APPROVAL d
--4OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O
Q
O
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C3
W
CL
N
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE F GAS TEST
CALIFORNIA OR THAT I WT.EL OWNER OF,AND INTE TORESIDE IN,THE ABOVE DEDENTI PERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL -
ALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
-D ..
76667 .- QLG17 7/70'
APPLICATION FOR PLUM13ING PERMIT.
COUNTY OF LOS ANG
DEPARTMENT OF CQ�NTY IIIN�t
BUILDING AND R D ON '043 Q 06►N o fl Ati nN
JOHN A. LAAIBIE, COUNTY ENGIN[[R
COLEMAN VY, JENKINS. SUPT. of BUILDING LOCAWn -`�"rI4 C 1I
FOR APPLICANT To FILL IN R � TYPE CAM ST.
uUt ; ►N
NUMBER FIXTURE OR ITE6) EACH F¢E
owmm
WATER cLOBET 1.50 _
BATH TUB 1.50-
SHOWER
.5p (U��Nw�ao ptV E
axowER �k.t �NAr tA�T cmr �(�r1Pte G►�c� r� wo. �{'4
LAVATORY 1.50 �`J�V1lFa �h� 1tyPL�teIN1 Co .
SNY 1.50 ---[ADDL4�f 8 Ifs! CrN(IVE� P►'j6
DISHWASHER 1.50 CIST O
(L SEMEan �0o. 5�3-�Siy
CLOTHi Is WASHER 1.50 STATE LIC
NO. Zla l�l S� �jIC d ,
RWTMXNG POOL RECEPTOR 1.50
DI#'TPH NO GROUT [q[D IWYY
Lq'AN SPRI fKLRR BYBTEH 2.00
wAT$R HEATER 1.30 EPIDUSTam
WAXTZ AL
GAB BYBTEY OUTLETS 1-50 OX WO1M
OI ETS OVER
SUTj2 BYSTEY .30
Plan check fee 2,5X of above. Sae reverse.
PLU-NMLVG PERMIT ISSUING FEE i 00
TOTAL FEE
APPROVALS DATE IHSPttrost-*GIONATUAC
Plan check appliQaht QNDfR BLAR WORK
Name ROUGH PLUMijING
Addreae GAS PIPING
GAB VENT
City Tel. No. HOT WATER WATER
I HC1mY ACKNOWUCDGC T}IAr AV[ READ THIi AP*LFCATIOTI
AkD STAT[ THAT THC ABOVE W COOHAE T AND AGISII TO COMPLY rLUi.Im G FIXTURES
WITH ALL CQUNTT ORDINANCES "0, STAT[ LAV/G IRGUPATING
PLUMBING. G""TEST
I HKI OY CIATIFT THAT I EIR
AM PROPY FMQISTYaramR U
D AND/Oft CO.N4571PIED
LKS �HAS RCOUIISID BY LOG ANKIKLCS COUKff AND STATS OF
CAUF6RN1A OR T-AT 1 AM THE LiGAL OWA IWnrm0 To
N[ OF,ANQ
_40MIDE IN.TNN AWOV[DCGCAT"p Pt 7: 7iTIAL PRdPCRTy. FINAL
f16NATUR[ 2�,}✓ . JACK R.'ALLEM, 2UPERVI61N3
MRC NICH��OF r[RMITT[[ PVRwr VALIDATION Ct<
PLAN CHECK VALIDATION CK. M.0. CASH
425,5.aFEB 3 5D - 4. r �