HomeMy Public PortalAbout9215 ROSEGLEN ST_Plumbing__ APPLICATION FOR PLUMBING PERMIT 1
DWIMON OF BUILDING AND SAFETY
Pop-t-eat of C--IT F-uhxo r
Comity of Los An"Im e u 1 LD 1 NG
JOHN A, LAMBIE, CouNTY ENGINEER ADDREHS
CA MATT D,GRIP"FIN,6I1P•T OF BUILDING
LD CAL rTY
FOR APPLICANT TO FILL IN NEAREST
RO ST.
OWNIER VY E DIYr1RICTNO. GROUP ZONE nuoY FOR 1115FKCTION
ADD
MAIL
-
INDUSTRIAL '
CITY T94, NO, WASTE APPROVAL
PLUMBER alley Plumbing 06. INSP=ON RECORD
ADDRE" 442 W. r1setwood P1.
Crry lendora .� No Ed 5-12E 5
LICENSE NO.
Humin l TYrt OF Fu(TVRI dR ITO! FI[
WATKR CLOSET (TOILET) @ 1.06
BATH TUN a 1.00
SHOWER 1.(>0
LAVATORY-(WASHBASIN) si.co
KITCHEN SINK j1.00
I_')ISHWAaHER 0 41.coo
LAUNDRY TUD OR TRAY v 1.00
CLOTHHS WASHER I.po
WATER NEATER 111.00
GArB SYn" s I.00
APPROVALS
DATE IN PEtTOR'S 1 TUBS
UNDB.R ORK
PERMIT ; 1 00 ROUGH PLUMBING
GAS PIPING r'
TOTAL FEE O G"VENT
I HEREBY ACINOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS -CORRECT AND AGREE TO COMPLY HOT W TER HATER
WITH.ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING PIXTURE9
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATS OF
CALIFORNIA OR TT}}11AT 1 AM THE LEGAL OWNER OF THE ABOYE TILrfY CO.NOTIFIED
DESCRIBED RESIDMI PR PE V.
SIGNATURE
OF PERMITTE RIVAL
JOHN A. LAMDIE. GouNTY ENGINZLKR VALIDATION ROBERT A.WOOD,CHI[F PI-190. 1NlQPECTOR
JL 1. c.Asa
Lto,12Z-'OIR FB 13 3 A 1 0.0 0 R
76 A 887'—CE 017 B/CB
APPLICATION FOR PLUMBING PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY
ENGINEER
BUILDING AND SAFETY DIVISION UDms
JOHN A..LAMBIE, COUNTY ENOIN[[R
COLEMAN W. JENKINS. SUPT. OF BUILDING -WCMM E p�
FOR APPLICANT TO FILL IN R O TYPE) sT. ,4iwTe,
NUMBER FIXTURE OR ITEM EACH FEE p
WATER CLOSET 1-4D y 125r Owlet
BATH TUB 1. 0 1DD LEN S I
SHOWER 1. 0 CIn / TEL
LAVATORY 1. 0 Mf "CTOR L - -t
SINK 1. 0 ADD1IIfJls
DISHWASHER 1. 0 Crff L SEL I<O. s/#[
CLOTHES WASHER 1. 0 ATE LIC
LICENSE NO. .21/OC// 9 CLASS -SC;to
SWIMIQNG POOL RECEPTOR 1. 0
O
DISTRICT O, OR P ZN[
LN D
AWSPRDT LER SYSTEM 2. 0
.� 8
WATER HEATER 1. 0 INDU37IIAL Z
wAdTE APPROVAL
GAS SYSTEM OUTLETS 1. 0 I»C(IOX =ECpRD
OUTLETS OVER o_
5 PER SYSTEM •30 Z
Plan check fee 2.9% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 00•
TOTAL FEE
APPROVALS DATE INfP[CTOR'f■IONATU RE
Plan check fl licant UNDER SLAB WORK
Name ROUGH PLUM19ING
Address GAS PIPING
GAS VENT
city Tel. No. HOT WATER HEATER
II
ROY ACKNOWLKD6[ THAT I HAY[ RIAD THIS APPLICATION
AND fTATR THAT THK AAOVK 12 CORR[.CT AND AaRfI'TO COMPLY PLUM19ING FIXTURES
H COUNTY ORDINwx
WITALL Qf AND STATR LAW RROULATING GAS TEST
L
PUMw[No.
1 Hi1®Y CNRTIFY THAT I AM PROMINILY RAQISTKWD AMDIOR UTILITY CO. NOTIFIED
LICLNSJM " RIgUIRiD BY LO/ AN4MLS7 COUNTY AND fTA OF
CAUFORN IA OR THAT 1 AM TN[ LKOAL OWNS" OF, D 1 TO
R"IDc IN,TH[ K DCMCMfiD Il"UXLfTIAL P FINAL
fIGNATURl< JACK R. ALLEN, fUPER VIlI HANICAL ENa'R.
OF PERMITTI[
IDTI
PEBM r VALAON cK. .O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
4 4 8 1 ,-JFEB18 5 fl 4.75- q
Y
z