HomeMy Public PortalAbout9232 ROSEGLEN ST_Plumbing__ Ca 0 17(114V6,176)
APPLICATION FOR PLU MI B ING PERMIT
COUNTY OF LOS ANGRY BUILDING AND SAFETY
a
FOR APPLICANT TO ALL IN(PRINT OR TYPE] BUILDING �'}�
ADDRESS G L
NUMBER FIXTUFf OR[TEM FEE
WATER apsET LOCAI_(TY L0 r
N EARFST -
BATH TUB CROSS
SHOWER OWNER
LAVATORY MAI L
ADDRESS
SINK QTY TEL NO.
DISHWASHER CONTRACTOR
QOTHES WASHER ADDRESS 7
C..
SWIMMING POOL RECEPTOR /
C17 TF1.NO.
LAWN$PR1NKLER SYSTEM STATE LIC
WATER HEATER LICENSE NQ. CLASS
pGUA7SLS�YgSTENyI OUTLETS AfRROVALS DATE IlNS"CTOQ"1lgNATURC
5 PER SYSfEM� UND$t 51.4B WORK
RQUGH PLUMBING'
CAS PIPING
GFS V�W .
HOT WATER HEATER
PLUMBING FIXTURES
GA$TEST
Plan check fee LmLITY CO.NOTIFIED
PKLIMBING PERMIT ISSUING FEE$
TOTAL FEE O � FINAL
Plan dwi &appllcant /PtA�N.CHECK./V-ALIIDATIIOON
Name `'SFr 'v�{ ✓+'� ,
Address,.
City 7sl.No.
I HCREErY ACKNOW4FDGE THAT I HAYS READ THIS APPUCA—N AND STATE 0 6'1 1.7 A
THATTNC XIWVE IS CORRI`CTAND AQRE6 TO COMP4YWITH AL4 COUNTY ORDINANCES
AND STATE LAIYS REG ULATING PlU M BIND_ - PERMIT VALIDATION
0'0'o 0 0
I HE"IYY(;I!"FY THAT I A.M'FRoPERLY REGLS7"ED AND/OR LICENSED"AS
REWIRED DY LOS ANGCLCS CWL
NTY AND STATE OF CAFORNIA QR THAT I MFTFIE (�
LEGAL G"bi OF.AND INTEND TO RESIDE IM I'M AMM DESCRIEEI IkF.SIDCIAO
MTL 2 O 1 GOO
O
PR¢CCRTY.
10,00
SIGNATURE
Ofll '4-79
WSTi&C7�JO. BY
[INDUSTRIAL
ASTE APPROVAL
Dy-17 to-ee APPLICATION FOR PLUT-VIBING PERMIT 7
IMWON OF BUU.,DING AND SAMY ,1
D.pahn.at of Qpnatr F.natn—
Co" Of Los Angeles o u IV S L
JOHN A. LAMBIE. CQUNTY ENGINKER
CASHATT D,QRIFFIN�SUPT OF CUILDING -
Cw
RAPPUCANT TO FII I. N
ORO"ST
OWN DISTRICT NO. GROUP ZONE RYA DT FOM IR"IOTIOY
MAIL
ADD
INDUIAL
C T[L NO W..TjAAPPROVAL
Valley`'a1lQ P1Um RCM?=ON RECORD
AD MK" 442 W. Flee t
CITY ,ar 3-laora TEL NO. Ed
LICENSK NO. 1608417
NU]mpm R Tl?LQF KxTu1tI opt frim F'RI
WATKR CLOSET (TOILE;T) fI.00
DA TUD 41.00
8HOW K 1.00
LAVATORY'(WABH BASIN) ;1.00
KI HIEN SINK (a $1.0.0
DIA HIER 1.00
LAUNDRYTUB OR TRAY a ;3.00
C
98 WAHH$R :00
WATIER HKATER 4p ;1.00
GAA AYS('IEM @ 111.00
APPROVALS
ATIE INSF -( ITRE
UNDHR 86AB--WORK
PERMIT f 1 CO ROUGH PLUMPING
_ GAS PIPING
TOTAL PEE
GAB VENT
1 FIERUY ACKNOWLEDGE THAT.I HAn READ THId APPLICATION HOT WATER HIEATIER
AND STATE THAT TI{E �BOYE SCORRECT AND -AGREE TO 0MPLY
f4TH ALL COURTY ORDINANCES AND STATE urE RE4 IMG
PLUVBING. - PLUFIDING FLXTUR&B
I H�EBY Cf TIFY THAT 1 AN PROPERLY REGISTERED AND/OR a,�,•B TEST f
LICENSED AD R�OUIRED BY LOS AN09LES COUuNTY AND STATE OF
CALIFORNIA OR THAT I AY T E LECAL O1�MFER OF 7He ABOVE UTIL CO.NOTIFIBTT
DESCRIBED RE411DEMTIA PR P TY.
QIGNATURR
OF p"m
JOHN A LAMB16 COUNTY ENGIN¢i[R AMATION ROOF-RT A.WOOD. CHITF PLBG. INGPIECTOR
X..6, CASE
a 7$cs 13 3 A 10--0 0
761667 M17 5/70
APPLIA IAN FO�RPLUMSI G PERMIT
U Xk I
COUNTY OF LOS AN
DEPARTMWT OF COUNTY
BUUMING AND SAFZTY DTMION
JOHN A. LAMBIE, COUNTY ENGINIKIER
COLEMAN W. JEINKINS. SUP'T.Or B-ui-Lotisia LOCAL
XEAJZXT
FOR APPLICANT TOFILL,IN (PRNTO TYPE) Clom XT.
NUMBER FIXtURSE tIR ITr.M Er FEE
Ow
WATER CLOSET f50 mm
BATH TU11 -50
Tm
SHOWER So CliT yo")'.
LAVATORY I so
SINK 1- 0
X0.
DISHWASHER I crry
CLOTHE$WASHER 1.5 STATE LIC
LI Cr,1011 SO.OA CLASS
SWTbOLING POOL RECEPTOR 1.1
DISTRICT NO. (BROU16 9" my
r,
LAWN SPRIER SYSTE N 2.0 61( ,� I
WATER HEATER 1.5 uouwrxm
VAL
GAS SYSTEM O1VTLET8 1. WAffn APPRQ
QUTLETS OVER .3 j
L
5 PER SYSTEM
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 00
TOTAL E APPROVALIS DATE tp#opc&ToR,s siamA-rurm
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUM19ING
Address GAS PIPING
GAS VENT
City, Tel, No. HOT WATER HEATER
HKMEBY ACKNOWLKO" THAT,�,KAV9 PULAD 'dila A"LJCATION
AHO STATE THAT THE AAKrVK IS Rpugar AND Ago= Tor 00"FLY PLUMPING FIXTURES
Wrr" ALL COUNTY ORDIMAN AND STATE LAWS PNEGULATINCIf GAS TEST.
PrI301311rY cffjmr'Y CHAT 1 AM rWWVLkLY RK61-1 mm/cmq UTILITY CO.NOTIFIED A
LICXMSW AS RXQUINM Vy LOS A"nwl" COUNTY AND STATE 00
CALAPONIA On THAT I AM Tmr LK&AL OVrPMR Of[AND INTENDTO
N
PKAID&IN,THE Anow b"cmmmo AL P"PMRTY. FINAL
*IQNATIUPM JACK R. ALLEN, 5uPp,1rtv'ISIm ANICAL ENIVR.
Of rKRMI I I PERMIT VALIDATION K. M.O. CASH.
PLAN CHECK VALIDATION CK. M.O. CASH
0 2 6tj H-3 13 D 4.7 5 A