HomeMy Public PortalAbout5706 ROWLAND AVE_Plumbing__ 76A6.67 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: LDING
ADDRESS 5706 RMAND
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY TE"m CIll CA
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST.
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1:.75 OWNER CECIL ATKIM
MAIL
BATH TUB 1.75 ADDRESS 06 ROCAND
SHOWER 1.75 CITY TEMPIE CITY TEL. NO. 487-5303
LAVATORY 1,75 CONTRACTOR AQUATIC,POOIS
SINK 1.75 ADDRESS IpIL E, HMTIMToN R .
DISHWASHER 1.75 CITY ARCADIA TEL. NO. '446-1661
CLOTHES WASHER 1.75 LSTATE ENSENO.263283 UASk M-53
.SWIMMING POOL RECEPTOR 1.75
DISTRICT NO COUP, ZQNEN AOCESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 IN
WASTE A PROVAL
GAS SYSTEM OUTLETS 1.75 4. INSPECTION RECORD v
OUTLETS OVER .30
5 PER SYST M
Fit
W
CL
ti
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INS 4TOR' SIGNATURE
Plan check applicant UNDER'SLAB WORK
NameAQUATIC POOIS ROUGH PLUMBING
A
Address 101 Be HUNTINGTON DUR GAS PIPING
City ARCADIA, CA Tel. No. 1 GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIAOR THAT I A THE LEGAL OWNER OF, AND INTEND TO _
RESIDE IN THE ABOVE DES IBED IDENTIAL PROPERTY. FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CJ M..O. CASH
( Arn 2 0 3 913 JUL 5 5 D .5 0- W
76667 (C-E-817)-,072 . +
L .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 LOCALITYtaLL
FOR APPLICANT TO FILL IN (PRINT OR TYPE)5 1
,y�
CROSS ST. L/ 97
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 / OWNER ! C
MAIL
h J
BATH TUB 1.75 � v ADDRESS SIJ
SHOWER 1.75 CITY _�.� TEL. NO., 7
LAVATORY 1.75 CONTRACTOR
SINK -6 1.75 ADDRESS ArL
DISHWASHER 1.75 CITY TEL. N0.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP JZONEJ PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75
a
WATER HEATER 1.75 IN
/ WASTE APPROVAL
6 GAS SYSTEM OUTLETS 1.75 f INSPE TION RECORD
OUTLETS OVER e�,, f Pte' CD
5 PER SYSTEM .90 �` �
A
a
CO2
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE ly PECTOR•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 I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �1
PLUMBING. GAS TEST (� r
1 HEREBY CERTIFY TH R ERLY REGISTERED AND/OR UTILITY CO. NOTIFIED 1
LICENSED AS REpUIRED Y A ES COUNTY AND STATE OF -
CALIFORNIA OR THAT M H L WNER OFA AND INT D TO r `�
RESIDE IN THE ABO E IS D NT L PROPERTY. FINAL J
SIGNATU RE I•
OF PERMIT
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
uE,on
0 ^ 6v DL•c 4 5 D 1 8.75
V f�
76A867 (CE-817)- 5/73 � ���� • r• ,
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APPLICATIOPNOR PLUMBING PERMIT
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO. BUILDING
ADDRESS Q
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CNEAREST
ROSS ST. `f
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNERMAIL
�0`
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR i9ro
SINK 1.75 ADDRESSO'2/,fl
DISHWASHER 1.75 CITY Z e&1411jTEL. N06y�2 Z
CLOTHES WASHER 1.75 STATE // LIC
LICENSE NO.�(o*2O� CLASS G-S
SWIMMING POOL RECEPTOR 1.75 1 t7l,
DISTRICT NO. GROUP ONE 'FR CESSE BY
LAWN SPRINKLER SYSTEM 1.75 t
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 7
)
INSPECTION RECORD
OUTLETS OVER v
5 PER SYSTEM .30
' W
1• � Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name L f ROUGH PLUMBING
Address Arta VX f GAS PIPING
City i/J/g -Tel. Il GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I 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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY L05 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE D RESID TIAL P TY. FINAL -
"OFPERMITTEe—
E
PERMIT VALIDATION oc.
M.O. CASH
PLAN CHECK VALIDATION CK. O. CASH
7 9 JUL 1 5 9 6.5 0 AL-id