HomeMy Public PortalAbout5808 ROWLAND AVE_Plumbing__ )BS-17 10-35 APPLICATION FOR PLUMBNC PERMIT' .�
)BS-17
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles ~BUILDING b/�;C�:✓� ..
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING r-0
LOCALITY
FOR APPLICANT TO FILL IN NEAREST �, �-
CROSS ST.
OWNER C DISTRICT NO. GR04E ZONE READY FOR INSPECTION'
MAIL
ADDRESS fill
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBERf INSPECTION_R_ECORD
ADDRESS ��
CITY -0�� TEL.NO.AOD,//y
Y/S' 5
LICENSE NO.
7, LZ
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
�i
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING II) _
TOTAL FEE 0 GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. _
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I Abl THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PPOPERT� �
SIGNATURE `� i✓�,- P -- —!—�—
OF PERMITTEE U FINAL l iii
OHN A.LAMBIE.COUNTY ENGINEER ALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
�-c� II.Q. CASH
)BAee7
IBS-17 10-3$ APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF 13UILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNE DISTRICT N(2. GROQEr I ZONE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
INSPECTION RECORD
PLUMBER
ADDRESS n ..1�
CITY e�GQ�cc- TEL.NO..
LICENSE NO. /
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
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ I 1 00 ROUGH PLUMBING
GAS PIPING l�hAc �Cr. ;I"r cs• �+�.
TOTAL FEE DD
GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO'.NOTIFIED
DESCRIBED RESIDENTIAL OPERT
SIGNATURE
OF PERMITTEE FINAL lZ 11 Lr1Cn r
OHN A.LAMBIE. COUNTY ENGINEER (VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR� cH. M.c. CASH
;-, Lo 5 5 2° 1 3 3 2.� °'