HomeMy Public PortalAbout6218 ROWLAND AVE_Plumbing__ B -17 12.54
DBS-17 APPLICATION FOR PLUMBING- PERMIT
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DIVISION OF BUILDING AND SAFETY �.
Deportment of County Engineer
County of LOB Angeles BUILDING
WM.J.FOX, COUNTY ENGINEER ,ADDRESS
CASSATT D.GRIFFIN,SUPT OP BUILDING
LOCALITY rv_J
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. - �fl"1�.•/
OWNER ` Y�/)ij�di' DISTRICT NO. I +GROUP Z E READY FOR INSPECTION
MAIL �+r
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER i�j�GlG INSPECTION RECORD
ADDRESS 2,17 ,@ ( 9®
CITY TEL.NO. •� _p
LICENSE NO. G"Z4` S J A 'Af AP V A
- Dery
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) D rfp !JJ i
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK AA /&;O"
DISHWASHER 1
LAUNDRY TUB OR TRAY - :S' d/7 J CdfEF6 AY
CLOTHES-WASHER life /l e_xG k— G
SaAl.- d,1`
TOTAL NO. @ 0.60 ¢a APPROVALS
DATE INSPECTOR'S SIGNATURE
6AS SYSTEM 3 OUTLETS @ 1.00
UNDER SLAB WORK
l WATER HEATER @ 1.00 ! t/ ROUGH PLUMBING ' Z
IPERMIT S I 1 00 _GAS PIPING
TOTAL FEE ._ GAS VENT r'
I HEREBY ACKNOWLEDGE THAT I 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 r
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO.NOTIFIED
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P PERTY.
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION
_L0.8 5'4 tR T024 3 9.4.0 n
BY
76A667-.CE#817 6-65 �
APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION rA7DD=RE
f
JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING CALITY
FOR APPLICANT TO FELL IN NEAREST T.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TE
LAVATORY 1.25 QONTRACTOR
ADDRESS
�-
SINS 1.25 A,, .
DISHWASHER 1.25 CITY -
LAUNDRY TUB 1.25 LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT N GROUP ZONE PR CES ED Y
WATER HEATER 1.50 V J
1.50 INDUSTRIAL a
GAS SYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
T
U
W
d
to
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2-100 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREC TO COMPLY
WITH ALL COUNTY ORDINANCES. AND STATE LAWS. REGULATING -HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND S E OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWN F,AND 1 D TO
RESIDE IN,THE ABOVE DESCRIBED SIDEN'rOPERTY UTILITY CO.NOTIFIED
SIGNATURE loof
OF PERMITTEFINAL
E
AUDATION `
CK. M.O. CASH
LA 6 5 7 4"0- DEC 3 0 S D 3.5 0
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