HomeMy Public PortalAbout6310 SALTER AVE_Plumbing__ 76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �J
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNER /
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO
LAVATORY 1.75 C O NTRAC TO R
SINK 1.75 ADDRESS ����®
DISHWASHER 1.75 CITY TEL. NOl
CLOTHES WASHER 1.75 STATE �j/ LIC
(CENSE NO CLASS Ly
SWIMMING POOL RECEPTOR 1.75
DISTRIC O. OUP ZONE P CESSED BY
LAWN SPRINKLER SYSTEM 1.75 T
WATER HEATER 1.75 IN }
WASTE APPROVAL 2
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER ,30 G
5 PER SYSTEM
W
a
ti
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 ROUGH PLUMBING
Address GAS PIPING
City Tel. No. 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA THAT I AM THE LEGAL OWNER OF, AND INTEND TO T
RESIDE IN THE OVE D ED RESIDENTIAL PROPERTY. INAL
SIGNATU
OF PEMITT
PERMIT VALIDATION CK. M.a. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
r('�, 2 0 4 773 JUL 5 5
� 825
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES. a
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS LOCALITY Te le Cit
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
OWNER Bowen C +ruction
WATER CLOSET 1.75
MAIL
BATH TUB 1..75 �f� ADDRESS i620
SHOWER 1.75 5' CITY Arcadia TEL. NO.445-1197
LAVATORY 1.75 6 • CONTRACTOR Owen Bros• Plumbing,Ine.
SINK 1.75 J S'' ADDRESS 4265 North Baldwin kyenue
�. DISHWASHER 1.75 76" CITY El 'Monte TEL. NO. hA3-007$
CLOTHES WASHER 1.75 3 STATE LIC
LICENSE NO. 23
SWIMMING POOL RECEPTOR 1.75 1. 741. CLASS C36
DISTRICT NO. GROUP ZONE PR ESSE Y
LAWN SPRINKLER SYSTEM 1.75 / 0
WATER HEATER 1.75 INDUSTRIAL (J
WASTE APPROVAL
OAS SYSTEM .i' OUTLETS 1.75 � .�� INSPECTION REC 0
OUTLETS OVER _
/ 5 PER SYSTEM 3U 3D t3J 9
OO
oa
• Vl
Z
Plan check fee See reverse. �—
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE .f'
APPROVALS IDATE SPECTo •s 7.frNATURr
Plan check applicant UNDER SLAB WORK !3CIL—
Name
L—
Name ROUGH PLUMBIN Q
Address GAS PIPING
City Tel. No. GAS VENT
' I'HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE I S. CORRECT AND AGREE TO COMPLY PLUMBING'FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY' REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF; AND INTEND TO
RESIDE IN THE ABOV SC BED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
1 .J . PERMIT VALIDATION C•K. M.O: CASH
PLAN CHECK VALIDA ON CK.. M.p. CASH
'� 0: 073 t?R'3 0 5 D 9.5 5,-