HomeMy Public PortalAbout5525 SANTA ANITA AVE_Plumbing__ 76A657 (CE-817)- 5/73 fi - [/
APPLICATI RPLAB1NG ERM1T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ,
MAKE CHECKS PAYABLE 1"0: BUILDING
ADDRESS J (/l/11ti
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 CI(
c
LAVATORY 1.75 CONTRACTOR in lit,
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. N
CLOTHES WASHER 1.75 STATE LI
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75 gT33
LAWN SPRINKLER SYSTEM 1.75 DCn GP 2 PRO ESSE BY
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 O
F-
- U
W
a
CO)
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
HOT WATER HEATER
I 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REpUIRED BY LOS AN6ELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED R SI DENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTE '
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 9f'� 4 1 0 673 DEC 14 5 D 4 .75A a
76A667 (CE-817)-4/72 ,�jQ/y� %��f / •
APPLICATION/ �F�OI 4R/P�L/UMBING PERMIT
COUNTY OF LOS ANGELES . "fl
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND'SAFETY DIVISION
61AKE CHECKS PAYABLE TO: TBILDING
DRESS -
HARVEY T. BRANDT, COUNTY ENGINEER
CALITY�� �_ �A I!� ,
FOR APPLICANT TO FILL IN (.PRINT OR TYPE.) AREST
OSS ST'.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.7
MAIL JF
BATH'TUB 1, 5 ADDRESS
SHOWER 1. 5 CI + P' TEL. NO
LAVATORY 1.5 CONTRACTO r
SINK Q' 1. 5 ADDRESS'
DISHWASHER 1.5 CITYTEL. NO.-_-';a
CLOTHES WASHER 1.''S STATELIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1: 5
DISTRICT NO. GROUPNE CESSED BY* J
LAWN SPRINKLER SYSTEM 1.'.5 S 6�
WATER HEATER1. 5 INDUSTpIAL
WASTE APPROVAL
GAS SYSTEM e?,-OUTLETS 1.75d INSPECTION RECORD v
OUTLETS OVER .30
5 PER SYSTEM
W
d
H
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS .DATE INSPECTOR'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 '�� x
PLUMBING. GAS TEST �7
1 HEREBY CERTIFY THA OPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUIR LOS AN LES COUNTY AND STATE OF
CALIFORNIA OR T I AM THE LEG OWNE OF, O INTEND-TO
RESIDE IN THE VE DESCRIBED RE DENT PR // qs
FINAL
SIGNATU R
OF PERM TE
PERMIT VALIDATION OCKM.O. CASH
PLAN CHECK VALIDATION CK:. M.O. CASH.
2 0 1 ting. 8 5 D 7.5 0 ,&sd
• y - .,.�..
APPUCATION POR
:;t;.nEP AND SAYSTY
COUUNNTYOF
OF. DINBUILMzw I 8
,�; • w".J.mx 411 a"vo lb -'
r^
y
LLAn
town t✓ � /iMT son
� 9
AFP "M if( HRAYILY OltnUNID POitW?f ONLY
y
=MM
g-,
LOC=I O1 BllPrtC TANS.OR CZ& FOOL
Af
.... coutltY M1T1il�w.
Xs"Ald YMt WMAL d1`1M� 1
h' RO(iTq S
r'. DESCRIPTION OF.WOIRK
awla
�.�.�'t�ItWAVNtR
VATORy .....�..�RtMOWMAT01t
1TCNgd eiNK '
{Ij R
81409 •----�-•,fl►M14TRAr ''
WAtiN T*AV 41NAL
_WAT[R CtOftl' +�RINKINi11� UMAtt1
' 1MATM HtATR4LAVATOW
fAt�l
��.bAs
OUT4 .._.�.. OAS
z"- TOTAf.tvtlrlttR!N'IIXTYRttti ti►TtL'TAt�t; -
a TAIw[ SOW
e±
-7 sr
n �
.. YPAB I M M f OF�BUMDI K A.ND SAY'�!'Y
•
•M r ;
� • couNworw3mc= t... ,. ,_.... .. • ,
` • WtLW1M J. rov. c"Ity [t•ot•$ty* PLUMBING
FOR APPJCANT TO fILL M WlTR1CtNta. Fft-
Jl1
d
...i• a l Ttt•RI'�+G'�tW� �'i".
Mw*ra hhN titnrat wp m11 • !' all ,,,,.•�
Aftem
AopL
i -
q�� : /►�
AT • /t-W ftUMllt�� DMi4t�
• a:
�25�LIlJiM tMI
gnat 1 hroarr NtM�91��►
too* T OI T" RptpiNt"L►IKIrA IV CA"at" A*"IF
,rr
EUMN�1M .
A
up 8L Jt Aft
APPROVALS
.... ATR t •
of mAiii
5? ;. ». ..
. CfElS?OQf.
DIFAtf/ i •}!•IT'1 "'l -_ 'Q 1.01!
►Lr1j�M1T', r '. ... � 1.00 . . Q/► -- .
........,..t..,mow ?
i �;