HomeMy Public PortalAbout10932 WILDFLOWER RD_Plumbing__ - 7-�ess APPLICAT.ION FOR PLUMBING PERMIT ;� 1
CE�cB
BUILDMG AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.L.AMBIE.COUNTY ENGINEER ADDRESS
CASSATT O.GRIFFIM.SUPT OF BU'ILOINe /
LOCALITY
AFSO�A�P�TO FILL IN . . NEAREST
i - CROSS ST.
OWNER DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
VailPLUMBER S'� Uiti1b3.ng CD INSPECTION RECORD'
ADDR ee wood P10
a ra Ed 5e-1293
CITY TEL.NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $I.00
SHOWER @ SLOO
LAVATORY (WASH BASIN) @ $1.00
KITCHEN.SINK @ $1.00
DISHWASHER @ $1.:00
LAUNDRY TUB OR TRAY @' -S LOO
,CLOTHES WASHER @ $1.00
WATER HEATER @ ..$1.00
GAS SYSTEM @ $1.00
APPROVAL_S
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK �L\?�/' r� ' i ✓ '
PERMIT $ 1 O.O '% ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THl 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. fes'
1 HEREBY CERTIFY THAT I AM PROPERLY, REGISTERED. AND/OR GAS TEST /d iY
LICENSED AS REQUIRED BY L ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 A HE LEG OWNER .OF THE ABO E UTILITY CO;.NOTIFIED
DESCRIBED RESIDENTIAL P:AWERTY.
SIGNATURE '
OF PERMI3orTTEAL177
' ROBERT A.WOOD.
JOHN A.L.AMBIE. Y ENGINEER LIDATION 'SUPERVISING MECHANICAL.ENG'R
K.. N.0. CASH
. X3 .5 0 9,:r; OCT 18 3 10.0 0
16AG67A
CE877j(REV.6/78) /-
es
APPLICATION FOR P.L.VM.BING PERMIT
COUNTY OF LOS ANGELES BUILDING-AND SAFETY-
FOR APPLICANT TO FILL.IN IP.RINTOR TYPE) BUILDING
NUMBER. FIXTURE OR ® FEE: ADDRESS
R'
WATER CLOSET LOCALITY '
�.
NEAREST'
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS. (f
SINK CITY `• TEL.NO..
DISHWASHER CONTRACTOR
c
CLOTHES WASHER ADDRESS
SWIMMING POOL,RECEPTOR
CITYTEL.NO;
LAWN.•SPRINKI ER SYSTEM STATE LIC.
WATER-HEATER! LICENSE NO.. CLASS
GAS SYSTEM OUTLETS \� APPROVALS DATE INSPECTOR.'SSIGNATURE
OUTLETS OVER. UNDER SLAB'WORR
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
@9
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST f 2.40=
Plan check fee
UTILITY CO.NOTIFIED 9A
PLUMBING PERMIT ISSUING FEE$ _
TOTAL FEE j FINAL' / .
Plan check applicant PLA19 CHWK VA IDAT ON
0 ...� '
Name
Address °$ A 2 9 3 4 A
City Tel.No.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE. �. 0 a O O O 05
THAT THE ABOVE IS CORRECT'AND AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES
.AND STATE LAWS REGULATING-PLUMBINd: PEIAIT:)MIDAT M .2 a * 13,00
I HEREBY CERTIFY THAT.I AM PROPERLY REGISTERED AND/OR LICENSED AS ^�
.. O O OO OREQUIRA
NGELES.COUNTY AND STATE OF CALIFORNIA OR THAT 1.AM THE
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE.ABOVE DESCRIBED RESIDENTIAL .0
PROPERTY.
'�.' � 0227-79'
SIGNATURE
OF PERMITTEE M
DISTRICT NO. ROCESS BY
U)
INDUSTRIAL., ( � _,
WASTE APPROVAL (f
\ w
76A887 (CE-817) - 1/79 APPLICATION FOLUMBING- ERM1T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY'ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE. TO: BUILDING �/ J�
ADDRESS /0132,.. IIS+I i-0) FLD-KI EV l.Ib
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST /�LL U
CROSS ST. A
NUMBER . FIXTURE OR ITEM ® FEE
WATER CLOSET 2,00 MAIL OWNER �&-ri—
BATH TUB 2.00 ADDRESSrrpS,2-
SHOWER 2.00 CITY L71�1"rC -�� TEL. NO. L/({-m
LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS
DISHWASHER 2.00 CITY TEL. NO.
CLOTHES WASHER 2.00 STATE.. LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 2:00
DISTRICT NO:GROUP NE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 U f� f� �r
WATER HEATER 2.00 �® INDUSTpIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS- 2.00 0 INSPECTION RECORD d
OUTLETS OVER O
5 PER SYSTEM .30 v
O
• W
. to
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE () JAL
APPROVALS DATE INS PECTOR'9..91GNATURE
Plalq,check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Addres GAS PIPING / �v
City Tel. No.
GAS'VENT .407
HOT WATER HEATER e I
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THATTHE 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 ,j�
LICENSED. AS REOUIRED BY LOS ANGELES COUNTY AND STATE OR
CALI FORNIA OR THAT 1 AM THE LEGAL OWNER or, AND fRT'ENb TO
RESIDE IN THE ABOVE DEkCRIBED RESIDENTIAL P$OPERTY. FINAL
SIGNATU RE
OF PERMIT'�EE 0"UW
PERMIT VALIDATION CK. M.O: CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 2 7r°APF 2 5 0 1 0.5 0 e`•-: