HomeMy Public PortalAbout5008 WILLMONTE AVE_Plumbing__ 7_fkA 6.671,,;g C E 81y'G 8/68
APPL.ICATION FOR PLUMBI G PER T
COUNTY OF LOS ANGELES I fl
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) NEAREST
CROSS Si.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO.
LAVATORY1.50 CONTRACTOR
z SINK 1.50 ADDRESS
i
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50T41
TRICT N0 GROUP E P O BY
I LAWN SPRINKLER SYSTEM 2.00 � C
WATER HEATER 1.50 TRIAL C.2
E APPROVAL o
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD F-
CJ
OUTLETS OVER W
5 PER SYSTE .307 a o_
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE E 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 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 GAS TEST ,�J
PLUMBING.
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR UT ITY O.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTItND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE OF R. ALLEN, SUPERVISING HAIJICAL EN G'R.
PERMIT VALIDATION CK.. M.O. CASH
PLAN CHECK VALIDATION --CK.- M.O. CASH „ 1,; �y
. .,4 2 .4 7R 1'G�If1 2`7 � 5.00-
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ✓T� /`(/Jy
COLEMAN W. JENKINS. SUP'T. OF BUILDING LOCALITY
ye
FOR APPLICANT TO FILL IN'(PR NT OR TYPE) CROSS ST. 6CJ/� ZL1orIL�
NUMBER FIXTURE OR ITEM EACH FEE OWNER G/7
WATER CLOSET 1.50 MAIL Al
BATH TUB 1.50 ADDRESS Alo lie+MUN .E E
SHOWER 1.50 CITY TEL. NO, 03—.6tf 492-
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 . DISTRICT NC GROUPTfF PR 6 D BY
LAWN SPRINKLER SYSTEM 2.00 / r
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL SSdd
J GAS SYSTEM OUTLETS 1.50 SPECTION RECORD
OUTLETS OVER 30
5 PER SYSTEM
Plan check.fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
I.TOTAL FEE ` 50 APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. -
HOT WATER HEATER lei
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES 0. 04f
WITH ALL, COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND- STATE :OF .
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.,AND INTEND TO +J
RESIDE IN,THE ABOVERIBED RESIDENTIAL PROPERTY. FINAL (�
SIGNATURE .TACK R. ALLEN, SUPERVISING MECHANICA N6'
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION C . M.O. CASH
i ar-4 3 7 4 PR 7 5 D 3.5 0
7GA667-CENS17 4-67 \•VC /
APPLICATION FOR PLUMBI G PE MIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �+� Q r ��
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ,J b
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
- vw
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET ,j0
MAIL _
1 BATH TUB �� S� ADDRESS 1
SHOWERCITY 1. TEL. NO. T •�-- f �
LAVATCONTRACTOR —C
ORY
1
SINKj�i 1,15 s�y. ADDRESSe .. rILIq
DISHWASHER 1.15 CITY TEL. NO. J Q
_i� STATE LIC
LAUNDRY TUB LICENSE NO. r741 CLASS
CLOTHES WASHER 1. o I STMLCT NO. G P Z E P E �D B
0 WATER HEATER 1.50 i v
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD Off.
CD
' W
G.
y
Z
APPROVALS DATE INSPECTOR'S SIG14ATURE
PERMIT $ 2 00 UNDER SLAB WORK J-/-�✓�;� tl.�l� 11
ROUGH PLUMBINGD tlLOel�
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI4A. . TION GAS VENT _
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. NOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO GAS TEST
RESIDE IN.THE ABO DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED `u -
SIGNATURE
OF PERMITTEE 4,0FINAL
V LIDATION JACK R. ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENG-R.
LA(;O l 7 8 2-0 NOV 17 5 0 1 9.7 5-