HomeMy Public PortalAbout9552-9554 WOODRUFF AVE_Plumbing__ 76 A 667—CE 817 8/68
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS y
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY T
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNS / fir,.
WATER CLOSET 1.50
AIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY 10V TEL. NO.
LAVATORY 1.50 CONTAACTO
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO. i
CLOTHES WASHER 1.50 STAT • LIC r. _
LICENSE NO. , CLASS
SWiM1,fING POOL RECEPTOR 1.50 DISTRICT NO. G O P ZONE P OCESS Y }
a
LAWN SPRINKLER SYSTEM2.00 V
WATER HEATER 1.50 I S INDUSTRIAL 0
WASTE APPROVAL
U
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD Lu
OUTLETS OVER 30 ti
5 PER SYSTEM �
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 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
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
S CALIFORNIA OR THAT 1 THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE D 1-R....
✓ED RESIDENTIAL PROPERTY. FINAL
SIGNATURE /�/�./ �✓ �•l ''(�` JACK R. ALLEN SUP RVISIN ME HANK NG"•
OF PERMITTEE
PERMIT VALIDATION c M.0" cnsH
PLAN CHECK VALIDATION CK. M.O. CASH
CQ
.69 6Z-0 4.75NIq
r
76A667-C E#817 10-67
APPLICATION FOR PLUMBIN PERMI .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
G
JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUP'T. OF BUILDING YFOR APPLICANT TO FILL IN(PR NT OR'TYPE) T.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS , 4 -
SHOWER 1.50 CITY TEL. NO A
LAVATORY 1.50 1 CONTRA R /
SINK 1.50 ADDRESS :f O� t
DISHWASHER 1.50 CITY TEL.NO
CLOTHES WASHER 1.50 STATE LIC
LICENSE CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GAUP ZONE P CESSED BY
LAWN SPRINKLER SYSTEM 2.00 CD
WATER HEATER 1.50 r INDUSTRIAL
WASTE APPROVAL
O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD v
OUTLETS OVER L+J
5 PER SYSTEM .30 N
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE J o
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
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED B LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I TH GAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE CR D RESIDENT L PROPERTY FINAL -•C�ze �
SIGNATURE JACK R. ALLEN, SUPERVISING MECH ANI "R.
OF PERMITT E
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
L&O b 2 4 2,-i; SEP 4 5 D 3-50-"
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