HomeMy Public PortalAbout9703 WOODRUFF AVE_Plumbing__ FEMG67-CE*817 S-GI• /
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGII�IEER
BUII:DIl�TG AND SAFETY DIVISION svuDnrG
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS G)3 w G B . . != s'7`
WILLIAM A. JENSEN, SUPT of BUILDING LOCALSY �•^ _
FOR APPLICANT TO.FII.L IN T. � �.
NUMBER FIXTURE OR ITEM OWNER A
WATER CLOSET
BATS TUB ADDRESS
CTPY
TEL NO.
SHOWER
corrrRAcroa �, d i=eR ,p G(J�.1 rl
LAVATORY
SII�S ADDRESS /7D Maj IQ/
DISHWASHER CITY a M E.4 o TEL.NO. A/.• /`[i 6.1 TE ir
LAUNDSY TUB RCRGffiiBATiON NO. C��.�� COUNTY
CLOTHES WASHER DISTRICT NO. 6 UP ZONE PROCESSED BY
WATER HEATER C� d
IIiDUSTRIAL
GAS SYSTEM WASTE APPROVAL, V
f IIISPECTlON.RECORD.�- ! G
s
4- i z
S OB FDPER[TURZ $ I t�
APPROVALS DATE INSPECTOR'S SIGNATURE'
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE 0 7 ROUGH PLUMBING `
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' -
AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY GAS VENT
L
f.'OUNTY ORDINANCES AND STATE LAWS: REGULA71NfiHOT WATER HEATER
Y CERTIFY THAT 1�AM PROPERLY REGISTERED AND/OR� PLUMBING FIXTURESAS REQUIRED BY LOS,ANGELES COUNTY AND STATE OF GAS TEST /A OR THAT 1 AM THE LEGAL OWNER OF T E ABOVE'RESIDENT P OPE ' UTILITY.006 NOTIFIED �.h /RE k. 1 I Io, /t�lu
MITTE FINAL IV V JI tl1w
ALIDATION ROBERT A.WOOD 1.
CK. M.D. CASH SUPERVISING ECHANICAL ENG'R
�`,; 0 :14 9" MAR 29 5 D 5.00
7GAGG7 (CE-s17) - 1/7S ,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS / 4 '
u
HARVEY T. BRANDT, COUNTY ENGINEER4 LOCALITY p�Lti
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. Lr OSI
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET
2.00
MAIL
BATH TUB 2.00 ADDRESS If
SHOWER 2.00 CITY TEL. 40.1
LAVATORY 2.00 CONTRACTOR -
SINK 2.00 ADDRESS
DISHWASHER 2.00 CITY A TEL. NO: b -y,z 7G
CLOTHES WASHER 2.00 L C NSTATES� NO.+Z,G .2- d CLASS C •
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 '---c � ASG, a L-
WATER HEATER 2.00 INDUSTR NL u
WASTE Al�PROVAL
GAS SYSTEM OUTLETS '✓ INSPECTION RECORD v
OUTLETS OVER --�
5 PER SYSTEM •30 ,� CO .L IV fA' 7�' >3 Z (�� O
H
�9— +• e W
CI
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 7
TOTAL FEE "GI
APPROVALS DATE INSPECTORS 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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I
CALFORNIA OR THAT 1 AM•THE LEGAL OWNER OF, ANS INTENb TO
RES DE IN THE ABOVE ZDESCRIBRDENTIAL OPERTY, FINAL G r,3 �#SIGNATUREESIo o U IVO ��tJ
OF PERM[TT E O o 01
CA
PERMIT-VAL• CA
PERM CK. M.O. CASH
PLAN-CHECK VALIDATION CK. M.O. CASH I Q Q O
�l O O O N
10 O O UI nc�
CH