HomeMy Public PortalAbout9723 WOODRUFF AVE_Plumbing__ 76A6'67 (CE-817)-4/72 '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING , ¢
ADDRESS rJ�i
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
MAIL
NUMBER FIXTURE OR ITEM FEE.
WATER CLOSET 1.75 OWNERG
ADDRESS�� �
BATH TUB 1.75 6iJ
SHOWER 1.75 CITY;p,—., TEL. N0,>8'
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESYv +_,X.- /GT S
DISHWASHER 1.75 CITYJey �; TEL. NO�j -S~i�o7
CLOTHES WASHER 1.75 STATE 17LIC
LICENSE NO.0 S �O CLASS G-
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUPJZNIE�APR ESSE BY
LAWN SPRINKLER SYSTEM 1.75 15
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER C�
5 PER SYSTEM .30
W
C11-
C43 y
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 7
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
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
Ll E14
RECJUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF P E R M I T T E t
PERMIT VALIDATION cK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
AO, 0 5 77 � JAN 16 5 D 4.7 5- cc
/ a a
76A667 (CE-817)-8-71 /�/ � � I �� /J�t ✓r��yy
"APPLICATION FOR iPLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
FAB
ILDINGBUILDING AND SAFETY DIVISION DRESS 7
CALITY _r�lQI_fFOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREOSS ST. 9'CiL f r
NUMBER FIXTURE OR ITEM p FEE
(OWNER
WATER CLOSET 1.75 .� ��o�.✓
'MAIL
BATH TUB 1.75 :ADDRESS
SHOWER 1.75 CITY £ /J^'y TEL. NO.
LAVATORY 1.75 1 !CONTRACTOR
SINK 1.75 IADDRESS
DISHWASHER 1.75 CITYf 6r TEL. NO.
CLOTHES WASHER 1.75 STATE nLICLASSC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO.
DISTRICT N� GRO ZO E SED B
LAWN SPRINKLER SYSTEM 1.75 �+ p Q �
WATER HEATER 1.75 )INDUSTRIAL
I WASTE APPROVAL G
GAS SYSTEM OUTLETS 1.75 INSP OR
OUTLETS OVER 30 i O
5 PER SYSTEM
W I
i
Z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE '9 Q
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 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 I GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FUTILITY C O. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN TATE OF
CALIFORNIA OR THAT I AM THE L AL OWNER OF, A NTEND TO
RESIDE IN THE ABOVE DESCRIBE ESIDEN L PRO R Y. I FINAL
SIGNATURE 1
OF PERMITTEE
PERMIT VALIDATION QK. ). CASH
PLAN CHECK VALIDATION CK. M.O. CASH i
- 61 s *;4 ..may 23 5 D 6.50-