HomeMy Public PortalAbout8608 WORTHINGTON DR - Plumbing - 1970-10 -13 - 76 A 6-67; -CE 817 8/68
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION FNEAR
DING
JOHN A. LAMBIE. COUNTY ENGINEER RESS 6COLEMANW. JENKINS. SUPT. OF BUILDINGALI YFOR APPLICANT TO FILL IN(PRNT OR TYPE) EST
SS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
BATH TUB 1.50
ADDRESS c.
SHOWER 1.50 CITY TEL. '
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL.NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWfMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 p- f
O
WATER HEATER 1.50 INDUSTRIAL v
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 2
OUTLETS OVER
5 PER SYSTEM •30 oW.
y
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 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
1 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 .Y
LICENSED AS REQUIRED 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 JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R.
OF PERMITTE
PERMIT VALIDATION CK. M.O. CASH "
PLAN CHECK VALIDATION CK. M.O. CASH
•- LAP •7 :15 iR OCT 13 5 A 3.5 0- V
- l P
"A887--C$917-B-5B
APPLICATION -FOR - PLUM.BING .PERMIT 1
COUNTY OF LOS ANGELES
DEPARTNIENT OF COUNTY ENGINEER
BUILDING1�Y DIVISION rOEIII A L M County
BATT D.GRIIIN.Se of 8,11aing LOCALITY
CIV
FOR APPLICANT TO F= IN NE IT.
000 Id
�®
NUMB! FIXTURE OR ITEM r
OWNER
WATER CLOSET MAit.
BATE Tm ADDRESS
SHOWER CITY TEL.NO.
LAVATORY CONTRACTOR FONTANA PLUMBING Cq"TRAC-TeR
anus ADDRESS 1332
DB3EWASHER CITY CRY Of In
LAIINDRY TIM CONTRACTOR'S
REGISTRATION No. #96496 couNTY
"CLOTEES WASHER DISTRICT NO. GROUP ZONE P CESSED BY
WATER NEATER 1
GAS SYSTEM MDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
D- r-AS .a /?i ep 0.
APPROVALS
0 IAB PER ITEM
jg DATE INSPECTOR'S SIGNATURE
CSP UNDER W RK —.e'
HPERMIT $ 2100 ROUGH-PLUMBING
1 TOTAL FEE 0 GAS PIPING .,9.�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES - 7 G
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST D
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT IAIM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA OPE
SIGNATURE OF PERMIT'' 4 AZ*l FINAL 7-7-,46 y7,
ROBERT A.WOOD.
OF ALIDATION SUPERVISING MECHANICAL"ENG'R
CK. H.0. CASH
L&8 9 5 4 5 APR 7 5 A 1 2.0 0 M.