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APPLICATION FOR PL MEING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER o
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY •�-
/ c C�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET it 25 MAIL o S 79� 7-1
BATH TUB 125 ADDRESS Df
'Z S
SHOWER 1 25 CITY r (� TEL NO
LAVATORY 1 25 CONTRACTOR Q (41 27
SINK 125 ADDRESS S1p
DISHWASHER 125 CITY S TEL NO
LAUNDRY TUB 125 REGISTRATION NO COUNTY RACTOR S STATE El
CLOTHES WASHER 125 D STR T NO GROUPA NE P,,R CESSED BY
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WATER HEATER 1 5045� 1
0
1� WASTE APPROVAL IAL CL
GAS SYSTEMOUTLETSAPPAOVAL O
OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD U
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Q C_oq g?. Li tit im-p.gr
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APPROVALS DATE 'INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 4
ROUGH PLUMBING �( h
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLLDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATIO ROBERT A O D
CK M o CASH SUPERVISING MECHANICAL ENG R
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING,,x p
JOHN A LAMBIE COUNTY ENGINEER ADDRESS O
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125 MAIL
BATH TUB 1 25 ADDRESS
SHOWER 125 CITY TEL NO �( 7
LAVATORY 125 CONTRACTOR
SINK 125 ADDRESS
DISHWASHER 125 CITY TEL NO
`STATE LIC
LAUNDRY TUB 1 25 LICENSE NO CLASS
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE I P SSED BY
WATER HEATER 150
GAS SYSTEM OUTLETS 150 INDUSTRIAL WASTE APPROVAL 0
a
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD A /f V
o
/ W
i CL
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES CO NTY AND STATE OF GAS TEST /y
CALIFORNIA OR THAT 1 AM THE LEGAL OWN OF AND INTEND TO C I 7
RESIDE IN THE ABOVE R PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
AUDAnON
CK M O CASH
LhCp7580-0 NOV26 5 D 350- a
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76APPLICATION FOR PLUMBING PERMIT 1
17
DBSS 17f0 S'9r
DIVISION OF BUILDING AND SAFETY
Department of County En In
County of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 7-,z.CASSATT D GRIFFIN SUP T OF BUILDINGLOCALITY/ FOR APPLICAyJN-,-T• TO FILL�sIN 'reI cRossss �,/ i�,. .t�-�t
OWNER 0 l i I ��C— Y.+� (� MO S �at7 DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS 'dam £] RI �r4 `- �� � II
INDUSTRIAL
CITY I C�Yn/ 01� C 1 \ TEL NO : O �7 � WASTE APPROVAL
PLUMBER 1 INSPP�JECTION RECORD
�t
ADDRESS
CITY TEL NO / t�� �'^ ! ' ✓'d G/ Q �'/f 7
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ S100 $
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $100
WATER HEATER @ $100
GAS SYSTEM @ S100
APPROVALS
//
DATE / INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 6cGAS VENT
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 7gg
°Z-7 A4
LICENSED AS REQUIRED BY LOS ANGELES COUNTY/ STATE OF _
CALIFORNIA OR THAT 1 AM THE LEG`L OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PRO,�P`ERTY `-]�'' i r
SIGNATURE - F" ` FINAL `
OF PERMITTEE /
i
t
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK !L O CASH
5 0 2 1 APR 1 3 3 �1
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1-6A807 Yf to a9 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTgRICT NO G40UP ZONE PERMIT NO
PLUMBER I * RECEIVED BY READY FOR DATE ISSUED
��� FIRST INSPECTION
ADDRESS ���t::"3'"" d p
"/,o
J BUILDING
CITYFY�`L � TEL NO S ADDRESSCOUNT
-
LICENSE NO 7 ,C� EXPIRES 8 / LOCALITY
NEAREST
PERMIT FEES CROSS STp/�� y,A
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q O 50 15 I ADDRESS A
�I BATH TUB Q O 50 I I CITY 1 TINO P .
A I SHOWER Q O 50I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q O 501
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 501 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAS SYSTEMOUTLETS Q O 50 I OF THE RESIDENTIAL PROPRTY D SC [BED ABOVE
/ I
c SIGNATURE OF _6iID9
—
WATER HEATER Q O 501 PERMITTEE .GAC% n
SLOP SINK Q O 501 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O 501 //`2-//,-w ` w
URINAL O SOI 42 /"Y)
HOUSESEWER Q O 50111 Z
.^ I MISCELLANEOUS I /YAa.rr4ea a Aj,4 6�
,6..--AP_RROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT l/yl
CESSPOOL Q 1 00 CESSPOOL
SEPTIC TANK I--i SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER I i
PERMIT I 1 00 GAS TEST
UTILITY CO NOTIFIED
FINAL
f
TOTAL FCE I $ �� t
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