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Home My Public Portal About4918 ARDEN DR_Plumbing__ 76A667 17 25M SETS 7-48 APPLICATION DPW ICA TION FOR PERMIT DEPARTMENT OF. BUILDING AND SAFETY A/ 4J1$�1 1V S SOLYS111 COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER OPLUMBING NATURE 0 INSTALLATIONDISTRICT No. G90-UP O E PERMITNO. ROUGH FIXTURESCOMPLETE ( 7 3 '� HEATER CESSPOOL —I SEPTIC YANK RECEIVEDREADY FOR IBY DATE 198U[ED \/V1'i°J1 FIRST ill;W TION S_—p^ J_® GAS MISCELLANEOUS t� APPLICANT FILL IN HEAVILY OUTLIN D PORTION ONLY E NAME 0 A/(r�dt� FY ADDRESS 1/X�.�-�/L�. W / � m ADDRESS LOCALITY g D NEAREST { �j /,,/�/�q y CITY TEL.No. CROSS ST. z e/-"_s lf._�',. COUNTY LICENSE NO. EXPIRES It NAME (1pl/p LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL ADDRESS � .ge -, ,E_ NORTH 0 0 y� , CITY '1 I AM THE LEGAL PGGSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. O n• PLUMBER I AM THE LEGAL OWNER OFTHEPROPERTY DESCRIBED IABOVE. // t -_' N .ill �1.t�Q� ,�'.71/. J\r:, i1 11-.✓ - U) OWNER Department r%-RPfCUq T and Safety 1126 Eo Las Tunas, East San G.abrlel ATlantic 2-5123 SOUTH DESCRIPTION OF WORK z BATH TUB FURNACE rSHOWER DISHWASHER Z D LAVATORY / REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN 44 WASH TRAY URINAL APPROVALS WATER CLOSET / DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTUC SEPTIC TANK CESSPOOI SEPTK SEWER II II UTILITY CO.NOTIFIED TOTAL FEE "T FINAL r 76 A,.667—(!.E 817 8/68 APPLICATION FOR PLUMBING PER IT COUNTY OF LOS ANGELES DEPARTMENT*OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS JV &MIL COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST. - a NUMBER FIXTURE OR ITEM EACH FEE / 6th OWNER WATER CLOSET 1.50 s MAIL BATH TUB 1.50 5-0 ADDRESS - SHOWER 1.50 �V CITY TEL. NO. 2 . CONTRACTOR LAVATORY 1.50 / SINK 1.50 ADDRESS DISHWASHER .1.50 CITY TEL. NO. -, `k;v9 CLOTHES WASHER 1.50 STATE K LIC LICENSE NO. 6J CLASS SWIMMING POOL RECEPTOR 1.50 DIST CT NO GR OU ZON P O BY LAWN SPRINKLER SYSTEM 2.004 v WATER HEATER 1.50 INDUSTRIAL Z WASTE APPROVAL o GAS SYSTEM S OUTLETS 1.50 INSPECTION RECORD CU Lu OUTLETS OVER .3G to 5 PER SYSTEM - I Z Plan check fee 2S% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEF. 5-0 APPROVALS ATE I-#ECTOFy S SIGNATURE Plan check applicant UNDER SLAB WORK g 7,- Name Name ROUGH PLUMBING r `r Address - GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER I HEREBY .ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST Y� 6 17 PLUMBING. I HEREBY CERTIFY THAT' I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEG OWNEROF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBE I NTIALeROPERTY. FINAL 'SIGN OF ERMITTE PERMJACK R. ALLEN, SUPERVISING MECHANICAL ENG'R. PERMIT VALIDATION cK� M.O. CASH PLAN CHECK VALIDATION CK. /M.0. CASH :`: r111R 4 5 D 1,8.50 - - 76A667A (CE 617B) -477 l� V/( �` " � � I� APPLICATIg OR PLUMBING PERMIT IJ BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING„ NUMBER FIXTURE OR ITEM ®. FEE ADDRESS WATER CLOSET LOCA TY NEAREST BATH TUBC ROSS ST SHOWER, OWNER LAVATORY MAIL ADDRE SINK CITY TEL.NO. DISHWASHER M8YALLIERS CLOTHES WASHER AB0920 E. GRAND ND SWIMMING POOL RECEPTOR TEMPLE IS �]If�G`�II\I AVE.C7 LAWN SPRINKLER SYSTEM C'111117BIf L�� Q��TaL.N STATE LIC. WATER HEATER �l LICENSE N CLASS DISTRICT NO. V ONF ROCESSED BY GAS SYSTEM OUTLETS � ,�UP OUTLETS OVER 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD U W CL- C/I>C/7 Plan check fee PLUMBING PERMIT ISSUING FEE$ 00 TOTALFEE Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ' LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE/�� FINAL �RI.-AN-CF+�K-�iALI[?�la�l c 'SH PERMIT VALIDATION M.O. cnsH p) 01 DEU,oi P®TQC .