HomeMy Public PortalAbout9246 BLACKLEY ST_Plumbing__ � C
76A667 CE#817 5 61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION F77z�l�
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING ��FOR APPLICANT TO-FILL IN R s
NUMBER FIXTURE OR ITEM
OWNER �� a
WATER CLOSET KAM
BATH TUB
DAD REBS
SHOWER CTlY TEL NO.
LAVATORY CONTRACTOR
f
SINK ADDRESS
DISHWASHER CITY NO. STTE
CONTRACTLAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO GROUP ZONE SED BY
WATER HEATER
GAS SYSTEM MDUSTRIAL V
WASTE APPROVAL
INSPECTION RECORD
O
f-
v
W
N
z
@ 5100 PER ITEM
OR FIXTURE $ APPROVALS / DATE INSPECTORS SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK /ZY/�� r7111
/ 1
TOTAL FEE ROUGH PLUMBING 7 111t,
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1 !
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING' HOT WATER HEATER tqr �3/ yl
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 THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE � J'3A t�v �
FINAL ! - / - J
VALIDATIONROBERT A WOOD
tK M O CASH� UPERVISING MECHANICAL ENG'R
( "'24 7 5 KW 10 5 D 4.7 -
Ir
76A607-CE617 10-&0
i `
a'r .
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUMDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUPT OF BUILDING
LOCALITY
1 FOR APPLICANT TO FILL IN NEARESTAT
NUMBER FIXTURE OR ITEM OWNER -
0_
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO
SHOWER
LAVATORY CONTRA
SINS ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'STATE
LAUNDRY TUB REGISTRATION NO. C
CLOTHES WASHER DISTRICT I GROUP ZO/�E PROCES BY
WATER HEATER � :1 ��
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL >-
INSPECTION RECORD D_
O
V
ce
�0
1L
N
Z
0 $100 PER ITEM
OR FIICTUHE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING i u'
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING .y�yyf�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /lj�.} •ajVlc.. ... �
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR T 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESID TI L PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE
FINAL 7 1!z
916 ? �`,.:_j �; �/ G�✓
VALIDATION---,,ROBERT A WOOD /
cK M o l/c,yBH UPERVISING MECHANICAL ENG'R
�r� , 0 21 1 -0
[,;AR 2 9 5 D 5.00
76A667 o.PB 17 7-5I APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
GR
FOR APPLICDISTR P .ANT TO FILL IN v /D
PLUMB EJR I J - CEI Y READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS Iry ~
BUILDING
CITY 2 V
TEL No O"'D! �{ ADDRESS dS
COUNTY
N❑ �!L EXPI LOCALITY
ICE
NEAREST
PERMIT FEES CROSS BT
NUMBER TYPE OF FIXTURE OR'ITEM FEE
OWNER
MAIL
WATER CLOSET(TOILET) a 050 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO
SHOWER a O SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 513 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0 50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 050 �� ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
13AB SYSTEM OUTLETS @ 050 � /J
SIGNATURE OF � /
WATER HEATER 0 O 5O PERMITTEE
SLOP SINK a 050 INSPECTION RECORD
FLOOR SINK 0.60
FLOOR DRAIN @ O 50
DISHWASHER @ 050
DRINKING FOUNTAIN @ 050
URINAL O 60
Q
HOUSE SEWER O 50 _Z
MISCELLANEOUS E3
m
O
APPROV
DATE INSPECTOR•B NAM[
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANKI SEPTIC TANK
i
DRAIN ( ) PIT ( ) 1 00 SEWER
PERMIT . . I DD GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
"" FINAL