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HomeMy Public PortalAbout9437 BLACKLEY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING" 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLI�y+��y►��T TO FILL LOCALITY , BUILDING �/�/ NEAREST / ADDRESS CROSS ST tJ t DISTRICT NO GROUP ZONE PERMIT NO LOCALITY NEAREST ` CROSS ST RECEIVED BY Ready for Inspection DATEISSUED OWNER '" +� MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY TEL -NO INSPECTION RECORD PLUMBE ADDR ^ r T CITY TEL.NO nem �©7— L1lyr 4:41 STATE LICENSE NO 4COUNTY J PERMIT FEES y.�� �a�� d 4UMBER TYPE OF FIXTURE OR ITEM FEE /'� -a `-, -�— WATER CLOSET(TOILET) @ 080 S BATH TUB @ o so13 C . 0. Zz SHOWER @ 080 LAVATORY(WASH BASIN) @ 080 KITCHEN SINK @ 080 V 4_ — LAUNDRY TUB OR TRAY @ 080 / l 2l/� t,� ��'a.r,ems�►.e 'e m '�-,.�.. SLOP SINK @ 080 FLOOR SINK @ 080 " FLOOR DRAIN @ 080 DISHWASHER @ 080 DRINKING FOUNTAIN @ 080 URINAL @ 080 GAS SYSTEM _ OUTLETS @ 1 00 WATER HEATER @ 1 00 MISCELLANEOUS APPROVALS DATE INSPECTOR�rS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING r `V TOTAL FEE GAS PIPING 40 1HEREBY ACKNOWLEDGE THAT I HAVE READ T S APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATCR TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING 1 ' PLUMBING FIXTURES / 1 /j I HEREBY CERTIFY THA_T—^ ROPERLY REGISTERED AND/OR LICENSED"AS�REQUIRE LOS ANGELES COUNTY GAS TEST lL /T AND STATE OF CALIFOR�JJSIHAT I AM THE LEGAL WN- ER OF THE ABOV ESDENTIAL PROPE UTILITY CO NOTIFIED A SIGNATURE / OF PERMIT _ _ FINAL w 76A667 DBS 17 1/53 76A667 (CE-817)-4/72 .Ci APPLICATI NFO LUMBING PERMIT COUNTY OF LOS ANGELES 3 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING ADDRESS J HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST r + CROSS ST NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1 75 1 MAIL BATH TUB 1 75 ADDRESS SHOWER 1 75 CITY TEL NO agSl�Q7� LAVATORY 1 75 CONTRACTOR GENERAL INSTALLATION CO. SINK 1 75 ADDRESS 6558 WEST BLVD. DISHWASHER 1 75 CITY Los Angeles TEL NO PL 3-2541 CLOTHES WASHER 1 75 STATE LIC LICENSE NO C 36 151839 CLASS SWIMMING POOL RECEPTOR 1 75 DISTRICT NO GROUP ZONE `CESS D BY LAWN SPRINKLER SYSTEM 1 75 i 2 i WATER HEATER 1 75 ` S INDUSTRIAL WASTE APPROVAL op� GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD C7 OUTLETS OVER p� 5 PER SYSTEM 30 Ready for Inspectiorf,NOW o s C WATER SOFTENER LJ a b y Z 1 Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 v00 TOTAL FEE / APPROVALS � DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK rnI/1 Name ROUGH PLUMBING �(WV A Address GAS PIPING V 11 v City Tel NO GAS VENT 1 q / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUM B,NG GAS TEST q • in �1� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUI REO BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND, RESIDE IN THE ABOVE DESCRIBED RESIDEN L P20-.�o FINAL SIGNATU RE Gf/y OF PERMITTEE PERMIT VALIDATION cK M o CASH PLAN CHECK VALIDATION CK M o CASH m 3 5 '8 P JAN 1617 5' ID 4.75A 76A667 CE817 8 57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING C� BUILDING AND SAFETY DIVISION ADDRESS CG JOHN A LAMBIE COUNTY ENGINEER y CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM OWNER ✓ ,� WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TE NO LAVATORY CONTRACTOR SINS ADDRESS y, DISHWASHER CITY L NO _^ ^ t LAUNDRYTUB CONTRAICTORSSTATEV,LJ REGISTRATION NO 3 • �r/(COUNTY' t CLOTHES WASHER ` DISTRICTi.�L,C• G fpP ZONE READY FOR INSPECTION �. {ti•- WATER HEATER �(�J GAS SYSTEM INDUSTRIAL z WASTE APPROVAL INSPECTION RECORD APPROVALS $1 00 PER ITEM DATE INSPECTOR IGNATU RE OR FIXTURE $ �O UNDER SLAB WORK / �� y PERMIT S 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE Qo GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL 01YER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIA ROP SIGNATURE &;�L FINAL OF PERMITTEE ROBERT A WOOD ©. VALIDATION SUPERVISING MECHANICAL ENG R CK M 0 CASH LACo 2 1 1 1 JUN 70 3 A 4.0 0 18