HomeMy Public PortalAbout9457 BLACKLEY ST_Plumbing__ ,BA8177 10 58 APPLICATION FOR PLUMBING PERMIT
DBS
DNISION OF BUILDING AND SAFETY 19
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST /1 /
n / CROSS ST x
/7 n
OWNER / (/ ^ / DISTRICT NO GROUP I ZONE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADD TANA PLUMBING CONTRACTORS
13329 EAST ECTOR
CITYPUENTrz
L NO n
LICENSE NO * 96496 G „,
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $I 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $100
GAS SYSTEM @ $1 00
I l
t
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT I 1 00 ROUGH PLUMBING
OO GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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 r
PLUMBING PLUMBING FIXTURES \ ^. (4 —....i
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELESePUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE L A ER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROP R
SIGNATURE 5,7
OF PERMITTEE FINAL U
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
EL • CASH
�69 11- RPR 5 3 200 in
DBS 17 3 53 APPLICATION FOR PLUMBING PERMIT 1
DBS I7
L DI\TISION OF BUILDING AND SAFETY �S
Department of County Engineer
County of Los Angeles
BUILDING
ADDR=ESS
WM J FOX, COUNTY ENGINEER ADD
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
,,I1/ �' �J CROSS ST LL• , p�
OWNER r,/' /T�'0 `rte DISS ICT NO GROUP ZONJ
READY FOR INSPECTION
MAIL
_
�i SAO
ADDRESS `J
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
_PLUMBER �0�-7 i�l� /. y/��.C/ 1:9 INSPECTION RECORD
ADDRESS �� r/ZV/,��i/ /?- �y �- cam'/
CITY �6//�/Y/ T E ld�N.C-Y /'7/� � ] l I,. -�•6^a�r�.A.
LICENSE NO �(' �gq C,r.LAL�
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $ fp OD
BATH TUB ea
SHOWER f 0--
LAVATORY (WASH BASIN) m>Q
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO @ o Bo APPROVALS
�( 'DATE INSPECTOR S SIGNATURE
GAS SYSTEM_SJ OUTLETS @ 1 00
WATER HEATER P 1 oo UNDER SLAB WORK I A 1,
ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING '
TOTAL FEE '0'"
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 REQUIRED BY LOS GELES COUNTY AND STATE OF /FQ\
CALIFORNIA OR THAT I M T LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL OP TY/
SIGNATURE ^
OF PER ITTEE FINAL L .j
I ,,
WILLIAM J FOX, COUNTY ENGINEER VALIDATION R A WOOD, CHIEF PLBG INSPECTOR
��'� x'2 1 5 SSP 14 3 /11.01'0
- _I
76+6 n - C$817 570
APPLICATION FOR PLUMBING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �/�` U
BUILDING AND SAFETY DIVISION BUILDING /V
JOHN A. L.AMBIE. COUNTY ENGINEER ADDRESr
COLEMAN W. JENKINS SUP T OF BUILDING LOCALITY 7 —e-An /Q
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM E4CH FEE
OWNERw O cv a i/
WATER CLOSET 1 0
BATH TUB 1150 ADDRESS
SHOWER 1 50 CITY TEL NO 'Zg7,)313
LAVATORY 1150 CONTRACTOR
SINK 1150 ADDRESS
DISHWASHER 1150 CITY TEL NO
CLOTHES WASHER 450 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1150 DISTRICT N G ;Zr0E PROC ED BY
fI
LAWN SPRINKLER SYSTEM 2100 f
WATER HEATER 1 0 INDUSTRIAL ROVAL Q
GAS SYSTEM OUTLETS 1 0 INSPECTION RECORD u
OUTLETS OVER
5 PER SYSTEM O
L!J
CL
I _ N
z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 00
TOTAL FEE
APPROVALS DATE INSPECTOR 5 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
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY+THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT! OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN THE ABOVEDERCRI RESIDENTIA ROP RTY FINAL
4�;III/
OF PERM SIGNATURE 0e JACK R. ALLEN, SUPERVISING MECH AN]CA EN G'R
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION CK M O - CASH
L o i 2 n ED 3 i-� D 6,50-