Loading...
HomeMy Public PortalAbout9474 BLACKLEY ST_Plumbing__ --,76A667-,CE8I,7-8-57 „ APPLICATION- FOR PLUMBING PERMIT 4 COUNTY- OF'LOS ANGELES DEPARTMENT OF,COUNTY ENGINEER ' BUILDING BUILDING AND SAFETY DIVISION •ADDRESS )AM, -louew w JOHN A LAMBIE, COUNTYIENGINEER ';CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY lln - FOR APPLICANT TO FILL IN NEAREST ' CROSS ST. ',r*l NUMBER FIXTURE OR ITEM a••.c++ �-�y , OWNER t<s'�ei`f�m WATER CLOSET MAIL • BATH TUB" ADDRESS CA11A `Pla kr'1 Dr,, • SHOWER,- CITY 'G93 + TEL.NO. LAVATORY $ Ott f CONTRACTOR SINK ADDRESS � k aj t Ca ^` DISHWASHER_ CITY TEL.NO. a3f ' LAUNDRY TUB CONTRACTOR'S STATE REGISTRATION NO. COUNTY " CLOTHES WASHER DISTRIC O G&QII� P - ZONE , READY FOR INSPECTION WATER HEATER — l r GAS SYSTEM INDUSTRIAL WASTE APPROVAL / INSPECTION RECORD ' I APPROVALS $1.60'PER ITEM ;; DATE INSPECTOR S SIGNATURE: OR FIXTURE U UNDER SLAB WORK ROUGH PLUMBING ' PERMIT S 1 00 GAS PIPING - n' TOTAL FEE G, a") GAS VENT 1 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 PLUMBING FIXTURES ' PLUMBING - - I 'HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ' LICENSED,AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -,CALIFORNIA OR THAT- I AM THE•LEGAL,OWNERnOF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RES I DENTIAL,.PRO PERT,Y.,- SIGNATURE-' f + '� /• - J11 _ - 'OF PEFtM ITTEEA ;_,r�r,�. / ~^�l=�Q '• IJ°+s _L FINAL ' ROBERT A WOOD, ' ff'"VALIDATION SUPERVISING MECHANICAL ENG'R j� ,� %• - - ! % CK� 11 M O °t-CASH �y 0 76A667-CE9617 6-65 APPLICATION FOR PLUMBI G PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST / 13A. JOHN A LAMBIE, COUNTY ENGINEER /- COLEMAN W JENKINS SUP T OF BUILDING FOR APPLICANT TO FILL IN . U NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL;NO. LAVATORY 1.25 CONTRACTOR t t� kewjS SINS 1.25 I 75 ADDRESS Lo dP"0- /!�uQ . DISHWASHER 1.25 CITY `Q Ull2 a TEL. NO. /GSTATE LAUNDRY TUB 1.25 LICENSE NO 2 3/ 3s g CLASS CLOTHES WASHER 1.25 DISTRICT NO. GR ON "R E O BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.505 CJ INDUSTRIAL a WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V O H V LU CL N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK �j ROUGH PLUMBING TOTAL FEE GAS PIPING I 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 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 I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE- OF PERMITTEE - FINAL �IJDATION M O CASH LALO 3-6- 8 - ° JUL 22 5 a 4.75- 17 25M SETS 7-48 APPLICATION FOR PERMIT .. 17 PARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �� ' 'j WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRO. GROUP I ZONEPERMIT NO. or _r- 'l �249 � PLUM BE RECEIVED BY READY FOR DATE 195U I FIRST INSPECTION _E Ab ADDRESS r l / CITYTEL. No G JOB ADDRESS COUNTY LICENSE NO. EXPIRES JD LOCALITY I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST ANGELES COUNTY LICENSE. CROSS ST. OWNER r v MAIL Q (� PLUMBER ADDRESS �Pf PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY L. Na. ITEM LISTED BELOW, PLUS 50a FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE. $1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. OWNER NUMBER TYPE OF FIXTURE OR ITEM WATER CLOBCT (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) , KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM-_OUTLETB WATER HEATER SLOP SINK _ J FLOOR SINK Z FLOOR DRAIN 5 DISHWASHER m O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DATE INSPCCTOR'S NAME ROUGH PLUMBING GAS PIPING /7 GAS VENT CESSPOOL SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER I_ HOUSE SEWER $ GAS TEST I ' TOTAL FEE $ 0- UTILITY CO. NOTIFIED S� FINAL �© .1-2( C_