HomeMy Public PortalAbout9538 BLACKLEY ST_Plumbing__ �r
' COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
-�" Department of County Engineer
DIVISION OF BUILDING & SAFETY P L 1 j
WILLIAM J. FOX, County Engineer
DISTRICT N iGROUP ZONE P R
FOR yyA��P��PLICANT TO FILL IN I
PLUMBER ♦ W, RECEIyED BY READY FOR DATE 1 UED
q/ FIRST INSPECTION
ADDRESS ►YO
BUILDING
OITY 0-A94A,�g TEL No. ADDRESS
COUNTY b LOCALITY
LICENSE NO. .d EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERC�' QhCiQ.r��
MAIL
WATER CLOSET(TOILET) 0.50 `$ A ADDRESS
BATH TUB @ 0.50 CITY TEL. No.
SHOWER Q 0.511 O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 Q 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.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL�PROPERTY DESCRIBED ABOVE.
GAS SYSTEM�OUTLETS Q 0.50 B O ` /
SIGNATURE OF ��
WATER HEATER @ 0.50 PERMITTEE.i
SLOP SINK @ 0.50 - INSPECTION RECORD/ T
FLOOR SINK 0.50 / ^/ii �(��� C i�W /-1 A,
FLOOR DRAIN 8� 0.50
�
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL - @ 0.50 VJrt �
HOUSE SEWER ,C4a 0.50 •(�� U /�/`�7J/./ z
[7.
MISCELLANEOUS
lY
^ f �
l CTI/� --s [ .4 Cvr—•.�OIw�M •"'."'s-...�
APPROVALS
nDATE INSPECTOR'S NAME
- ROUGH PLUMBING /1
� J
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE /O �9 0 A
FINAL
76A667. DBS$ 17 6-52
�— C E 1 7 10-67 1402a.38B3 � -
- - -
APPLICATION FOR PLUMB NG -PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 9538 Bre _.
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALIrx TEMPLE CITY
FOR APPNEAREST CLOY I LYLICANT TO FILL IN (PR NT OR TYPE) CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE `
OWNER ETON
WATER CLOSET 1.50 MAIL
BT n
BATH TUB 1.50 ADDRESS 9538
IA
CUOY
SHOWER 1.50 CITY T311PU CITY TEL. NO. -287-7347
LAVATORY 150 CONTRACTOR TERRY TILE
SINK 1.50 ADDRESS )'VP. '71ASHINGTON BLVD
DISHWASHER 1 50 CITY LOS 1-?1GE1ZS TEL. NO.=, i-1,86'
CLOTHES WASHER 1 50 ATE LIC
�LTCENSE NO - 105264 CLASS -
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GT ZONE PRO ES D BY
LAWN SPRINKLER SYSTEM 2.00 �QU !l Q O
WATER HEATER 1 50 INDUSTRIAL U
WASTE APPROVAL
- O
GAS SYSTEM OUTLETS 1 50 INSPECTION_RECORD V
OUTLETS OVER - W
5 PER SYSTEM 30 D_
N
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 3. 50 APPROVALS �r DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No.
HOT WATER HEATER
IH
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _ _WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST '
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRE Y LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT THE L OWNER F.AND END TO
RESIDE IN,THE ABO D CRIB SIDENTIAL OPERT FINAL, - �p
SIGNATURE c JACK R. ALLEN, SUPERVISI ANICAL,ENG'R s
OF PERMITTE
PERMIT VALIDATION QLKm'O CASH -
s
PLAN CHECK VALIDATION CK M O CASH
9 2,4,,7.:oi APR' 9` 5 D. _5:5'0 ' r .
76A667A ICE 8171911- 11/76
APPLICATION FOR P UMBING PER IT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING j
FBATHTUB
FIXTURE OR ITEM @ FEE ADDRESS (j
ER CLOSET LOCALITY
NEARESTCROSSST V WER OWNER IJATORY MAILADDRESS CITY {���� //�� TELWASHER C6NpA104F1C I IcTA
CLOTHES WASHER ADD 920 E. GRAND AVE.
SWIMMING POOL RECEPTOR
I/ LAWN SPRINKLER SYSTEM CITYTEMPLE C'� C101LN0 ��f��
WATER HEATER •'LICENSE NO en
WATER -1cr CLASS
GAS SYSTEM OUTLETS
DISTRICT NO GROUP ZONE PROCESSED BY
r. I
OUTLETS OVER ,r^
5 PER SYSTEM INDUSTRIAL d
WASTE APPROVAL O
INSPECTION RECORD L V
ad
O
Vl
z
Plan-check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING "
City Tel No GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THATTHE ABOVE IS CORRECTAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY 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 / /1- t7
OF PERMITTEE - l/l VVV FINAL
i ¢ rA ��� PERMIT VALIDATION cK
PLAN CH(�Z_VACIDATION� ck M o cA H p �y, � ®
POLICY ® ® ���� � c'!�
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