HomeMy Public PortalAbout9683 BLACKLEY ST_Plumbing__ .F7 4/72
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f APPLICATIO FOR PLUMBING PERMIT
- COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER r
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEARECROSS ST . /®p �� 3!d/D•
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 �✓
J MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITYTEL. NO.
LAVATORY 1.75 �� CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DIST CT NO. GROUP j.ZQNE CESSED Y
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
O
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CJI
OUTLETS OVER
5 PER SYSTEM .30 O
V
4d
a
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK III iz
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I 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
PLUMBING. GAS TEST '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,,AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PR PERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.0 C� ASH
PLAN CHECK V, L DATION CK. M.0. CASH '
5 7 1 ''3 LCT 3 0 5 D 8r . '5 A
76A667 (CE-817) - 5/73 � ���
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY,DIVISION
MAKE CHECKS PAYABLE TO: ADIDRESS �f
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNERIZnr�f-,ran 19
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS ,
SHOWER 1.75 CITY r G TEL. NO.�
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75
CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
Dl,,, RI�CyT 7m [4
GROUP Z E
LAWN SPRINKLER SYSTEM 1.75 J_V
—7 -y—-4 �3�,
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL }
GAS SYSTEM OUTLETS 1.75 �
�5 INSPECTION RECORD O
C�
OUTLETS OVER 30 C
5 PER SYSTEM
O
F—
LW
W
en
IZ
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE S
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Nagle - ROUGH PLUMBING
Address 1 GAS PIPING
City Tel. N---1;21f _� GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE TH I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE S CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED `
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTI L PROPERTY. FINAL
SIGNATU RE
OF PERM TTE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK V IDATI N CK. M.0. CASH /n
a
i D -
z-1 :7 'A c.
7BA687 17 5-50 10 APPLICATION FOR PERMIT
- DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
I FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
.,/ FIRST INSPECTION
ADDRESS
'�' � ,2., Q
BUILDING
CITY TEL. NO. 'ADDRESS /�
COUNTY X LOCALITY O O� r{y_ ..-7
LICENSE NO. �l�D EXPIRES NEAREST L� _ ��)
PERMIT FEES CROSS ST. Ll I
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 S I ADDRESS
BATH TUB @ 0.50 I CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL ROPE TY DESCRIBED ABOVE.
GAS SYSTEM---Jr/-OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 I PERMITTEE � >
SLOP SINK @ 0.501 INSPECTION REC D
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.501
IDISHWASHER @ 0.501
IDRINKING FOUNTAIN @ 0.501
I URINAL @ 0.501 ,J
I HOUSESEWER @ 0.501 Q
MISCELLANEOUS
0
I
II
I I
I I
APPROVALS
DATE, INSPECTOR'S NAME
1 I ROUGH PLUMBING Z--
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 I SEWER
GAS TEST
PERMIT I 1.00 ,!� l
UTILITY CO. NOTIFIED
TOTAL FEE
FINAL
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