HomeMy Public PortalAbout10533 BOGUE ST_Plumbing__ • 76A867C(Cf;.B 17-A)- 11/76
APPLICATION OR-PLUM B ING PERMIT
COUNTY OF LO NGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /O53 j O o
NUMBER FIXTURE OR ITEM ® FEE ADDRESS Cs
WATER CLOSET LOCALITY T �O
NEAREST
BATH TUB CROSS ST
SHOWER OWNER Q� C K.L1T:Z!
LAVATORY MAIL
ADDRESS (�
SINK CITYLO eO T •N
DISHWASHER CONTRACTOR � Too
CLOTHES WASHER ADDRESS 8 00p z4l�
SWIMMING POOL RECEPTOR CITY v C..l wbr7-;_Iz TEL NO
LAWN SPRINKLER SYSTEM STATELIC
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WATER HEATER LICENSE NO ( 6l.51oZ CLASS
GAS SYSTEM OUTLETS DISTRICT NO OUP NE PROCESSED BY
OUTLETS OVER ` U
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD V
99
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Plan check fee
PLUMBING PERMIT ISSUING FEE$ 57>
. TOTAL FEE
Plan check applicant
o APPROVALS DATE INSPECTOR'S SIGNATURE
Name � '
,Q� UNDER SLAB WORK
Address G:/C�b v!/,/ ROUGH PLUMBING
City Tel Nctg �7245 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND 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, y4�
REQUIRED BY LOS ANGELES COUNTY AND STATE'OF CALIFORNIA OR THAT I AM THE GAS TEST " 1-r ?-'172
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LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED v �1
SIGNATURE ,
1 OF PERMITTEE FINAL
PLAN CHECK V ATION 0 `�M o CASHDJv� PERMIT VALIDATION CASH
FOL.11"'1( NCIEt o,,, , 9 4 3 p�ii 8 5 a 1 0.5 0 A
16A 667-CE#617 5/63 r �'
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 1053Bo e
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
Temple,Ci
FOR APPLICANT TO FILL IN NEAREST /
CROSS ST. i
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Noel Baldwin
3 WATER CLOSET $1.25 3 75 MAIL
1 BATH TUB 1.25 1 2 ADDRESS
1 SHOWER 1.25 1. 25
LAVATORY 1.25 3 '75 CITY TEL. NO.
CONTRACTOR Owen Bros Plumbing
SINK 1.25 1125 ADDRESS C' No. Baldwin
DISHWASHER 1.251 CITYFl montp
CONTRACTOR'Sp TEL. NO. QO 8
STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 197184 COUNTY- 0
CLOTHES WASHER 1.25 1. 2- DISTRICT.NO. GROUP ZONE /pR0 ESSED BY
1 WATER HEATER 1.50 ] 50
1 GAS SYSTEMOUTLETS 1'50 1 500 WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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V
W
DL
N
Z
APPROVALS DATE INSPECTOR'SpaSIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBINGf, -7-Z ,,.14_1,
TOTAL FEE 18175 GAS PIPING
1 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 1 AM THE LEGAL OWNER OF,AND INTEND TO p _
RESIDE IN,THE ABO DES ED RESIDENTIA .PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE I
OF PERMITTEE FINAL - 0 zowvzl
1-24 1
VALIDATION ROBERT A. WOOD
cK M O CASH SUPERVISING MECHANICAL ENG'R
0;S Nfly 2 2 5 D 1 8.7 5.