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HomeMy Public PortalAbout9114 BROADWAY_Plumbing__ 76A667C (CE-911B) -9/75 APPLICATION FOR PLUMBING PERMIT {� BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPEI BUILD IN /1/ G fJ�o A n wAL/ NUMBER FIXTURE OR ITEM @ FEE ADDRESS 1 /I1) WATER CLOSET- LOCALITY NEAREST t' / BATH TUB (l NEAREST a " CROSS ST. OSG NI/3i�tl� SHOWER 3 OWNER /y(C LA V4TORYa V MAIL ADDRESS SINK CITY TEL. NO. DISHWASHER CONTRACTOR e-G46AAPrc/L CCAI'C i CLOTHES WASHER ,/ ��•� ,F ADDRESS a , S///`/ / �� /T/y 1//ice SWIMMING POOL RECEPTOR /y�/ �/ CITY �RZ�1' 1Ki TEL. NQy/,,h-J 7Q/ LAWN SPRINKLER SYSTEM STATE C;� {,, WATER HEATER _f, LICENSE NO. / Y>3 C ASS �� O V 0e IQ- GAS SYSTEM DIS UTLET$ �.TRICT NO. GROUP ZONE ROC! S D BY 0 �-L� I �, ��� OUTLETS OVER 5 PER SYSTEM INDUSTRIAL U WASTE APPROVAL W INSPECTION RECORD h Z Plan check fee PLUMBING PERMIT ISSUING FEE S TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR .5 SIGNATONE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 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 AN0 STATE OF GAS TEST / I �f CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCfl ED REST IAL PERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE CGVW FINAL �� PLAN CHECK VALIDATION CK. M.Q. CASH PERMIT VALIDATION CK. M.O. CASH 4-1 ,9NAR 30 76 A 6'57 lC E-8171-4/72 ;r r' APPLICATION 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 LOCALITY ogbG FOR APPLICANT TO FILL IN (PRINT OR TYPE( NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST. CIE :Ilt WATER CLOSET 1.75 OWNER MAIL BATH TUB 1.75 ADDRESS SHOWER 1.75 CITY TEL. NO. LAVATORY 1.75 CONTRACTORSoq�, SINK 1.75 ADORES DISHWASHER 1.75 CI yIfTEL. NO .Ss� CLOTHES WASHER 1.75 STATE LIC �- SWIMMING POOL RECEPTOR 7,75 LICENSE NO. CLASSGr-3B DISTRICT NO. GROUP 20NE PROCESSED BY- LAWN Y LAWN SPRINKLER SYSTEM 1.75 L^• DC 1 R_4 iZ .,� { WATER HEATER 1,75 INDUSTRIAL d 1— ��N 1M' WASTE APPROVAL d GAS SYSTEM OUTLETS 1.75 77 INSPECTION RECORD OUTLETS OVER .30 p 5 PER SYSTEM H U W d - N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 '00 TOTAL FEE S APPROVALS DATE INSPECTOR 9 SIGNATURE Plan check applicant UNDER SLAB WORK 1 Name ROUGH PLUMBING —f�"• Address GAS PIPING GAS VENT / V yA ?b HOT City Tel. No. - - HOT WATER HEATER 4"11 ` A I HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES r/ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST ��• /�! HEREBY CERTIFY THAT I AM PROPERLY REGISTEREDANDY R UTILITY CO. NOTIFIED LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STA 0 ! CALI ED RNIA OR THAT I A E LEGAL OWNER OI, AN T NOT j97-1 RESIDE IN THE ABOVE DE RI 0 REBID ENTI�OP� FINAL .ClV SIGNATU RE OF PERMIT PERMIT VALIDATION cK. M.0. CASH PLA CHECK V (DATION CK. M.D. CASH 485 SEP 3 5 0 11.75er 7 6 A 6671C E-617)-4/72 APPLICATION FOR PLUMBI G PERM( {� COUNTY OF LOS ANGELES �f DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONELI LD NG p ,11/1 KF_ CHECKS PA YA BLE 7'0: ADI DRElSS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY T 1 FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE �, a �.. WATER CLOSET 1.75 OWNER MAIL BATH TUB 1,75 ADDRESS SHOWER 1.75 CITY TEL. NO. p� LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS �. V-0 2 DISHWASHER 1.75 CITYsIA^ LQHQ q TEL. NO.?SS J/ .(q/� CLOTHES WASHER 1'75 STATELiC LICENSE NO..91/ O Ip 7 / CLASS 0 SWIMMING POOL RECEPTOR 1,75 DISTRICT NO. GRO -UP ON FR CESSED BY LAWN SPRINKLER SYSTEM 1.75 O T WATER HEATER 1.75 INDUSTRIAL F- - WASTE APPROVAL n. GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CR OUTLETS OVER m 5 PER SYSTEM •30 _ 0 U 12 a 00 z Plan check fee See Reverse . PLUMBING PERMIT ISSUING FEE`S ow-,Sio" - TOTAL"FEE Q APPROVALS DATE DS PEcro R'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING .y Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER HEREBY THAT TH LEDGE THAT HAVE READ THIS APPLICATION AND STATE THAI TME ABOVE IS CORRECT TE LAWS TO COMPLY PLUMBING FIXTURES ` WITH ALL COUNTY ORD(NAN<ES AND STATE LAWS flEGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AN OR UTILITY CO. NOTIFIED LICENSED AS PEOUIRf LOS ANGELES COUNTY AND OF CALIFORNIA OR THA AM THE LEGAL OWNER OF, AND TEN TO RESIDE IN THE 4BOV OESC BED RESIDENTIAL FINAL 51GNATl1RE V OF PE TEE PERMIT VALIDATION CK M.O. CASH PL CHECK V (DATION CK. M.O. CASH - - 7.7. 3kNDV 12 5 0 7.5 0 ,&y8 76A607-0E617 30-60 i APPLICATION FOR PLUMBING PERMIT Y COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONBUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF-SU.—.— LOCALITY FOA APPLICANT TO FILL IN- CROSS 51'. NUMBER FIXTURE OR ITEM WATER CLOSET MAILER y /y CC, F,.r.cK MAIL / ADDRESS HATH TUB ii�✓ ,��-o a d w.... CITY /e SHOWER TEL NO. f LAVATORY CONTRA OR CoAr i ' ADDRESS O2 aZ/G YV. ��•Cci SINN IV DISHWASHER CITY/�/lrn.•+6s-ta, TEL. NO. _,qb" LAUNDRY TUB REGISTRATION NO. /� STATE COUNTY CLOTHES WASHER DFRICT NO. GROUP ZONE PRO ED Y WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 0 AA CV- k Z RM ® A ITEM OR FIX OR FIXTURE APPROVALS DATE INePECTOR'e SIGNATURE PERMIT $ j 00 UNDER SLAB WORK TOTAL FEE 7 O 0 ROUGH PLUMBING GAS PIPING I HEREBY OE THAT 1 HAVE READ THIS APPLICATION AN STATE THATHAT THE THE ABOVE IB CORRECT AND AGREE COMPLY GAS VENT f WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER n �� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES .�1 ✓"��yjti( ' LICENSED AS REOUIREO BY LOS ANGELES COUNTY AND STATE OF GAS TEST / F CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBEDRESIOEN L PROPER T UTILITY CO. NOTIFIED SIGNATURE A .1 L OF PERMITTE FINAL 7 (l,{ / ! f.{SII�A� /VALIDATION ROBERT A. WOOD CN. M.O. CASH SUPERVISING MECHANICAL ENG'R SEP 11 5 0 7.0,0- `q //`may/'^;/L,y`n•�M' w�Bv DBB 17 9-51 �' s APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT GRD P ZONE F PPLIC FILL IN v I .�3S/ / PLUMB PLURECEIVED BY READY FOR DATE ISSUED _ .. ... ,. /.An/ ',1_ .FIRST INSPECTION f� ..// BUILDING �r / 1,i -.1 CITY TEL ND. ty �t ADDS���/' /o ��^j^-�L�� w UNSF_ NO. EXPIRES 6136 LOCALITY LOCALITY '=//•"�-Iii �'• / / CROSS BT. /tt PERMIT FEES 7J NUMBER TYPE OF FIXTURE OR ITEN FEE OWNER V / . MAIL WATER CLOSET(TOILET) ® D.SO 3 ADDRESS /-�/q �j BATHTUB @ 0.50 CITY TEL NO.�w`� �d J SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASHBASIN) @ 0.50 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 1 PO EBS THE ABOVE LID LOB LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LIOEN6 OR 1 AM THE G L OWNER OF THE RESIDENTIAL PR ERTY BCR Birb AB VE. GAB BYBTEM_OUTLETB @ 0.50 BIONATURE OF .,. O a/ WATER HEATER @ 0.50 PERMITTE BLS SLOP BINK @ O.SD INSPECTiON RECORD rLOOR BINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ O.SO DRINKING FOUNTAIN ® O.SO URINAL @ 0.50 1 Q HOUSE SEWER @ 0.50 Z MISCELLANEOUS 17 O (J APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING OAS PIPING GAS VENT CESSPOOL @ 1;00 CESSPOOL BEPT10 TANK$ SEPTIC TANK DRAIN ( ) PIT ( ) 01.00 SEWER PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE W e/O FINAL �..f1 /5"/ aL