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
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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"/
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