HomeMy Public PortalAbout9141, 9123 BROADWAY_Plumbing__ DEPARTMF+NT Or COUNTY ErfGINEEEs
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
WILLIAM J., FOX, COUNTY ENGINEER ':ADDRESS T
FOR APPLICANT TO FILL IN LOCALITY
BUILDING Sia /I /� NEAREST
ADDRESS 7 '-/•I_�^�I("QQ�(�,��� CP0f8 5T.
DISTHic r N0. yGUT I sQN PERMIT NO.
L��O /
LOCALITY
NEAREST ww p
CROSS ST. ��r•. /.f �/J� / RECEIVED BY ReadY for Inspection DATEISSUED
OWNER I L
MAILO I 1 yf < INDUSTRIAL
ADDRESS T!). J !'r•t WASTE APPROVAL
CITY 'fit v1/9L\�� t"b TEL.NO1 INSPECTION RECORD
PLUMBER 'I �A/� �F"JI=�" - N,
ADDRESS QE C _
CITU TEL.NO. ^
a TATE �1
LICENSE NO. / L 73 LICOUNTY
PERMIT FEES
z
4l1M9ER TYPE Or fIXTORE OR ITEM GEE tl
�• -WATER CLOSET(TOILET) @ 0.80 -$460 O
BATH TUB Q 0.80
SHOWER Q 0.80 Q
LAVATORY (WASH BASIN) Q 0.80 f
KITCHEN SINN Q 0.80 —20
LAUNDRY TUB OR TRAY Q 0.80
_SLOPSINK Q 0.80 .
FLOORSINK Q 0.80
FLOOR DRAIN Q 0.80
DISHWASHER Q '0.80
DRINKING FOUNTAIN Q 0.80
URINAL Q 0.80
GAS SYSTEM-----q.—OUTLETS Q 1.00 ed
WATER HEATER Q I.00 00
MISCELLANEOUS
_ APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLABWORK Q 2V/�Y' k9lCJ6Le---
PERMIT = - 1 00 ROUGH PLUMBING
TOTAL FEE --g-go . GASPIPING �� u
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. GAS VENT
A
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE ROT WATER NEATER
TO COMPLY WITH LL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED pp
AND/OR LICENSED AS REQUIRED By LOS ANGELES COUNTY GASTEST
' AND STATE OF CALIFORNIA OR THAT 1 AM//THE LEGAL OWN.
ER OF THE ABOVE DESCRIBED RESIDER IAL PROPERTY. UTILITY CO.NOTIFIED A
SIGNATURE 1// I\ A
OF PERMITTEE............. yn.�:._ I... .... . ............_........ ._ �L' ' 1'
FINAL > I O�C"f- i)-1X em-u -cu
769867 DBS 17 Gb 12.53
76A667-C ER617 4.67
APPLICATION FOR ' PLUMBING PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING w
_ JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W, JENKINS. SUPT. OF BUILDING LOCALITY nG� Gtr
FOR APPLICANT TO FILL IN NEAREST
CROSS Sr. AM,
1 /t
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER ow p es, LLL-:
MAIL cfi��F/ �Of3 CtJ
BATH SUB 1.25 ADDRESS
SHOWER 1.25 CITY T TEL. NO.
LAVATORY 1.25 CONTRACTOR 94 Ve 9 /A(�G
SINK 1.25 ADDRESS e, 7 Z�,Cc—
DISHWASHER 1.25 CITY riA(7-vG EL. NO. fp, 3 OQ
LAUNDRY TUB 1.25 STATE I I LIC
LICENSE NO.�2 - CLASS C 8
CLOTHES WASHER 1.25 DISTRICT NO. G P PR v
WATER HEATER 1.58 D I: O
i
1.50 INDUSTRIAL
CAS SYSTEM OUTLETS_ WASTE APPROVAL U
OUTLETS OVER 5 PER SYSTEM .70 INSPECTION RECORD
n � O
��j/ ✓_ OL
_ z
APPROVALS DATE INSPECTORS SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
..__GHPL NIBING
L
TOTAL FEE GAS PIPING I
1 HEREBY ACKNOWLEDGE THAT I MAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY!THAT 1 PROPERLY REGISTERED AND/OR PLUMBING FIXT
URES
LICENSED AS REOOIRED BY LOA NGELES COUNTY AN STATE OF GAS TEST
CALIFORNIA OR THAT I AM T EG AL OWNER OP.A IN ENO TO _
RESIDE IN.THE ABOVE SCRI "ESI UTILITY UTILITY CO. NOTIFIED
SIGNATURE
.OF PERMITTEE 'I
FINAL
/VI�ILIDATION JACK R. ALLEN .
CASH SUPERVISING MECHANICAL ENG-R.
LjC 1 7 5 0 (i0V 16 5 D 3..5 0- .v
T6AS6TA •"
CE JBTJ IRE V.6/]6)
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE ORITEM ® FEE ADDRESS
WATER CLOSET
G i LOCALITY LN
NEAREST
BATHTUB CROSS ST. G
SHOWER - OWNER 0
/
LAVATORY MAILADDRESS
SINK CITY TEL,NO,.
DISHWASHER CONTRACT N
CLOTHES WASHER ADDR
iu e
SWIMMING POOL RECEPTOR
CITYL� R7LS 3 7EL.
LAWN SPRINKLER SYSTEM -
STATE -2 LI /
WATER HEATER LICENSE NO, :J L/�fe Ir Z' CLASS �j
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GAS VENT V
HOT WATER HEATER 0
per.
PLUMBING FIXTURES J u
GAS TEST ILL
Plan check fee UTILITYCO,NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$ p
TOTAL FEE FINAL C2-2 /
Plan check applicant PLAN�CHECK VALIDATION
Name W` 4J _ , /
C. -G -,7 / Y Q
Address �l
City Tel.No. '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 9 6 3 2 4 A
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS # O O O O O 5
RECURRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF, INTEND TO RESIDE IN T EABOVE DESCRIBED RESIDENTIAL 2(p O 2500
PROPERtt. /
SIGNATURE / 25006
0
aF PERMITTEE GGG !/L
DISTRI i PR ED BY x 8 2 3-79
INDUSTRIAL
WASTE APPROVAL
T