HomeMy Public PortalAbout9170 BROADWAY_Plumbing__ 76AB57-CES17 6-60 ,i„
APPLI.CATIO4FOR k-UMBING PERMIT
RNTFOTGEDEPATTMENT OCUNYNGINEER
BUILDING AND SAFETY DIVISION Ru1LDrrlc
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /O E - ��O'�ID GI'h
WILLIAM A. JENSEN, SUPT OF BUILDING
- LOCAL177 ?
FOR APPLICANT TO FILL IN NEAREST
.NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS C
CITY TEL NO.
SHOWER p
LAVATORY CONTAACTO E7E?Kx
SINE ADDRESS eV- da ,Sjjr-V"
DISHWASHER CITY /Co TEL NO. WF "lleo& 3
CONTRACTOR'S STATE ❑
LAUNDRY TUM REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRI//C��TfN/Q. GROUP ZONE/ PROC SSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Y
w
O
U
R
O
H
V
W
w ..
N
F /.
I EEE
/ ® 81.00 PER ITEM
OR FIXTURE $ U'�� APPROVALS DATE INSPECTOR'5 SIGNATURE
PERMIT $ Z 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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 1 AM PROPERLY REGIS D AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY 0 STATE OF GAS TEST
CALIFORNIA OR THAT T E AL OWNER THE ABOVE
DESCRIBED RESIDENTI P P TY. UTIL TY�C0...Nl�OT ED f
SIGNATURE Cl� S M"r —� ., —t15 61
OF PERMITTE
FINAL
®� / VALIDATION ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
76AE67-CES1712159_ TEMPLE CRTY
APPLICATION FOR PLUMBING PERMIT �]
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING
BUILDING ANDESAFETYIVISION ADDRESS 7b
JOHN A. LAMBI COUNTY NGINEER
WILLIAM A. JENSEN, SUF'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER
CITY n I TEL. NO .�
/
LAVATORY CO �OR
SINN ADDRESS
DISHWASHER CITY 7f !t. TEL. N .-�Jr
CO C 'S STATE 91-
LAUNDRY TOB AEGISTRA ON NO. p' COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE RECCESSED BY
WATER HEATER 5:220 I 'T
GAS SYSTEM INDUSTrRIAL
WASTE APPROVAL
INSPECTION RECORD >.
w
r O
U
C
O ,
V
W
0.
N
Z
0 SI.00 PER ITEM /'
OR FIXTURE $ ( s6 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 1 2100 UNDER SLAB WORK
TOTAL FEEP/1 ROUGH PLUMBING
J C/ GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING. HOT WATER HEATER
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 1 ��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM HE L OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PR ER UTILITY CO. NOTIFIED
SIGNATURE
OF PER MITTE FINAL
®. VALIDATI ROBERT A'. WOOD,
Cr. N.C. cnsx SUPERVISING MECHANICAL ENG'R
Leo 5 6 2 1 OCT 17 5 D 3.5 61 o
75 A 667—.CE 817 8/68
APPLICATION FOR-PaL4UMBINd. -E41 T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING _
BUILDING AND SAFETY DMSION ADDADIN
JOHN A. LAMBIE. COUNTY ENGINEER 7 o
COLEMAN W. JENKINS. SUPT. of BUILDING LOCALITY I2LI'.
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAAEST n
CROSS ST. 40c k )-
NUMBER FIXTURE OR ITEM EACH FEE �~
OWNER vH-.d t W���I--SIf — MAIL
WATER CLOSET 7
BATHTUB ADDRESS qt-)o I�-+ %^OCLCQ-DU-
� ,L
1 SHOWER p CITY `Q l/L( TEL. NO. of "i6
LAVATORY 1 ADDRESS CJ.7h 2 r.
SINK 1.50 ADDRESS LjD-�2
DISHWASHER 1.50 CITY CA_S oL60Je TEL. NO. :1.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO, CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP NE RO 65ED BY �
LAWN SPRINKLER SYSTEM 2.000 = U
WATER HEATER 1.50 INDUSTRIAL m
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50w
INSPECTION RECORD
OUTLETS OVER d0 H
5 PER SYSTEM
Plan check feu 2.5- of above. See revers,..
PLUMBING PE1011T ISSUING FI'.'E $ 00
'I'( T:V.. FEF.. T
APPROVALS DATE INSPECTOR'S SIGNATURE
Plafl Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Addres, GAS PIPING
GAS VENT
Cit) Tel. IN HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RE51OE IN,THE ABOVE DESCRIBEDD RESIDENTIAL PROPERTY, FINAL /7
E
SIGNATURE / /� ' 0�ti� JACK R. ALLEN, SUPRVISIN NHANICAL ENG'R,
OF PERMITTEE !ll���✓✓✓
PERMIT VALIDATIONc. . �M.o. CASH
PLAN CHECK . IDATION cK. M.o. cASH