HomeMy Public PortalAbout9722 BROADWAY_Plumbing__ ]6A667
DBB.I]IO.55 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer _ -
County of Los Angeles . BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING 7
- .. :. LOCALITY
FOB APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ONE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
' QTY TEL NO. WASTE APPROVAL
PLUMB INSPECTION RECORD
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CITY pp , TEE/L. NO� /9 ([J��✓'
LI CENS 190�"�—
NUMBER TYPE OF FIXTURE OR ITEM ( FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ S1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ S1.00
DISHWASHER @ S1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ 5I.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'5 SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
AO GAS PIPING
TOTAL FEE GAS VENT ` A
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER 2hIS1 ��
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. pLU MBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY05 ANGELES'COU
NTY AND 'STATE OF -
CALIFORNIA OR THAT I A THE LEGAL OWNER OF THE ABOVE - UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OF Y.
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERTA. WOOD, CHIEF PLBG. INSPECTOR
CK. N.0. sH
L - 7 1 9 5- RPR 16 3 2.0 0 In
7BA667-CES17 12159 TEM— 11'861 E CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUIBUILDING
JODINGLAN 'SRIVISION
COUNTY NGINEER ADDRESS
r
WILLIAM A. JENSEN, SUPTDF BUILDING . LOCALITY
FOR APPLICANT TO HE IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWN
WATER CLOSET MAIL _
ADDRESS
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
CONTRA TOA
LAVATORY q
SINK ADDRESS
DISHWASHER CITY L.
CO STATE jtL
LAUNDRY TUR REGISTRA ON NO. O COUNTY ❑'
CLOTHES WASHER DISTRICT NO. CRQLIP I ZONE P SED BY
WATER HEATER I .
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD a.
O
U
0
o ,
U
W
N
Z
OR FIXTURE $ �O
APPROVALS PATE INSPECT/OR�'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK J
TOTALFEE I /J C n ROUGH PLUMBING �I 1
J l'/ GAS PIPING I
1 D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT I /
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY p
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER / ,Z
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM T E LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE Ni1A ROP TY. ^ UTILITY CO. NOTIFIED
L `/p
SIGNATURE
OF PERMITTE FINAL
®r VALIDATI�ROBERT A. WOOD,
C5. N.0. cnsx SUPERVISING MECHANICAL ENG'R
Aln.2 10 8% -JUL25 5 0 3.50 c
76 A"'.E.17 l2' APPLICATION FOR PLQ MBiNC �PERIVIIT
Dss.IDIVISION OF BUILDING AND SAFETY �l
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER BUILDINGADDRESS
CASSATT O. GRIFFIN. SUPT of BUILDINGi
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
+ OWNER DISTRICT O. GROUP I ZONE_ I READY FOR INSPECTION
MAIL _ �/`/'/• f/�i�f/
ADDRESS f
_ INDUSTRIAL
CITY TEL. NO I WASTE APPROVAL
PLUMBINSPECTION RECORD
ADDRESS
CIT
LICEN NO
NUMBER -TYPE OF FIXTURE OR ITEM FEE '
WATER CLOSET (TOILET) $ _
BATH TUB
SHOWER
LAVATORY (WASHBASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.80 APPROVALS
rAND — DATE INSPECTOR'S SIGNATURE
GAS SYSTEM—OUTLETS @ 1.00
T. UNDER SLAB WORK
WATER HEATER @ 1.00 !!(?
ROUGH PLUMBING
PERMIT $ 1 00 GAS PIPING
TOTAL FEE GAS VENT A � P
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER ZI Sr \ 101'4 L.1
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ��
LL COUNTY ORDINANCES AND STATE LAWS REGULATING _ PLUMBING FIXTURES
NG.
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
NIA OR THAT I/,AM THE LEGPL OW ER OFw THE ABOVEED RESHU EENTIAV PROP HT / L^GNAT
RM TTEBj T �• FINAL Lj\raS �.�,..�ja
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
_jAEo4 1 6 7� W27 3 2.00 m
• ['//moi// �S DEPUTY
76AS67 19 25M SETS 7-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ���
COUNTY LOS ANGELES
WILLIAM J.. F FOX. CHIEF ENGINEER
DISTRICT O. GROUP O E P .
FOR APPLICANT TO FILL IN -Al
PLUMBERM. C NOTTIGIT A W M RECEIVED BY ct8R
- EADY FOR DATE ISSUED
�
FIR TINSP
ON ! ATE7- UE9
ADDRESS / No- 3oviDrjY /
CITYMEMPLE Y • JOB
ADDRESS
LICENSE NO. EXPIRES a LOCALITY !J///• /
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST �
ANGELES COUNTY LICENSE. CROSS 5T. J (� v
OWNERMAI L
/',
r F / PLUMGER ADDRESS 'J v
V PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY TEL. Na.
ITEM LISTED BELOW, PLUS SDC FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
OWNER
F
TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
GAS SYSTEM-OUTLETS
WATER HEATER
SLOP SINK J
Q
FLOOR SINK Z
FLOOR GRAIN CI
DISHWASHER
O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS '
011 Xn,1 A. 1 J I .Yn� '
w
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL
SEPTIC TANK - DRAIN I I PIT ( ) $ i SEPTIC TANK
CESSPOOL $ I SEWER I
HOUSE SEWER $ 'J GAS TEST
0 p UTILITY CO. NOTIFIED 'J
TOTAL FEE $� :•-
FINAL ( 7
1