HomeMy Public PortalAbout9957 BROADWAY_Plumbing__ 76A667-CEB17 3-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING pp r r7 1T ® A D W]STATE
'0HN A. LAMBIE. County.En ,neer ADDRESS / 7 J_/ O K CASSArr D. GRIFFIN. Sup t o! Building oQLOCALITY O FOR APPLICANT TO FILL IN NEAREsrCROSSSr.NUMBER FIXTURE OR ITEMOWNERWATER CLOSET' MAIL
BATH TUB ADDRESS QCITY 0 TEL NO.
SHOWERLAVATORY CONTRACTOR rSINR ADDRESS
DISHWASHER CITY TEL NO.CONTAACTOR'SLAUNDRY TUB REGIMS TION NO.
CLOTHES WARREN DIST RI G'I NO_ GR"q-I ZONE; PROCESSED 5Y
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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0 $100 PERITEMg
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK L1 "/ S-/�n
TOTAL FEE / ROUGH PLUMBING rc i. ,.
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. 4 HOT WATER HEATER -2Z [//
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I HEREBY CERTIFY THAT 1 AM PRPE Y REGISTERED AND/OR PLUMBING FIXTURES - 2--
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LICENSED AS REQUIRED BY LOS ANGEL£ COUNTY AN STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGA OWNER THE ABOVE
DESCRIBED RESIDENT U. PR�ERTY. Q b UTILITY CO. NOTIFIED O y
SIGNATURE
OF PERMITTE ����pp))rr// - FY-n
FINAL 'ZZ NytI/ l 1 $
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VALIDATION ROBERT A. WOOD, 2
K. N.o. CASH SUPERVISING MECHANICAL ENG'R
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FORAPPLICANTTO FILL IN IPRINTORTYPEI BUILDING ��j `�- 0 ^
7 G U
FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY T
NEAREST
BATH TUB CROSS ST. Z,-?Z-6 W/A/
SHOWER OWNER ' K
LAVATORY MAIL
ADDRESS
NUMBER
SINK CITY TEL NO.
DISHWASHER CONTRAEEOM C
CLOTHES WASHER ADDRESS
Z 3 Fit! c. / Al !T(A
SWIMMING POOL RECEPTOR
CITY 9!5 G'i T yTEL.NO.a86 Z39
LAWN SPRINKLER SYSTEM /
WATER HEATER STATE CENSE NO. �3 CLASS 3G
GAS SYSTEM / OUTLETS r
VALS DATE INSPECTOR s SIGNATURE
OUTLETSOVER WORK
5 PER SYSTEM BING �� y
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V
HEATER �' �1 Q
I%TUpRES Ar1�{ �� {p�•7
GAS TEST 1 —'Zfa- t�.1J11
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Plan check fee UTILITY.NOTIFIED 1% 8
PLUMBING PERMIT ISSUING FEE$ r
TOTAL FEE / FINAL n UCS'
Plan check applicant PLAN CHECK VALIDAp6 N
Name
Address
City Tel, No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE n g 0 6 6 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ITH ALL COUNTY ORDINANCES
AND STATE LAws REGULATING PLUMBING. PERMIT VALIDATION
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IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REOU IR ED BY LOS ANGELES COUNTY AND TATE OF CALIFORNIA OR THAT 1 AM THE 2 O O 1 0 0 0
LEGAL OWNEfl OF.AND INTEND TO RES E IN TH BOVE DES flIBEO RESIDENTIAL
PROPERTY.
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51GNATURE
OF PERMITTE O n 621 -79 1 -79
DIS�CT NO� OC 5 L}G 1 9
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INDUSTRIAL
WASTE APPROVAL
J76A667 UCE-8171 - 5/73 `
APPLICATION FOR PLIr LING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Bu1LOINc p
AIA KE CHECKS PAYABLE TO. ADDRESS /,' U
G vv
HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY
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ECLOTHESWASHER
PLICANT TO FILL IN (PRINT OR TYPE) NEAREST fl �D w/
CROSS ST. f7
FIXTURE OR ITEM @ FEE
R CLOSET 1,75 OWNER
MAIL
BATHYue t.]s ADDRESS j j34(5 Ad w/s E"
ER 1,75 CITY �N6 `/� TEL. NO. -01
TORY 7,75 CONTRACTOR wr-v E�
1.75 ADDRESS
ASHER 1.75 CITY S' . A� � TEL. NO.
HES WASHER 1.75 STATE LIC
ENSE NO. CLASSING POOL RECEPTOR 1,75DISTRICT NO. GROUP NE CESSED BY
SPRINKLER SYSTEM 1.]5v� TR HEATER 1.75 INDUSTRIAL
WASTE APPROVALYSTEM OUTLETS 1.75 INSPECTION RECORD r5
OUTLETS OVER
5 PER SYSTEM .30
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CU.
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Plan check fee See Reve rise
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INs vcc TOR's Al.rv.IINC
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel, No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES y.� J
WITH ALL COUNTY Oq DI NPNCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
HEREBY CERTIFY THAT AM PROPERTY REGISTERED AND/OR UTILITY CO. NDT IFIED
LICENSED As REQUIRED By
LOS ANGELES COUNTY AND STATE OF
CALIFORNIA DR THAT I AM THE LEGAL OWNER OF, AND INTEND TO _
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, FINAL X30-7;
SIGNATURE
OF PERMITTEE / LYiL%
PERMIT VALIDATIONul
o. cash
PLAN CHECK VALIDATION UK. M.D. CASH
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