HomeMy Public PortalAbout5626 CAMBURY AVE_Plumbing__ 76 A 667 - CE 817 7-69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS
.JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �,'77
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEACRO$$ST. �r (/,�Z )�<
NUMBER FIXTURE OR ITEM EACH FEE / I
OWNER �`� - �
WATER CLOSET l;,
MAIL !rn
BATH TUB 1.50 ADDRESS
s1 SHOWER 1.50 CITY TEL: NO?�,'
V LAVATORY `l) CONTRACTOR /1
SINK 1.50 ADDRESS - -(y (f ��Ct �u4, • �' �Q_.YL
DISHWASHER 1.50 CITY TEL. NO. �i a C
CLOTHES WASHER 1.50 STATE _ LIC �jy
'LICENSE NO. /,i CLASS /c n
SWIMMING POOL RECEPTOR1.50 DISTRICT NO. GROUP 20NE P` CESSED
LAWN SPRINKLER SYSTEM 2.00 �LQ� (- �l -
WATER HEATER 1.50INDUSTRIAL
WASTE APPROVAL O
GAS SYSTEM OUTLETS L50 INSPECTION RECORD O
OUTLETSOVER
5 PER SYSTEM - .30 Z
Qr_
V
W
a
Z
Plan check fee 2.'0 of above. See reverse.
PLUMBING PERMIT ISSUING FEE 3 00 -
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name P ROUGH PLUMBING
Address GAS PIPING
GAS VENT
LII). lel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
IHEREBY 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
RESIDE IN.THE ABOVE DEiCR BEDIGNATURE /(]q/E8 DENTI L1PR ERTY. FINAL �)
SOF PERM TTE/Vf' t/� �� -L'LT�.�+ t2. ACK R. ALLEN, SUPERVISING MECHANICA ENG R
PERMIT VALIDATION CK, M.o. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
LlAEO 2 314 8 SLP 1 3 5 D 8.25-
%9A617 APPLICATION FUDR PLUMBING PERMIT 1
DES_
-IT(DIVISION OF BUILDING AND SAFETY
Depaxtment of County Engineer
County of Los Angeles BUILDING n
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 2 ///�
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEARESTCROSS .
DWNERk 14 1 v r,A I my DISTRI ZONE I READY FOR INSPECTION
MAIL :
IC$.M0-. G
ADDRESS
INDUSTRIAL
CITY („� TEL. NO.'-'- WASTE APPROVAL
PLUMBER�j f"V rz 4s. �t _ INSPECTION RECORD
ADDRESS
CITY /7 4 TEL. NO. Z.SIJ ( ��AJ X11 L.i
LICENSENO. ) 3
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
dT�l,i
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 _
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ t 00 ROUGH PLUMBING
P- 100 GAS PIPING
TOTAL FEE /YLIO0 GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTAATPROP RLY REGISTERED AND/OR GAS TEST
LICENSED AS REONGEL S COUNTY D STATE OF
CALIFORNIA OR LE AL 0 NER F� �TBOYE - UTILITY CO.NOTIFIEDDESCRIBED RESID .
SIGNATURE OF PERMITTEFINAL
JOHN A. L IE. COUNTY ENGINEER VALIDATION ROBERTA. WOOD. CHIEF PLBG. INSPECTOR
CK, n Y. 0. CASH
`vNr►+y4 5 4 7 v° SEP 5 A 2..0 0 M
76 A 667—CE 817 468 _
APPLICATION FOR PLUM�PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMSIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL 1N (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER U
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESR
SHOWER 1.50 CITY TEL.
LAVATORY 1 s CONTRACTOR
SINK 1.50 j/ ADDRESS
DISHWASHER 1.50 CITY A TEL. N l0130�
CLOTHES WASHER 1.50 STATE LIC
LICENSE O. 3 ,5 CLASS
SWIMMING POOL RECEPTOR 1.50 pI STRICT N-Q, GROUP ZOy� P O S BY y
LAWN SPRINKLER SYSTEM 2.00 0 /JIf/
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL Z. -
GAS
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD L0
OUTLETS OVER
5 PER SYSTEM .30
O.
N
Z
Plan check fee 2S- of above. See reverse.
PLUMBING PE13MIT ISSUING FEE S 2 00
TOTAL FEE;
APPROVALS DATE INSPECTOR'SSIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE T"AT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.ANO INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENT I L PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, suaER VISING CH ANICAL ENG'P.
OF PERMITTEE
PERMIT VALIDATION cK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
Ilr, 05877�- ,iiT 9 5 D 500IN