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APPLICA'T'ION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTYENGINEER
BjaII IN.AND SAFETYDPaSION
JOHN A. MBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. sUO-'t. of BUILDrNG LOCALrTT temple City
FOR APPLIC TO FILL IN R O TYPE) XEAIF�T
CROst RT.
NUMSEk FIXTURE OR ITItM EACH PEE
- wQrkmEm
WATER CLOSET 1.50 c��vXa G. R. Elder
MMB.
BATH TUB 1,50 59-15,Camellia
SHOWER 1.50 mem le1TCit TEL NO-286-6 46
LAVATORY 1.50 CORmCTOIR w B Graham
SugK 1.50 APDL 12 Las Tunas Drive
bMHWASHER 1.50 Crrr'en ple City Tm- xo.28 -9293
CLOTI-IE8 WASHER LSO RATE LIC
NO. 1o4466 CLAIS C�36
SWnACNG POOL RECEPTOR i.SO DI['TFUCT No. GROUTZONE PROCUOKD Ill
LAWNSPRINZLLL,ER BXBT-1EY7.00 y O
WATER HEATER Se laC 50 1 O APPROVAL
WAffm CLAS SYSTEM OUTLETS 1.50 D104=OX RECORD
OUTLETS OVER 90
S PER SYSTI{L
Plan check fee 2,S% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE 3 9 APPROVALS Dare marICTows SIGNATUk[
Plan check applicant UNDER BLAB WORK
Name ROUGH PLUMBING
Address GAB PIPING
GAS VENT
City, Tel.No. HOT WATER HEATER
I u
H �Y ACUHowumeat THAT I HAvI R * „
AD THLB ArLK:ATIo
AHD STATE THAT THE ANOVE is CONNECT AND AGPEI TO cbWLY PLUMBING FIICTURE&
w17" ALL, COUNTY ONDIN"KXX AND ITATc LAWS NEaULATING GAG TEST
rLUMa1Na.
I H[IOY CERTIFY THAT I AM rNOrINLY NEaISTINID AHD/OR UTILITY CO.NOTIFIED
uc3rN@ED AS NIdU11pI1 fY LOa A44OKLES COUNTY AND OTATI OF
CALIFORNU\ DIN THAT I AM THI L[tA.L OWKIEN OF,AND INTEND TO
NEaIDI IK,TH[MOVIE DaaCRD ID L rmoowwTY. FINAL C
•IoNATUh[ JACK R�ALLEN, 1UP�Rv"a CHANIQAL ENo1R.
OF r[RMITTI[
PE$MTT VALIDATION C K. M.O. C ADH
PLAN CHECK VALIDATION CK. M. CASH
9238% 9 5 0 3�5V ;
76AS07 n .-.,m APPLICATION FOR PF$bUT
DEPAHTI+00T OF BUILDING AND SAFEi'Y PLUMBING 1
COUNTY OF LOS ANGELM
WILLIAM J. FOX, CHAR ENGINEER
FOR APPLICANT TO FILL IN DISTRITO. GROUP ZONE PERMR'NO.
� 1 ,
(O J
RKCKlVKD■Y READY FOR DATE I&SUILD
FIRST INFECTION
Apptz jet V a R, s
BUILDING
C N DR oll
COUNTY
kLl-
EMS HEAR EST
PERMIT FEES ST.
NI.IIOIR TYR OF FIATURI OR IT[M FEE Owmm
MAIL
WATER CLOPKT (TO I a 0.60 ADDRQ■■
•
Bw ue o.SQ
PHPWKFt 0.60 1 HERESY ACKNOWLmGX THAT 1 HAVE READ THIS
V RY WASH O 1 0.60 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY OHDINANC= AND
T EN SINK O. STATE LAW■ REGULATING PLUMSING.
1 CERTIFY THAT I POUSN" THE ADOVE VALID LOG
LAUtIDRY TUB OR TRAY 0.50 AN01-JM COUNTY LICENSE. OR I AM THE I ULkL OWNER
OF THE RESIDQrrIAL PROn�T�)PAW-J�UBKD
VL
WYVTKN oLrrLi m OO SIGNATURE OF a r 1F!
WATKRHQA R 0.60 PERMITTWE �`
KLOF■ N 0.OQ INSPECTION RECORD
FLOORSINK 0.60
FLOOR DRAIN O.S
DI4jKWAsfiKR 0.6
DRINKING FOUKTAN 0.50
URIKAL 0.150 .I
HOU E■EWER 0.50
MINCKLLA141EOUIF
F
O
APPROVALS
DATE rnsFtCTOR•■ KA&K
ROU9H PLUMBING r
GAS PIPING
GM VIEW
CE"FK OL 1.00 CESSPOOL
kSEPTIC TANKS S<PTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT . 1.00 Ta■T
^ LITY CO. NOTIFIED
TOTAL FEE s �(�N To I FINAL MAXIMUM AcqjfvlPLIS `
7AB67 i7 r"m APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �'
COUNTY OFF LOSLOS ANGELS$
%nLLIAM J. FOX. CHIEF ENGINEER
NG 1
FOR APPLICANT TO Fl" IN DISTRICT NO. ORO P I ZONE PERMIT NO.
N RECEIVED NY READY FOR DAT1i 196UED
/C FIRST INSPECTION �—
DRESS
� NUILDING
NO DRESS
COUNTY �
p
' NEAR EBT
PEEIfT FEES
KUMADe TYPE or FIXTURE oR rrsr FEE OwmEpt
MAIL
W TOI D C
BA.TjjTUP 0,scm Tim-0,sQ NO
IIHOYM 0.50 1 HEREA
E THAT 1 HAVE READ THIS
LAVATORY WASH B 1 O.D APPLICATIO AND STATE AT THE ANOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
ITCHEN BINK 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAVN TUN OR TRAY 0.50 ANGELA COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PRO E7lTY pCRINED
llll��OUTLZTIII Q.So SIGNATURE OF 1. 1
WATIKR HILATIM 0.50 PERM
SLOF BINK O.SQ INSP=ON RECORD
FLOOR SINK O.D
FLOOR DRAIN O.
DIRMWASHKIJ 0 P.D
DRINKING FOUNTNN 0.50
URINAL 0.150 J
HOUOK SEWER 0.80
MIOCKLLANIEOUB (�
' O
APPROVALS
DATE nd83-KCTOR•■ KAMM
ROUQIH PLUMBING
GAB PIPING
GAB VKKT
CESSPOOL 1.00 CESSPOOL
S13-TIC TANKi SKPTIC TANK
.DRAIN ( ) PIT ( ) 0 1.00 BEWER
PERMIT , 1.00 TAT
TOTAL FEE
UTILITY CO. OTI ED
� O
FINAL MAX MUNI AIMPLISH6 R-1.9-St I
L