HomeMy Public PortalAbout4515 CLOVERLY AVE_Plumbing__ 7°06•7APPLICATION FOR "PLUMBING PERMIT
DrmON OF BDIIbugG AND SAFETY
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".J. FOX( COyNTY ENGINUM BUILDING ��l
AD D R£68
• rAJ5ZATT D. ORI FF.I N,Slfl•,T or BUILDIM•
FOR APPLICANT TO Ella. IN
LOCALITY
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OWNER QRQ,jJP ZO E atADYFOtIM0Ft�Ylq�
MAIL
D R ESJi L 1/ ' 040
AD
IND U61=L
CITY TEL NG. ROVIAL
PLU10BER 13A.ZTER A SON INSP&MON RECORD
ADbREDa 2688 Ny�. San p� Gabrie��� ,L r
CITY aW TSL NOh T. Ill'&Al
ICENAE O lel
D/ 57-9-*1�5
HUMYM1 TYF[OR FIXYURX 0R MW FTI
WATER CLOSET TOILET) s
BATH TUE '
SHOWER
LAVATORY{WASH BASIN)
KITCHEN SINK ,�
DISHWASHER Q
LAUNDRY TUB OR TRAY
CLOTH£GINABHER
. I
TOTAL NO. o.e0
APPROVALS
DATE ' INBP, GTOR'S SIGNATURE
1 GAS SY GTE UTL£TS0 1,00
} UNDER SL1.E WORK
WATER EATER 0 1,00
ROUGH PLUMPING ` �i0
PERMIT 4 1 00
GAB PIRING
TOTAL[EE GAS VENT '
1.HEREgBY TT OWLF,D ' THAT- I HAVE READ THIS APPLICATIQN HOT WATER HEATER
ANO SrA'fE THAT THE""N' THAT-
IS CORRECT AND AG'REE TO COMPLY
WITH ALL COURTY ORDINANCES ANI) STATE LA TING PLUM ING FIXTURES
PLUMBING.
I HEREBY CERTI T 1 AM GISTS ND/OR aTKUT
LITSED AS R ED BY L NiY A ATH OF
CALIFORNIA TFF{{AT HE OW THE "OYE U ILITY CO.NOTIFfED.
DESCRIBED IDElIT7 pER
SIGNAT RE
OF P FINAL. 1
WIL'L.IAM J. FOX, CouNTY ENG1NmER VALIDATION R.A.WOOD,CHIQ PLNG. INsrtCTOR
3 , • 3
76 A 667—CE 817 4-EB
APPLICATION FOR PLUMBING PERMIT
COIINTY OF LOS ANGELES
DIiPAHTMENT OF COUNTY ENGINEES BUMDING
BUILDING AND SAFETY DIVISION ADDZ=
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CPR0 TYPE NEARESTGROW 6T.
NUMBER FIXTURE OR ITEM EACH FE6
owtas U o/S/
WATER CLOSET 1.50 NAM
HATH TUB 1.50 ADDEM
SHOWER 1.50 CITY Tm` ]xO' r
LAVATORY 1.50 CONTRACT01 Sg F
SINK 1.50 ADDRm
DISHWASHER 1.50 STT TEL No.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWDa"G POOL RECEPTOR 1.50 DISTRICT NO. P ZONE PROCESSED ■Y
LAWN SPREgKLER SYSTEM 2.00
WATER HEATER 1.50 EKDuffrAL
WASTE
ElIPPROVAL
GAS SYSTFAd TI'LETS 1.50 DWECTTON RECORD
O
5 PER SYSTEM
UTLETS OVER .30
Plan check fee 15% of above. See reverse.
PLUMBING PEIIMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE IN9rccroR•e■IaNATU R[
Plan Check applicanL UNDER SLAB WORK
LNa S j`���y/ ROUGH PLUMBING
ess 11.,9/ p L. v GAS PIPING
_� GAS VENT
/ Tel. NO. HOT WATER HEATER
MMY ACKNOWU rbi THAT I HAV= RI AD THIS APTIUCATION
TATz THAT THt AMOv[ 1• COR TCT AND AORKE TO COVRLY PLUMBING FIXTURES -
ALL COUNTY ORDINAMCXS AND OTAT[ LAW RtaULAT1N• GAB TEST
Tme.eyc�nFYTHAT I AMrftDreRLY RIGIrrcRm AND/OR UTILITY CO. NOTIFIED
M As RIQUIRID fY LOs ANa[LCS COUNTY AMD CTAT[ OF
11MIA OR T}lAT I AM THK LIISAL O OF,AND INIKiD TD
IN,TH[A•OvK ISD RLSI rRo FINALTUR[ JACK R. ALLEN, auPaRvial CHANICA
[RM1TTi[ PERWr VALIDATION
�- ` M.O. CASH
PLAN CHECK VALWATIO CK'. M.O. CAGH
(', 9 .8 9 2Q; MAY 9 5 B 6,50" 4
7e w aa7—ca 917 a/ee /'7
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGFT
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND 31 FEr7C DIVMON PADDEW
b
JOHN A. LAMBIE. UNTY ENQIN[[R
COLEMAN W. JENKINS. SUP•T. 'OF BUILDING
FOR APPLICANT TO FILL IN R O TYPE FIXTt1RG OR ITEM EACH FuEl WA'hER CLOSET 1.30 BATH TVB 1.50 /*0 6
SHOWER 1.50 _ ' •
LAVATORY 1.50 -
CONTRACroll
SINK 1.50
DJSHWASHER 1.50 crff tm no.
CLOTHES WASHER 1.50 [TATG i-IC
LICENSIt NO. CLASS
SW;►OQN(S POOL R$CEP'TOR 1.50 DISTRICT Nd. dRBUM ZOfi[ WRD ■Y
LAWN SPRINKLER SYSTEH ,-b0 L 8
WATER HATER 1.50 0MUSTRULL2=
WAffTZ Viz C:)
r GAS SY$'I•EM OUTLETS 1. r MT103i CORD
OUTLETS OVER
5 PER SYSTEM .30. Z
Plan check fee 2596 of above. See reverse.
PI_.UMBING PERMIT ISSUING FEE f 00
TOTAL, FEE 76- —
APPROVALS DATE INaF[GTO#•■310NATU R[
Plan check aplicant 1JN15EK-SLA13 WORK
Name ROUGH PLUMLINO
Addteng G/iS PIPING
GAS VENT
City Tel-No. HOT WATER HEATER
I Htltn [y ACKNOWL EDO& THAT I NAV[ I1[.AD THIS AP*LI CATION
AND rrATc THAT t-M A10VIa COItltGT nI+D A.." . COMPLY PLUM13ING FIXTURES
IT
WH ALL COUNTY 011DIN.XNClJ AND STATI LAW@ ROYLATIN• GAS TEST
FLUMEINa.
I H=ImT CunFr THAT I A7,1 R[615THtD -ANDlOI1 UTILITY CO, NOTIFIED
4CQNSKD•Al N[QU11� 1T LW ANfiLlD NTl' AND IFTATIE OF
CAUWORN 1A 011 YHAT I AM THI Li ML OF,AND INTtNP TO
M"IDK IN,7 ABO" F FINAL
SIGI4A [ SACK R. ALLEN, 1lJPERVIIIP{ ECHANICA.L END'R.
Of r[
PERWr VALIDATION C M.0. CASH ,
PLAN CHC) K VALEDAfiON CK. M.O. CASH
4.75 1