HomeMy Public PortalAbout4847 CLOVERLY AVE_Plumbing__ 7 A.671 , ,��qy ■/�_�/�y 1wV. FOR
PLUMBING,
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DIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS t 'L
CASSATT D GRIFFIN SUP T'OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST
OWNER DISTRICT GRA ZONE I READY FOR INSPECTION
MAIL f
ADDRESS
INDUSTRIAL
CITY 'r TEL NO WASTE APPROVAL
PLUMBER ,meq ;k T INSPECTION RECORD
ADDRESS
CITY TEL
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $100
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $1 00
WATER HEATER @ $100
GAS SYSTEM @ $100
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE d U GAS VENT
I 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 FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PR ERTY
SIGNATURE
C
OF PERMITTEE FINAL
ZECREM
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK m 0 CASH
4 4 1 9 U_* 19 3 2.0 0 M
76A667-CE817-B-58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE, County Engxaeer R
CASSATT D GRIFFIN.Supt of Bu2Idmg LOCALITY e4_7'-
FOR
4_/FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
inj�Q
WATER CLOSET OWNERMAIL.
BATH TUB ADDRESS
SHOWER _ CITY TEL NO
LAVATORY CONTRACTOR A y1 � t
/ SINS ADDRESS
s DISHWASHER CITY ,j-<,-<Cl_—,, TEL NO ��--
CONTHACTO S STATE [ .
LAUNDRY TUB REGISTRATION NO S+ ' COUNTY ❑
CLOTHES WASHER DISTRICT GRZANF- I -PROCESSEQ1 BY
WATER HEATER P�'/`JJ,
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS ,
@ $100 PER ITEM
OR FIXTURE $ / dP DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE �� GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED-BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH I AM,-THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDEN IA 0 ERTY
SIGNATURE v'C���� FINAL
OF PERMITTE
ROBERT A WOOD
OF 6)VALIDATION
SUPERVISING MECHANICAL ENG R
td O CASH
n
! ACO 7 1 5 1 s, VAt 2'7 5 A 3.0 O M
%',s_,7'171 13-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L ,s
WILLIAM J FOX CHIEF ENGINEER
FOR
APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBER 71� * �l• `ROW
RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS C
CITY Pt �� TEL NO"T•E 2060% ADD EISS 1
`^ �b
COUNTYA g/1 4 1 LOCALITY
LICENSE NO `t EXPIRES I
NEAREST
PERMIT FEES cRoss sr r
NUMBER `TYPE OF FIXTURE OR ITEM FEE OWNER V'"
MAIL
WATER CLOSET (TOILET) Q O 50 $ I ADDRESS
BATH TUB Q O 50 CITY 1. M {�7� �,.J�LL TEL NO ��- (n?4 11
1
SHOWER Q O Sol I I HEREBY ACKNOWLEDG THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O SO 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY T
IBED ABOVE
GAS SYSTEM OUTLETS Q O 50 I SIGNATURE OF
WATER HEATER Q O 50 PERMITTE
SLOP SINK Q 0 $01 1 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O 50
URINAL Q O 50 W
F
HOUSESEWER Q O 501 a
_U
MISCELLAN US ..I
IL0
1 APPROVALS
1 DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 I CESSPOOL
1 SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST
TOTAL FEE $ UTILITY CO NOTIFIED
—FINAL
j
7CA667 A(C ES 17 Al 8/78
APPLICATION FOR LUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILD
MAKE CHECKS PAYABLE TO ADDREN
ADDRESS ✓�/
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY T
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST y&,s,4
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE OWNER CoP4 V b 6
r WATER CLOSET ��
MAI L
BATH TUB ADDRESS y i
SHOWER CITY TEL NO
LAVATORY j CONTRACTOR
SINK ADDRESS
DISHWASHER CITY G TEL N0�g5-_116 j"
CLOTHES WASHER STATE CILASS �3
LICENSE N032-Y"7
SWIMMING POOL RECEPTOR
DISTRICT NO GROUP ONE ESSED B r_
LAWN SPRINKLER SYSTEM 57
`U
WATER HEATER INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS �- INSPECTION RECORD d
OUTLETS OVER V
5 PER SYSTEM
_ OC
O
F-
V
W
IL
4A
Z
Plan check fee Sae Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR S SIf NATURE _
Plan check applicant UNDER SLAB WORK
Name (U,JS71 ROUGH PLUMBING
Address 11 ✓ GAS PIPING
City 9/ A Tel NO SR/Q GAS VENT
I HEREBY ACKNOWLEDGE T AT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE TE LAWS REGULATING
PLUMBING GAS TEST
1 HEREBY CERTIFY THAT I AM PROP LY REGISTERED AND/OR UTILITY CO NOTIFIED �-
LICENSED AS REQUIRED BY LOS ANGEL S COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESC BED R I ENTIAL PROPERTY FINAL
SIGNATU RE '
OF PERMITT
PERMIT VALIDATION � M D CASH
PLAN CHE' LIDATION CK MI.)
o CASH
8 fl 4 16 5 0 1 6.5 0 e=�
D 6 S 17 25M BETS 2-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFE
COUNTY OF LOS ANGELES
WN J FOX.CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE �jPERMIT NO
ROUGH FIXTURES COMPLETE /rte
HEATER CESSPOOL I-I SEPTIC TANK RECEIVE .BY READY FOR DATE ISSUED`
FIRST INSPECTION ✓�y
AS MISCELLANEOUS L3`
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME M. C. NOTTi�TGTrAM CO. ADDRESS JD
g ADDRESS123 No. Cloveerly Ave. LOCALITY
J
CITY TEMPL�1 Cjpq t!CAlJF- CROSS ST
COUNTY s� f}�A
CERT No EXPIRES � NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL' 3 D
ADRESS
NORTH O
CITY TEL No
I AM THE LEGAL POSSESSOR OF- THE ABOVE LOS
ANGELES COUNTY
/fr_JCEPRTIF CATION
I ^ r PSBR
AM THE LEGAL OWNER OF THE PRO ERTY DESCRIBED
VVV
'VE
W
3
OWNER
mmammom
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
BATH TUB FURNACE Q
a
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR 8 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAB SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
:,::TOTAL NUMBER OF FIXTURES �\ SEPTIC TANK
CESSPOOI SEPTIC TANK v SEWCR
$ UTILITY CO NOTIFIED I
TOTAL FEE
FINAL ..