HomeMy Public PortalAbout4848 CLOVERLY AVE_Plumbing__ 76A607-CE81710-60 �'/
APPLICATION FOR P MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING ION BUILDING
AND TY D�SNAMBE, COUNTY ENGINEER ADDRESS y Lav t Y
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST . 0 �Fiv U
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
/
BATH TUB ADDRESS
SHOWER CITY TEL. NO.
j/j�/�/'G vt�L�
LAVATORY CONTRACTOR
/ SINS ADDRESS.3
DISHWASHER CITYI
CONTRACTOR'S ! s STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASIIER DISTRICT NO. GROUP ZONE PROCESSED
WATER HEATER -n,D L
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL r
INSPECTION RECORD D-
- O
V
N
Z
i /�)/,,7
6- �K Y �" 1 IY• �Iw� .
@ $1.00 PER ITEM
OR FIXTURE $ ,C, ii 7 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
6 GAS PIPING
1 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. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES E
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE _
DESCRIBED RESIDENTIA PRO RTY.
�' � UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE f
FINAL
VALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
Li--,D 6 2 1 9 DEC 18 5 D 1 4.a 0
76 A 667 — CE 817 7-69 ,�( /� OI/
`- APPLICATION FOR PLUMBING PERMIT LI�II/q''I1 z
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING Q G
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 6 6'
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH r FEE
WATER CLOSET 1 50 'OWNER x
-
MAIL
BATH TUB1 50 ADDRESS'
SHOWER 1 50 CITY TEL NO
LAVATORY 150 I CONTRALTO
SINK'_ J 1 5o' `ADDRESS Zz
DISHWASHER 1 5o JISTATE_
` TEL NO
CLOTHES WASHER 150 1 j LICNE NO CLASSSWIMMING POOL RECEPTOR 1 506TRICT NO GROUP ZONE P E6 BLAWN SPRINKLER SYSTEM 2 00WATER HEATER, 1 50 STRIAL
WASTE APPROVAL Q
GAS SYSTEM _OUTLETS 1 50 INSPECTION RECORD u
OUTLETS OVER 30 I O
5 PER SYSTEM
{
Plan'check fee 2S% of above See reverse
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE
r APPROVALS _DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING 7-4.20. 9, �TJ
GAS VENT
City 1 I F Tel NO HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING I GAS TEST , V-4 '17a 491I'9 �i9.M77✓ '
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF`
CALIFORNIA OR THAT M THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE SCRIBED RESIDENTIAL PROP RTY FINAL
SIGNATURE .IA"�CK R ALLEN, SUPERVISING HANICAL EN G'R
OF PERM ITT
PERMIT VALIDATION cK M o CASH Y
PLAN CHECK VALIDATION CK M o CASH
5 6 8,3 R -JUL '3 '5. 0 3.5 O N