Loading...
HomeMy Public PortalAbout5016 CLOVERLY AVE_Plumbing__ 76AW7-CE617 3-59 APPLICATION FOR PLUMBING PIERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 5016 Cloverley JOHN A LAMBIE Couaty En eer CASSAPP D GRIFFIN Supt of Bmld�ag LOCALITY Temp City FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM OWNER Robert Roger 1 WATER CLOSET MAIL BATH TUB ADDRESS Same 1 SHOWER CITY TEL. NO. LAVATORY CONTRACTOR Valley Plumbingco. 1 SINK ADDRESS 442 W. Fleetwood DISHWASHER CITY Glendora TELCTOR No. _ � STA LAUNDRY TUB REGICONSTRAT ONSNO 1601 COUNTY CLOTHES WASHER DISTRICT NO GROUP ZONE/ PROCESSED BY WATER HEATER � / 1 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 0 $1 00 PER ITEM $ I �f ��- OR FIXTURE '7— APPROVALS ATE INSPECTOR S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE 1 6 An ROUGH PLUMBING /y- W 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 D _ d A LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED , SIGNATURE OF PERMITTE FINAL ®P ALMATION ROBERT A WOOD, CK M O CASH SUPERVISING MECHANICAL ENG R LAL88311- AR 5 5 A 6.0(D 7GA667 17 25M SL-TB 7-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER S GROUP Z . FOR APPLICANT TO FILL IN PLUMBER '.� -2—.7READY FOR l' REC ED BY FIRST INSPECTION ``�� E Zi ADDRESS d "y CITYTEL No JOB ADDRESS COUNTY LICENSE NnEXPIRES LOCALITY I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST ANGELES COUNTY LICENSE CROSS BT OWNER JC� MAIL 15f PLUMBER ADDRESS rq ��q [js�f�" - r1L PERMIT FEE IS ISI 00 FOR THE FIRST FIXTURE OR CITY b�j�@�'°`rr liI' T L No ��(JI C bj ITEM LISTED BELOW, PLUS SOC FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE REBID NTIAL PROP- ITEM FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE $1 S MINIMUM FEE FOR ANY PERMIT $1 00 EACH d%�OA62ej� S SYSTEM IS A SEPARATE ITEM b//y CWNE / NUMBER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM OUTLETS WATER HEATER SLOP SINK -� FLOOR SINK f Z FLOOR DRAIN Ls DISHWASHER m O DR,NKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DATE INSPECTOR'S NAME POUGH PLUMBING GAS PIPING GAS VENT CESSPOOL SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ GAS TEST TOTAL FEE UTILITY CO NOT FINAL 1 76A667 17 25M SETS 7-48 - 1 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING Wm J FOX.CHIEF ENGINEER v NATURE OF INSTALLATION DISTRICT N GROUPI ZONEGROUP ? PERMIT NO. ROUGH FIXTURES COMPLETERDY HEATER 17-1 _CESSPOOL 1-1 SEPTIC TANK RECEDE /�Y FIRST IOR N PFECTION �c DATISSUED A9 MISCELLANEO S ZW APPLICANT FILL IN HEAVILY OUTLINEID PORTION ONLY N LE 1�au vaz Lum in9 O AJOB DDRESSId s2 •/ L� - D III ADDRESS T114,0119e5 /�(��L(.� LOCALITY /foll. JNEAREST - •"s d CITY TEL No CROSS 9T COUNTYt, � LICENSE NO �v �r EXPIRES 4 3d_/ /T NAME LOCATION OF SEPTIC TANS, OR CESSPOOL 2 MAIL y 3 ADDRESS NORTH O CITY TEL No IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS G S (Jf A 6' 4>Ct /7 3 - u pr SOUTH J DESCRIPTION OF WORK L BATH TUB FURNACE m MOWER DISHWASHER D / –LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP ! SLOP SINK FLOOR DRAIN ` WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ETER GAS SODA FOUNTAIN OUTL GAS PIPING l GAS VENT 1 / w CESSPOOL TOTAL NUMBER OF FIXTURSS SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER S `Y' UTILITY CO NOTIFIED TOTAL FEE ��� L FINAL _ 76A667A(CE 6178) 11/76 APPLICATION FOR PLUMBING PERMIT BUILDI AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDREJS �J WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST SHOWER OWNER LAVATORY MAIL ,ADDRESS SINK CI EL DISHWASHER CONTR TO CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY T NO LAWN SPRINKLER SYSTEM STATE ('/ LIC WATER HEATER LICENSE NO d y CLASS r GAS SYSTEM OUTLETS 3 DISTRT N GRO P NE P CESSE BY O SOVER �) ER YSTEM INDUSTRIAL 0. WASTE APPROVAL O INSPECTION RECORD 72v-ar 10 - t/f Plan check fee _ PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR S SIGNATURE Name ' UNDER SLAB WORK Address' ROUGH PLUMBING City Tel No GAS PIPING I HEREBY ACKNOWLED I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORR AND AGRE O COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RE TING PLUMBING I HOT WATER HEATER I HEREBY CER FY THAT I AM PRO LY REG TERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS LES COUNTY AND ATE CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF NO IN ABOVE DESCRIBED RESIDENTIAL PROPERTY / UTILITY CO NOTIFIED SIGNATURE ( _ OF PERMITTEE FINAL PLAN CHECK VALIDATION M Q CASH PERMIT VALIDATION v o CASH T{ 49 3 MAY 25 5 ® 1 3.5 0 ©S8 01 1OD