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HomeMy Public PortalAbout5439 CLOVERLY AVE_Plumbing__ DEIS 17 10 BS APPLICATION FOR PLUMBING PERMIT' 1 DBS 17 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles D I NG ��„[� , JOHN A LAMBIE COUNTY ENGINEER JAD70RESS sL CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST OWNER ��'.c� /��/ /� DISTRICT NO GRI 70NE I READY FOR INSPECTION MAIL <J [ L //T� ADDRESS INDUSTRIAL CITY i EL NO WASTE APPROVAL PLUMBER /— INSPECTION RECORD ADDRESp�S 17 r /^ CITY `+""V•9" 1' /,L TEL No LICENSE NO A4 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ $1 00 0 SHOWER @ $1 00 { CZOI LAVATORY (WASHBASIN) @ $100 KITCHEN SINK @ $1 00 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $100 WATER HEATER @ $1 00 GAS SYSTEM @ $1 00 APPROVALS DATE INSPECTOR S SIGNATURE a UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE O 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 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 THAT AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTI PROPERTY SIGNATURE T OF PERMITTEE FINAL11 JOHN A LAMBIEV COUNTY ENGINEER VALIDAT BERT A WOOD CHIEF PLBG INSPECTOR CK N 0 CASH LACo 4 .01 6 3 200 in >-dW667 17 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTR1ET NO GROUP ZONE PERMIT NO _1 --y '1bql - PLUMBER A RECEIVED BY READY FOR DATE ISSUED •� � `� FIRST INSPECTION ADDRESS • -60 r BUILDING 3 C �� 7! CITY 17, TEL NO 14J� ADDRESS COUNTY j LOCALITY LICENSE NO EXPIRES CfJ 7 -V NEAREST PERMIT FEES CROSS ST 1�y' p/� R 14 1 I�^�V� NUMBER TYPE OF FIXTURE OR ITEM FEE OWNE MAIL WATER CLOSET (TOILET) @ O 50 I$ V ADDRESS BATH TUB @ O Sol CITY TEL NO SHOWER @ O Sol I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 I LAVATORY (WASH BASIN) @ O 50 S APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING KITCHEN SINK @ O 50 1 CERTIFY THAT 1 POSSES THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O SO ANGELES COUNTY LI EN GAS SYSTEM OUTLETS @ O Sol S O 1 AM THE LEGAL OWNER OF THE RESIDENTIA RO RT ESCRIBED ABOVE SIGNATURE OF WATER HEATER @ O Sol PERMITTEE SLOP SINK @ o Sol INSP TION RECORD FLOOR SINK @ O 50 l u FLOOR DRAIN Q O 501 DISHWASHER @ O 50I DRINKING FOUNTAIN @ O 50 URINAL @ o Sol I J HOUSE SEWER @ O Sol 1 O Q Z MISCELLANEOUS I I (7 O I� I APPROVALS DATE INSPECTORS NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL Q 1 00 I� CESSPOOL SEPTIC TANK I SEPTIC TANK I DRAIN ( ) PIT ( Q 1 00 SEWER PERMIT I 1 00 GAS TEST ' TOTAL FEE UTILITY CO NOTIFIED $ � S~� FINAL 76A667A i CE 8j 71REV 6/781 is Y APPLICATION FOR PLUMBING, PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADILDING DRESS 32 o::!�l-O`c! /'lLJ / NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET LOCALITY NEAREST /�n BATH TUB CROSSST SHOWER OWNER LAVATORY MAIL ADDRES .-. 3 G O v SINK ,CITY '�,e �- G•��i TEL NO,`�Z ���e` DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE ° LIC WATER HEATER z LICENSE NO CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPER 5 SIGNATURE OUTLETS OVER UNDER SLAB WORK i 5 PER SYSTEM ROUGH PLUMBING �— GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES 9 GAS TEST +a. '� w Plan check fee UTILITY CO NOTIFIED PLUMBING PERMIT ISSUING FEE$ Ana 3 m TOTAL FEE FINAL Plan chec applicant PLAN CHECK VALID ON Name Address r City Tel No I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -4847 4 A AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS # O O O O o5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AN�TOO r�THE ABOVE DESCRIBED RESIDENTIAL LO Q 25 Q0 PROPERTY �CJ� SIGNATURE ' 0 0 0 2Ta' Q O C] OF PERMITTEE Q 1, 04-80 71NDUSTRIAL TRICT NO n R ED BY AL DBS-17 25M SETS 6-46 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY PLUMBING COUNTY OFF LOS LOS ANGELES WM J FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT N 'GjROjU ZONE PERMIT ROUGH FIXTURES _I COMPyETE ++� / �V / HEATER CESSPOOL SEPTIC TANKC!EIVED HY FIRBT INSPECTION READY FOR DATE IQSBUI'iD A8 MISCELLANEOUS 2G _�� APPLICANT FILL IN HEAVILY OUTLINED PORTION,.ONLY � JOB E NAME �' ADDRESS IZ W ADDRESS LOCAL D NEAREST IL CITY T CIOSS ST �• it COUNTY CERT NO EXPIRES i 19 NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL -in. ADDRESS NORTH O SSi' CITY TEL No IAM THE LEGtiKL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION PLUMBER I AM THE LEGAL OWNER OF{{ggTHE PROPERTY DESCRIBED ABOVE - 3 ��tl 9�plfl'fAd/ OWNER, / CORRECTIONS G1• «s SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE - 9 Q' ROWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I METER_/_GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT / CESSPOOL y TOTAL NUMBER OF FIXTURES G'b SEPTIC TANK I I CESSPOOI SEPTIC TANK SEWER S TOTAL FEE UTILITY CO NOTIFIED I I / �-.� FINAL ' B 17 2SM SETS 12-43 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 7 COUNTY OF LOS ANGELES Wm J FOX. CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT NO GROUP ZONE �jP RMI NO ROUGH 1� `FIXTURES COMPLETE 14;_ —� / 9 © i HRECEIVED BY READY FOR DATE ISSUED EATER CESSPOOL 1-1 SEPTIC TANK J`',/ '_ FIRST 0 GAS MISCELLANEOU rlv `` �APPP'LIICA�N�TA FILL IN HEAVILY OUTLINED PORTION) ONL/YJOB Q r1 C NAME Jam/ i•�e/�/9 F�f�A,t��,GY�, �// �!,r�+ / ,t ADDRESS�CO� DV 9/A�j' *S -b! lI �.' ADDRESJS�C� p�s!��rJ`t� ; �/e �IIR/ FiiG� IrF�t F LOCALITY /�NEAREST � -IA6 LJ /�/ LlIL CITY /`�' 1"i�rk j� f /,�.{ TEL Nom �u`i/ T CROBB ST !J. r/B,�L-s�F CERT COUNTY No l�� `�`/ EXPIRES3U//`9' 6� NAME cTJ .. , f��Jr6J� LOCATION OF SEPTIC TANK, OR CESSPOOI. 3 MAIL B NORTH O CITY /6TEL No IAM THE LEGAL 1?OSSE6S6R `OF ,H—ABOVE LOS ANGELES COUNTY CERTIFICATE OOfF/QUALIFICATION t1 PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE a OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z z BATH TUB FURNACE' L7 zHOWER DISHWASHER O LAVATORY REFRIGERATOR ,KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS , WATER CLOSET DRINKING FOUNTAIN DATE {, /IINSPECTOR S NAME WATER HEA ER DENTAL LAVATORY ROUGH PLUMBING i3 c I ryf 1 1 I METER. GAS SODA FOUNTAIN OUTL � GAS PIPING I GAS VENT CESSPOOL i TOTAL NUMBER OF FIXTURES SEPTIC TANK I CESSPOOI SEPTIC TANK SEWER $4�:p UTILITY CO NOTIFIED l TOTAL FEE FINAL �