HomeMy Public PortalAbout5521 CLOVERLY AVE_Plumbing__ DBS6773 58 APPLICATION ION F®R `PLU®t/YkL ING PERMIT
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer '
i County of Los Angeles
BUILDINGJ;-r"�
ter'' WM J FOX COUNTY ENGINEER ADDRESS C°JJV
CASSATT D GRIFFIN SUP T OF BUILDING )_ /A {�� ,�✓ / "s ,
LOCALITY 7/.r�/'/
FOR APPLICANT TO FILL IN NEAREST
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OWNER /7/7 Gf'/�1'41 1y , DISTRICTNO GROUP ZONX READY FOR INSPECTION
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_ADDRESS ✓ '7�'7f1
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER L' /�, i4 �/�U-' INSPECTION RECORD
ADDRESS
CITY `i,/y/ C'1�y AL NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
BATHTUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY '
CLOTHES WA HER -
/ v
TOTAL NO @ 080 APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 1 00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 00
�y GAS PIPING
T�TAL FEE v GAS VENT ,,rr
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OP THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDENTIA ~
P GA
SIGNATURE
OF PERM ITTEE /` - Ld NAL �"A
{
WILLIAM%J FOX COUNTY ENGINEER VA L ATION R A WOOD,CHIEF PLBG INSPECTOR
ACO 8 35 1 - SEP 2 6 3 1 .8 U �'
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APPLICATION FOR PLUMBING PERMIT
7
DBSBSf7 9 SB 1
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County of Los AngelesBUILD NG _t.� �y /`�
,^ WM J FOX COUNTY ENGINEER ADD EIS. t! / (/ /
' CASSATT D GRIFFIN SUP T OF BUILDING ,7�
LOCALITY r
FOR APPLICANT TO FILL IN NEAREST
Ll �(� CROSS ST
_OWNER /FA '9 JIT j 14&I/ DISTRICT NO GROUP 20 READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL I m
CITY TEL NO WASTE APPROVAL
PLUMBER G INSPECTION RECORD
ADDRESS
CIT /Ci EL NO
LICENSE NO
NUMBER TYPE&F FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK 6
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO @ 080 APPROVALS
GAS SYSTEM OUTLETS @ 1 00 LI IJ DATE INSPECTOR S SIGNATURE
WATER HEATER @ 1 00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING
TOTAL FEE We GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T E LEGAL OWNER OF T E ABOVE UTILITYCO NOTIFIED
DESCRIBED RIES ID IA TY
S IOF PERM TTF f FINAL
WILLIAM J FOX COUNTY ENGINEER IDATION R A WOOD CHIEF PLBG INSPECTOR
ACO8 3^5 211" SEP 26 3 2 S U to
a -
-
DBSn7 sAPPLICATION FOR PLUMBING PERMIT
oBs>n nDIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County of Los Angeles BUILDING ,f
M
WJ FOX COUNTY ENGINEER ADDRESS �J
' CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY "�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST l.�L
OWNER
��� DISTRICTED GROUP I Z x& 11 READY FOR INSPECTION
ADDRESS �(/� G
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER % INSPECTION RECORD
ADDRESS
CITY / �All )-XTEL NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB o
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO @ O so APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00 00
UNDER SLAB WORK
WATER HEATER @ 1 00
PERMIT 1 00
ROUGH PLUMBING
S
GAS PIPING
TOTAL FEE l 00 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
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUIPED BY LOS ANGELES COUNTY AND STATE,OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT AL TY -
FINAL
SIGNATURE
OF PERMITTE
WILLIAM J FOX COUNTY ENGINEER V IDATION R A WOOD, CHIEF PLBG INSPECTOR T
_ACS 8 3 5 3'"'--) SEP 2 6 3 2 00
DBS 173 5S APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING ,AND SAFETY
Department of County Engmeer S s7 �",
County Of Los Angeles BUILDI1
NG
WM J FOX COUNTY ENGINEER ADDRESS I
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
ccr�OWNER DISTRICT NO G.R.yO�UP ?ONE READY FOR INsrECTION
MAIL
ADDRESS
INDUSTRIAL
CITY T NO WASTEAPPROVAL
PLUM B E / INSPECTION RECORD
ADDRESSLL/ QI A @
CITY TEL NO GC L7 W-ru, �C A-M0 Oftk-44 T-
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN) V
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASthE
U
TOTAL NO @ O 80 APPROVALS
DATE INSPECTOP S SIGNATURE
GAS SYSTEM OUTLFTS na 1 00
UNDER SLAB WORK
WATER HEATER @ 1 00
PERMIT $ 1 00
ROUGH PLUMBING 9 1 S'S _Al
I
GAS PIPING
TOTAL FEE ;j 00 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 ,tZ �S
PLUMBING
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GPS TEST
LICENSCD AS REQUIREDBY LO NGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROP E Y^^ A
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J FOX, COUNTY ENGINEER VALIDATION R A WOOD CHIEF PLBG INSPECTOR
1AC,06G2 51-' - AUG 3 3 500
-
7 3AOBS667
1355 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles
�I WM J FOX COUNTY ENGINEER ADDRESS 1,7 BUILDING (J L- p(
L '1„ (�1 I+ Q PGSi
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_
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY �.e L�l /�w CCG!/
FOR APPLICANT TO FILL IN NEAREST
ROSS STT /-o
4�d
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OWNER � ICB S s r,CJ 1 DISTRICT NO GROUP ZONE READY FOR INSPECTION '
MAIL {�s
ADDRESS s
INDUSTRIAL
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PLUMBER _It ., t ”/N{, INSPECTION RECORD
ADDRESS ,11 01-n �I - 7! 0/�! ((01 lC�gs- T�4 Q�4G. yl.l�l�(�!1 L.�ti 0 tom.
CITY aSa `e/ TEL NO CV 7 5� lti T'-'
OF
LICENSE NO fr)" v),pr_
NUMBER t TYPE OF FIXTURE OR ITEM FEE
I
WATER CLOSET (TOILET) $
(',IAA
<&, �N
44A!m, '1�
BATH TUB --_L �Jil�aCllfLri-
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER `
I LAUNDRY TUB OR TRAY
CLOTHES VYASHER `
U P`1 k
L v
- 91 kA
TOTAL NO @ 080 7�0 APPROVALS
DATE INSPETOR S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00
0 p C
WATER HEATER @ 1 00
9 0 UNDER SLAB WORK y
ROUGH PLUMBING "''y c O
PERMIT $ t 00 GAS PIPING ry
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTI ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING n
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTYA D STATE OF
CALIFORNIA OR THAT I AM THE LE L OWNER THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT[A /P��.1_gy 610
SIGNATURE
OF
IOF PERM ITTEE • �"`"� FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION R A WOOD, CHIEF PLBG INSPECTOR
T08 687t^ OCT 5 3 3020 �'
7APPLICATION FOR PLUMBING PERMIT 1
DBS 17,o ss
DIVISION OF BUILDING AND SAFETY
Depmitment of County Engmeer
County Of Los Angeles BUILDING '-C�
JOHN A LAMBIE COUNTY ENGINEER ADDRESS k--5
CASSATT D GRIFFIN,SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEARESTy�
CROSS ST n
OWNER Ci // DISTRICT NO GROUP
71119E I READY FOR INSPECTION
MAIL t�
ADDRESS t `�
INDUSTRIAL r
CITY TEL NO WASTE APPROVAL
PLUMBER 4!x/,4/PA INSPECTION RECORD
ADDRESS
CITYF4.J / TEL !/
LICENSE NO cS
NUMBER TYPE OF FIXTURE OR ITEM FEE �J L As LL B j0r 4
WATER CLOSET (TOILET) @ $1 00
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $100
WATER HEATER @ $1 00
GAS YSTEM @ $100
S - ,ea
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING '�
TOTAL FEE dd GAS VENT
1 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 t
LICENSED AS REQUIRED BY LOS A COUNTY AND STATE OF
CALIFORNIA OR THAT 1
TS
LEG OWNER OF THE ABOVE UTILITY CO NOTIFIED M �(
DESCRIBED RESIDENTIA P PE Y
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
0 0.7 4.R SSG 'y 'ASN O;O -ID
A
76At87 X17 6-4e ® APPLICATION FOR PERMIT
\'
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
_T` , I B _ A evCao9A
PLUMBER RECEIVED BY READY FOR nnn DATE ISSUED
�^ /���^ 1/r/ FIRST INSPECTION
ADDRESS �l'�.D® a P.A 6 BUILDING
Qty l ADDRESS
CITY �'�[(��/'�•@�/ TEL NO A�vy1p�+r
COUNTY LOCALITY /
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSSST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER V���✓F A9 ""/ �-
MAIL
WATER CLOSET (TOILET) O 50 $ ADDRESS
BATH TUB @ O SO CITY TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O 50
SIGNATURE OF
WATER HEATER @ O 50 PERMITTE
SLOP SINK @ 0 so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER O 50I
DRINKING FOUNTAIN @ O 50
UF31NAL @ O 50 J
ko"HOUSE SEWER @ O 50I Z
MISCELLANEOUS 0
i2
O
APPROVALS
DATE INSPECTOR 9 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT yy��
CESSPOOL @ 1 00 CESSPOOL 'Q' `-Vim( /
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAS TEST
$ I UTILITY CO NOTIFIED
TOTAL FEE
FINAL
76A887 17 5-49 ® APPLICATION FOR PERMIT
do DEPARTMENT OF BUILDING AND SAFETY � �� �s
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
(� FOR APPLICANT TO FILL IN DISTRICT NO- GROUP I ZONE/ PERMIT/ c,
S _
PLUMBER _ �/ ,,.�,� ,(J RECEIVED BY DY FOR DATE ISSUED
,,go 0'— ' FIRST INSPECTION
Zd
ADDRESS �_ca� J�� I1 � ` `7 A
BUILDING "
CITY yi iyt�1! TEL No ADDRESS AT
COUNTY V LOCALITY C '
LICENSE NO Awi EXPIRES
NEAREST
PERMIT FEES CROSSST 3tioar� L r*A�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER
WATER CLOSET (TOILET) @ O 50 $ ADDRESS
BATH TUB @ O 50
CITY , Co i TEL NO
SHOWER @ O 50 I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 I STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ O SO
SIGNATURE OF
WATER HEATER @ O 50 PERMITTE
SLOP SINK @ O 50' INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN @ O 50
d URINAL @ O 50 ..I
HOUSESEWER @ O 50I Z
MISCELLANEOUS
a
v
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00I CESSPOOL
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( @ 1 00 I SEWER
3 PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $ S'Q
FINAL
D B B-17 2SM SETS 11-46
DEPARTMENT OF BUILDING AND SAFETY
APPLICATION FOR PERMIT 1
COUNTY OF LOS ANGELES `
PLUMBING
WM J FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRi GROUP O E P RMIT O.
t� _ _ !j /52''L_ 0124
ROUGH FIXTURES COMPLETE
REGIVE Y READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK C v FIRST INSPECTION
MISCELLANEOUS
SCELLANEOUS
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mm
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB �]
tC NAME ADDRESS L I O
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CERT NO (o�® EXPIRES WK NAME
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, /PAq iLlf9yl.�l,�L a
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL 10/f
3 ADDRESS ( •O.7
NORTH O
CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUA FICATION
1 �� r
/ PLUMBER
1 AM THE LEGAL OWNS OF THE PROPERTY DESCRIBED
ABOVE
3 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB FURNACE 17
Q'
SHOWER DISHWASHER Q
_LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
-WATER CLOSET - DRINKING FOUNTAIN DATE INSPECTOR B NAME
WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENTwommmum I
CESSPOOL
TOTAL NUMBERLSEPTIC
URES SEPTIC TANK I I
CESSPOOL TANK SEWER I I
$ 'UTILITY CO NOTIFIED I I
TOTAL FEE
FINAL
DEPARTMENT OF BUILDING AND SAFETY ' APPLYCATION FOR PERMIT
COUNTY OF LOS ANGELES PLUMBING
Wm J FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICTNO GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER
CESSPOOL d I BEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
!� 1 FIRST INSPECTION
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION�fOjNLY
JOBE NAME �ir_s ADDRESS J {�'�
W 9 Z,,�-- t
ai,
m
ADDRESS � .._J� � ,alLOCALITY �
D ,�. NEAREST
d CITY LJ i AA pa TEL oY CROSS ST
COUNTY
CERT No EXPIRES - WK NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL
DRESS
NORTH O
CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIF CATION
PLUMBER /
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK i
BATH TUB FURNACE
0.'
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK SAND TRAP `
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER GAS SODA FOUNTAIN
OUTL GAS- PIPING
GAS VENT
CESS POOL
TOTAL NUMBER OF FIXTURES �� SEPTIC TANK
-CEBBPOOI 9 SEPTIC TANKE C� SEWER I( I
$ I I
UTILITY CO NOTIFIED
TOTAL FEE _L
FINAL
D B S 17 25M SETS 2'47 t( APPLICATION FORPERMITr ,.DEPARTMENT OF BUILDING AND SAFETY ��
COUNTY OF LOS ANGELES
t`
Wm J FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PgRMIT NO.
ROUGH FIXTURES COMPLETEy
HEATER __CESSPOOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATB ISSUED
� _t%L-"c .-..-�^FIRST INSPECTION 'e^ /
AS MISCELLANEOUS _ 5 •�
APPLICANT FILL IN HEAVILY'OUTLINED PORTION ONLY
JOB iJ
E NAME . _�((J'�p.¢q ADDRESS 69
m
ADDRESS � D �J/d/l � �� LOCALITY v
NEAREST
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COUNTY
CERT NO / EXPIRES y1? m NAME f
LOCATION OF SEPTIC TANK, OR CESSPOOL a MAIL J�
3 ADDRESS s4 O t -
NORTH O —9�y
CITY p TfiL No 7
IAM THE LEGAC POSBESSO OF THE ABOVE LOS
ANGELES COUNTY CERTI CATE OQU KATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
Z
_
BATH TUB FURNACE 6
IY
ROWER DISHWASHER Q
--LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER 1
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IMBPECTOR'8 NAME
WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING
METEP GAS SODA FOUNTAIN
OUTL EAS PIPING
GAS VENT I
/ CESSPOOL
TOTAL NUMBER OF FIXTURES /I „�. SEPTIC TANK
CESSPOOL-----SEPTIC TANK SEWER
$ UTILITY CO NOTIFIED
TOTAL FEE
FINAL
76A667-CM17 3-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEARE7ST
JOHN A LAM M Countg Ea neer 7,177-2CASSATT D GRIFFIN Sup t of BudcImq
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS '
SHOWER CITY TEL NO
LAVATORY CONTRACTOR
SINS ADDRESS o!
DISHWASHER CITY y
CO C T 0 R S STATE El
ElLAUNDRY TUB REGISTRATION NO COUNTY
CLOTHES WASHER DISTRICTNO GROUP ZONE P SED BY
WATER HEATER _ m-c
GAS STEM INDUSTRIAL
� WASTE APPROVAL
INSPECTION RECORD
® $100 PER ITEM
OR FIXTURE $ l 2 APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
LDESCRIBED
TH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
UMBING
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
LIFORNIA OR THAT 1 AM THE LEGAL OWNER OF 7H ABOVE
RESIDENTIAL PROPERTY UTILITY CO NOTIFIED f
GNATURE
OF PERMITTE
FINAL
®P VALIDATION ROBERT A WOOD,
cK m 0 CASH SUPERVISING MECHANICAL ENG R
,_
U&--0633% JM22 5 0 325- q a
7607-CE817 10-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY S c
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL /
BATH TUB ADDRESS
SHOWER
CITY TEL. NO. ooe
CONTRACTOR
SINK '
LAVATORY
! ADDRESS /Z
DISHWASHER CITY
CONTRACTOR'S STATE El
LAUNDRY TUB REGISTRATION NO. d Sze ; COUNTY ❑
CLOTHES WASHER DISTRICT NO. GR9UP I ZONEESSED BY
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WATER HEATER R / LG
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL >-
INSPECTION RECORD D'
O
V
G
ujICLN
Z
$1.00 PER ITEM
OR FIXTURE APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE - ROUGH PLUMBING
GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY. - UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE FINAL
ALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
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703 rliFi 5 .
D S B 17 25M SETS 7-s7 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm J FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT GR_O P /AZO E PERMIT O
—I
ROUGH FIXTURES COMPLETE .5 -. l /T —
HEATER CESSPOOL SEPTIC TANK
RECEIVED BY READY FOR DATE IBSUED
FIRST INSPECTION
AS MISCELLANEOUS c�.a'+'
amsmsillimm
(� JOB
APPLICANT FILL IN HEAVILY OUTLINyED PORTION ONLY
NAMX- C. NOTTINGHAM[ CO. ADDRESS
W cy
m ADDREssl23 No. Cloverly Ave. LOCALITY
dCITY TEMPLE C v NEAREST
jT i�E ,�,t�j�j�1_ CROSS ST
COUNTY 1,
CERT No EXPIRES _ NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTI I T O IFICATION
_ LUMBER
t AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
R
- a
._ OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Z
BATH TUB FURNACE [7
Q'
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPHCTOR B NAME
' WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS *SODA FOUNTAIN
OUn GAS PIPING
GAS VENT p
CESSPOOL
TOTAL NUMBER OF FIXTURESqq SEPTIC TANK ( I
_CESSPOOL SEPTIC TANK /j V SEWER
>$ UTILITY CO NOTIFIED I I
TOTAL FEE,
FINAL
8,17 23M BETB 11-46 ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ADTGELES
Wm J FOX. CHIEF ENGINEER PLUMBING
^
NATURE OF-INSTALLATION DISTRICT O GROUP
OJq RMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I� SEPTIC TANK REC BY FIRSTINSPREADY FOR DATE IBBU6D
A/0 W
AS l -1MISCELLANEOUS
-0 JOB
FILL IN,HEAVILY OUTLINED PORTIION/ ONLY
Q, NAMEppy1ffiEn+w'rr'f..�-� ��//"���'^ ADDRE>99"."'�..')):��_ LtL.+F/1�
ADDRESS vd(/� �� ':�" LOCALITY ..L�"I""""�� ✓
NEAREST
.J. CITY / LTEL No CROSO ST F"1 Y
* COUNTY - ,G�
CERT No EXPIRES Y NAME H• '�"� �' _
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
t
CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFI i1TEoOF QUALIFICATION
i �.t.
C PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
14
3 _ OWNER
CORRECTIONS
i
SOUTH r -r- 1 Ig-
DESCRIPTION OF WORK-.' �z
BATH TUB FURNACE
I SHOWER DISHWASHER O
AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK BAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL�! APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR 8 NAM[
-WATER HEATERDENTAL LAVATORY
f� ROUGH PLUMBING
METER GAS 60DA FOUNTAIN
9UTL GAS PIPING
GAS VENT '
CESSPOOL
TOTAL NUMBER OF FIXTURES � � SEPTIC TANKy I I
CESSPOOI °EPTIC TANK SEWER
S UTILITY CO NOTIFIED__!__7 A ! \
TOTAL FEE FINAL
WORKERS'COMPENSATION DECLARATION 76A667A
I hereby affirm that I have a' certificate of consent to self CE 617 (2-e6) APPLICATION FOR PLUMBING PERMIT
$nsurehc:b`a t:ertificate of Workers'Compensation Insurance,or
a certified copy thereof Sec. 3800,Lab.C.)
C, W C_ C 1 ° 3 v b COUNTY OF LOS ANGELES BUILDING AND SAFETY
.Policy No. Company• �` �`–�
Certified co is hereby furnldf. 4— BUILDING
PY FOR APPLICANT TO FILL IN (PRINT OR TYPE) ��•*.�� /�U �`j ��
ADDRESS
{(�� Certified copy is filed h the ou building inspection NUMBER FIXTURE OR ITEM • FEE
/ ` l artment.�l LOCALITY
Dat 4l WATER CLOSET
pplica � NEAREST /1 n
BATH TUB CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' �, /�_>
COMPENSATION INSURANCE SHOWER OWNER j,,
(This section need not be completed if the work involved LAVATORY MAI LADDRESS
by the permit is for one hundred dollars ($100) or less.) O
SINK CITY TEL. NO l
I certify that in the performance of the work for which this DISHWASHER U
permit is issued, I shall not employ any person in any manner CONTRACTOR �/2.o . f %C,a�GY, cc
so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS ' / 1�
Date Applicant SWIMMING POOL RECEPTOR
��t7 �i!/� wU
NOTICE TO APPLICANT: If, after making this Certificate of CITY � t T L.NO.� CL
G
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM ? STATE �� LIC. `ry to
LICENSE NO
Compensation provisions of the Labor Code, you must forth- ! CLASS Z
with comply with such provisions or this permit shall be WATER HEATERS .
deemed revoked. GAS SYSTEM OUTLET DISTRICT NO. PROC SED BY,_,,.
LICENSED CONTRACTORS DECLARATION OUTLETS OVER jj
I hereby affirm that I am licensed under provisions of Chapter 15 PER SYSTEM
9 (commencing with Section 7000) of Division 3 of the Busi- FINAL
ness and Professions Code, and my license is in full force and DATE VALIDATION
effect.
FINAL
License Number Lic.Class BY tea _
Y�+
Contractor Date W
0 I am exempt from the licensing requirements as I am a Plan check fee
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). TOTAL FEE 6) 0-7)
Lic.or Reg.No. Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's Address
License Law for the following reason (Section.7031.5, Busi- City Tel.No.
ness and Professions Code):
0 1, as owner of the property, am exclusively contracting
with licensed contractors to construct the project L 4 F_ 1 A
(Section 7044, Business and Professions Code).
#± 0000
CONSTRUCTION LENDING AGENCY 05,
I hereby affirm that there is a construction lending agency 2 ° c 1 0,00
for the performance of the work for which this permit is
issued (Sec. 3097,Civ.C.).
Lender's Name c c 0,C 0
Lender's Address 1 222-30
1 certify that I have read this application and state that the
above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
e-mention ed pperty for inspection purposes.
Signature Permittee Dat
WORKERS'COMPENSATION DECLARATION 20-0026 DPW 4/87 APPLICATION FOR PLUMBING PERMIT
n
I hereby, affirm tFr6f I'hgve a certificate of consent to self in- g6A667A - �7full
su ge,i?ra certificate.of,Workers'Compensation Insurance,or a CE 817(REV. 8/86)
certified copy thereof(Sec. 3800, lab. C.),
Policy Na;10=08960ompany _Iris. CO.. COUNTY OF LOS ANGELES DEPT.. OF PUBLIC WORKS
Fj Certified copy.is hereby furnished.
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
Certified copy is filed with the county building inspection ADDRESS
department: NUMBER FIXTURE OR ITEM FEE OCALITY
Date A licant"Oiaen Bras• p1Mb . .� ' WATER CLOSET(TOILET) $i•� NEAREST T le City
= .tea PP
''BATH TUB CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE OWNER
SHOWER
(This section need not be completedif the work involved by MAIL
the permit is for.one'hundred dollars ($100)or less.) LAVATORY a� ADDRESS 5350 Alhambra Road
I certify that in the performarice of the work.for which this per- SINK
mitis issued, I shall not employ any person In any manner so 6 b CITY ,08 Angeles TEL. NO.213-225-5( 94
as to become subject to the'Workers' Compensation Laws. ] DISHWASHER S
CONTRACTOR
Date Applicant CLOTHES WASHE19 C
R
SWIMMING i
NOTICE TO APPLICANT: If, after making this Certificate of.Ex- POOL RECEPTOR ADDRESS4265 NBaIdWin.AVenue
emption,you should become subject to the Workers'Compen- CITY
sation provisions of the labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM E1 Monte TEL. NO. 443-00'78
ly with such provisions or this permit shall be deemed revok- STATE LIC.
ed. WATER HEATER LICENSE NO. 233 7A1CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS `� p �
9(commencing with Section 7000)of Division-3 of the Business OUTLETS OVER O
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL �77 �y VALIDATION >_
fect. 16 DATE ® � L� -`I 0
License Number 231 .741' 'Lic. Class C36-20-16'
U
/ FINAL
Contractor Owen Bros P1mb Date-/E BY- 0
ElI am exempt under Sec.- UJ
B.&P.C. for this reason
Pldn"check fee
Date: PLUMBING PERMIT.ISSUING FEE$ 0�
Signature
TOTAL FEE
SINGLE,FAMILY
r•
HOME OWNER-BUILDER DECLARATION Plan check applicant
I hereby,ciffirm that Lam exempt from the Contractor's License Name
Law for the following reason (Section 7031.5, Business and
Professions Code):, Address :77-' 7ij4fit
0 I, as owner of. the property, will do the workand the City. I Tel. No. s =-Pii'''
structure is not intended or offered for sale(Section 7044, 52; 52 - _r
Business and Professions Code). - i f t�
CONSTRUCTION LENDING AGENCY PooLY
I
hereby affirm that there is a construction lendin agency for C'la ;i ' e'I I
the performance of the work for which this permit is issued
(Sec. 3097, Civ.'C:)iM ,
Lender's Name �^ _ -.M
rM A:
Lender's Address
I cel"tify that'L,have read this application and state that the oil.above information is correct. I agree to comply with all County
krdainances and,State laws regulating Plumbing, and, hereby
rize r r sentatives .of his County to enter upon the
- ecd 4Zrope y inspection urposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
ure of Permittee Date