HomeMy Public PortalAbout5743 - 5745 CLOVERLY AVE_Plumbing__ 761667A tl P U M A Y B O V FOR PLUMBING PERMIT
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CE ell BUILDING AND SAFETY DIVISION •yL
Department of County Engineer 4
County of Los Angeles LfIDDRESSIJOHN AAMBIE,COUNTY ENGINEERCASSATTD GRIFFINS SUPTOFBUILDINGOCALITY g^�.
FOR APPLIjCANT TO FILL IN CROSS sT
OWNER / �Fr.��✓ a DISTRICT NO GROUP 7IE/ READY FOR INSPECTION
MAIL J , I /Y
ADDRESS - T SDO
1 -� INDUSTRIAL
1CITY '� vgy{� TEL NO ! WASTE APPROVAL
PLUMBER � �+[ ( jrL'4� 2 W� INSPECTION RECORD
ADDRESS 0-N-
�yg� �
CITY TEL'NO�/ ?4� 1
LICENSE NO G7- /-2 Cl r
NUMBER TYPE OF FIXTURE CR/TEM FEE
WATER CLOSET (TOILET) @ $100
BATH TUB @ $100 C7n,.�-� � .,�C� Alz
SHOWER @ $100 T/X, IST
LAVATORY (WASH BASIN) @ $1 00 �)! /-3Z./?
�Z/s n�
KITCHEN SINK @ $1 00 e
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $100
WATER.HEATER @ v 00
GAS SYSTEM @ $100
APPROVALS
.� DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL PEE Q
42 GF 5 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
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 PRO ESRTTYY \J
SIGNATURE �ft' 11 .....:j
OF PERMITTEE��^7 FINAL
ROBERT A WOOD,
JOHN A LAMBIE COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
CK M 0 CASH
APPLICATION FOR PLUMBING PERMIT
DES I7 9DNISIQ,N OF BUILDING AND SAFETY
Department of County Engmeer
County of Los Angeles I3UfLDING
[� /
W_M J FOX COUNTY ENGINEER ADDRESS v 2 U
S CASSATT D GRIFFIN SUP T OF BUILDING �+
LOCALITY yl'
FOR APPLICANT TO FILL IN CROSS s S lil✓ G v��f1
OWNER �O { , \ DISTRICT NO GRO IJ N� READY FOR INSPECTION
MAIL`ADDRESS I�I �, L►� cl'g fl_ y _ I O�
INDUSTRIAL
CITY D L• SEL NO �� WASTE APPROVAL
PLUMBER �; /�/ INSPECTION RECORD
ADDRESS{ Uu�` �V
CITY d TEL NO
LICENSE NO
NUMBER I TYPE OF FIXTURE OR ITCM FEE
WATER CLOSET (TOILET) $ _
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER '
TOTAL NO @ 080 APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00 p
UNDER SLAB WORK
WATER HEATER @ 1 00 S C
ROUGH PLUMBING
PERMIT S I 1 00
GAS PIPING
TOTAL FEE13 GASVENT
1 HEREBY� ACKNOWLEDGE THAT 1,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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
•LICENSED AS REQUIRED BY S ANGELES COUNTY AND STATE OF UTI LITY CO NOTIFIED
CALIFORNIA OR THAT 1 A hHE,LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P VERTY
SIGNATURE '
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION R A WOOD,CHIEF PLBG INSPECTOR
{
. 'C05 3 8 2 JUL 6 3 3.4 0
r �
2,27
76 A 667-CF_i j7 8/68
11%x'
APPLICATION FOR -PLUMBING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING , C
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY L C�
FOR APPLICANT rO FILL IN (PR NT OR TYPE) NEAREST
cross ST L la
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �"�
WATER CLOSET 1 50 PE TT
MAIL
BATH TUB 1 50 ADDRESS µ C-L0 u r,:r L
SHOWER 1 50 CITY �� �L G rT Ix
TEL NO
LAVATORY 1 50 CONTRACTOR CuS r--V rr-' Et-17z,f4isz
SINK 150 ADDRESS Oo w LIur2 C7A-
DISHWASHER 1 50 CITY 14r,C A , TEL NO 2-9 L
CLOTHES WASHER 150 SLATE ,� LIC /-
LICENSE NO 2 CLASS
SWIMMING POOL RECEPTOR 1 50
' DISTRICT NO Grp I ZONE RO ES B
LAWN SPRINKLER SYSTEM 2 00 0 a
� O
WATER HFATER 1 50
INDUSTRIAL v
WASTE APPROVAL Z
GAS SYSTEM OUTLETS 1 50 INSPECTION COAD 0 h-
OUTLETS OVER -- W
S PER SYSTEM 30 / C7
F Z
v �
I
Plan check fee 27,% of above See reverse — G
PLUMBING PERMIT ISSUING FEE $ 1 2 00
TOTAL FEE 0 APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City lei NO HOT WATER HEATER
1 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 GAS TEST
PLUMBING -
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 I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY I INAL r
SIGNATURE ,
OF PERM ITTE JACK R ALLEN, SU ERVISING MECHANICAL 'R
PERMIT VALIDATION CK M O CAS
PLAN CHECK VALIDATION CK M O CASH
I r� � "3 9 MAR� 8 5 D .7.517