HomeMy Public PortalAbout5829 CLOVERLY AVE_Plumbing__ 7BA667-CE817 3-59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �, G L-O (J v G.
TOHN A LAM 131E County Ea eer DDRESS
CASSATT D GRIFFIN. Sup t of Bmldmg LOCALITY
FOR APPLICANT TO FILL IN NEAT C: a c,e,/d ¢ r�4c �•o
NUMBER FIXTURE OR ITEM
OWNER �y� _
WATER CLOSET MAIL
BATH TUB ADDRESS Ilk- If G d v Coo
SHOWER
CITY TEL. NO.
LAVATORY CONTRACTOR Yom✓
SINS
ADDRESS tqA (l"4 d v �,
DISHWASHER CITY TEL NO
CONTRACTOR S STATE
LAUNDRY TUB REGISTRATION NO / COUNTY
CLOTHES WASHER DISTRICT NO GROUP I ZONE P CESSED BY
WATER HEATER ::r- —dam
GAS SYSTEM INDUSTRULL
WASTE APPROVAL
INSPECTION RECORD
$1 fD PER ITEM
OR FIXTURE $ APPROVALS)eUhRl DATE INSPECTOR S SIGNATURE
PERMIT $ 1 2100 UNDERS-LAT'WORK ten_/w AJ1�nr� �edP
ROUGH PLUMBING " VW rr•.•�---�.+
TOTAL FEE
GAS PIPING 'd„O/1
cZ--
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT p
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER 3 2
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 42/v
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN L PROPERTY�f UTILITY CO NOTIFIED D t� O
SIGNATURr-lr -
OF PERMITTE
FINAL 0ae)
OFVALIDATION ROBERT A WOOD,
cK u O CASH SUPERVISING MECHANICAL.ENG R
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70667-=17-11-57
COUNTY APPLICATION ANGELES FOR PLUMBING PERMIT
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DEPARTMENT OF COUNTY ENGINEER BUILDING (� ��//,.
BUILDING AND SAFETY DIVISION BUILDIN � J 9" l�C�
JOHN A`LAMBIE, County En eer
CASSATT D GRIFFIN, Supt of Suildmg LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM OWNER ! L !
WATER CLOSET
MAIL
RATS TUB ADDRESS
sy. SHOWER CITY TEL NO
f/ LAVATORY CONTRACTOR
SINK ADDRESS A ��
DISHWASHER CITY CAS$ Rvd^ *T17—/ F
Y LAUNDRY TUB REGISTRATION NO X ,� SPATE
COUNTY 1771
CLOTHESWASHER DISTRICT NO G OUP ZONE READ OR INSPECTION
WATER HEATER
GAS SYSTEM IN7USTlW
WASTE APPROVAL
INSPECTION RECORD
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� EGv' rP,r�"
APPROVALS p��j� ,p/j
/ al 00 PER ITEM /��f7 /" ��+ DATE INSPECTOR S SIGNATURE
OR FIXTURE a l
UNDER S�B WORK
PERMIT 00 ROUGH PLUMBINGfi
TOTAL FEE O GAS PIPING
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
D
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST /��� ZrJI✓l7,S [}
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 WY
61
SIGNATURE /
3
OF PERMITTE ` + FINAL
ROBERT A WOOD
OF VALIDATION SUPERVISING MECHANICAL ENG R
CK td 0 CASH ,
LAI 109711 °; Ja17 5 A 1300 "
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76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT O. GROUP ZONE PERMI NU.
FOR APPLICANT TO FILL IN S =1 1S
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS '
BUILDINbj
CITY TEL. Na ADDRESS
COUNTYg yd �e S LOCALITY
LICENSE NO F9C/J EXPIRES / a-
i NEAREST I
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CL08ET(TOILET) 050 D ADDRESS
BATH TUB @ O 50 CITY l TEL. No 3 U
SHOWER @ O 50 I 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
KITCHEN SINK@ O 50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POBBESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 050 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTI PRO ER�TY DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ 050
SIGNATURE OF'
WATER HEATER (� 0.30' (�Q PERMITTE
SLOP SINK @ Oso INSPECTION RECORD
FLOOR BINK O 50
FLOOR DRAIN (L O 513
DISHWASHER @ Oso
DRINKING FOUNTAIN @ 050
URINAL @ 0.50
Q
HOUBE SEWER @ O SO Z
MISCELLANEOUS
!Y
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAS TEST
V� UTILITY CO NOTIFIED
TOTAL FEE S -� c�
FINAL
76A667 CE9817 6-65
APPLICATION FO LUMBING PERMIT
COUNTY OF LOS ANGELES C'G!>�E12G
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7-
I
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT of BUILDING
FOR APPLICANT TO FILL IN EARESTROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET SI 25 MAIL _Z
:HOWER
ATH TUB 125 ADDRESS -5
125 CITY �T TEL NO10)
Z,-
LAVATORY 1 25 ZS CONTRACTOR ci 'r
SINK 125 ADDRESS ` D
DISHWASHER 1 25 CITY C _ TEL NO pZ 1 aja
SATELic
LAUNDRY TUB 125 LICENSE NO �t_` JIB CLASS q I
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER 150
GAS SYSTEM OUTLETS 150 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD V
0
H
V
LU
a-
z Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ST TE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTE D TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE '
FINAL
ALIDAMN
CK M O CASH
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