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HomeMy Public PortalAbout5838 - 3/8 - 3/4 -1/8 - 1/2 - 1/4 CLOVERLY AVE_Plumbing__ 76A667 DBS 17 7-51 APPLICATION FOR PERMIT -DEI3ARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRUCT NO. GROUPO PERMIT NO. FOR APPLICANT TO FILL IN 15 tiP D¢ 71 3 1F PLUMBERREADY FOR . RE¢¢IVEf�.BY FIRST INSPECTION DATE ISSUED i �����GVV�A��pp�L�G((ff t 0 Z /S •L� ADDRESS ]� i $ C/j, BUILDING rT7ADDRESS 5/�-j�/ oCITY TEL No. COUNTY LOCALITY —5 NSE NO. EXPIRES NEAREST PERMIT FEES cR13BB NM R �` V Uf \ TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) a 0.50 >$ �+C:o ADDRESS %=:)R� aQ BATHTUB @ 0.50 ,3 .7� =— CITY � e— TEL. No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS J LAVATORY (WASH BASIN) 0.50 Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK Q 0.50 AND STATE LAW® REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 Cl AN13ELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER LlOF THE REBIDE IAL PROPE DESCRIS AB VE. GA' 9 BYBTEM OUTLETB Q 0.50 vcl SIGNATURE OF WATER HEATER Q 0.50 PERMITTEir 1 SLOP BINK @ 0.50 INSPECTION RECORD FLOOR BINK Q 0.50 ��• FLOOR DRAIN Q 0.50 DISHWASHER Q 0.50 DRINKING FOUNTAIN Q 0.50 URINAL Q 0.50 / S�L /✓ cS1� G7. ON N /.x/63 Q HOUSE SEWER Q 0.60 J N Sisal �d ,., _Z MISCELLANEOUS OLs� E9 Ir O APPROVALS DATE INBPEC7 R'B NAME V ✓V ROUGH PLUMBING GAB PIPING GAB VENT CESSPOOL Q 1,00 CESSPOOL SEPTIC TANKZ SEPTIC TANK v_ DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT1.130 GAB TEST ✓°�, 9'Z— T • UTILITY CO.NOTIFIED TOTAL FEE FINAL V COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J FOX, County Engineer DISTRICT NO. GROUP Z NE FORA PL I CANT,T9 FIL S� p 4 s"7 3+ I PLUMBER w R E VED Y READY FOR DATE ISSUED 1 w / v - FIRST INHPECTION _ADDRESe //� ///r` �r 3S �i I b Z. �//�Z'� CITY �T/YDry.1�fY [:r TEL NO. Cr 3 d? Y� ADDREH9 �f COUNLOCALITY TY U LICENSE NO. ' /o D44 EXPIRES ,�1 1f 7l ® v � NEAREST / ,( � �/ PERMIT FEES ` CROSS ST. p� U /�LJY� NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 B ADDRESS BATH TUB O SO CITY _ TEL, NO SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) e O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND A13REE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OAS SYSTEM OUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. BIGNATURE OF �.- WATER HEATER ® 0.50 PERMITTEE �✓ ���"'PPP"'""��' q� SLOP SINK a 0.50 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.30 DRINKING FOUNTAIN 0.50 URINAL @ 0.50 -J Q HOUSE SEWER @ 0.50 _Z MISCELLANEOUS 0 Q.' O APPROVALS • DATE INSPECTOR'S NAME ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) CGT 1.00 SEWER PERMIT 1.00 GAS TEST / C UTILITY CO. NOTIFIED TOTAL FEE S P� FINAL i'ze" ;66DBS#17 6-52 76A667 CE#017 2 62 TEMPLE PLE K IlT'Yry' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS /" BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1 25 MAIL / BATH TUB 125 ADDRESS SHOWER 125 CITY TEL. NO. LAVATORY 125 CONTRACTOR 'A /4—q /I 1 7JI-- SINK 1 25 ADDRESS / 3 3 2 DISHWASHER 125 CIYY TEL NO ZZ Y 7 LAUNDRY TUB 125 CON CTOR'S SS- 2 STATE REGISTRATION NO COUNTY ❑ CLOTHES WASHER 125 DI_ ICTNO 9 GR UP ZONE C D B WATER HEATER 1 50 --y� j o GAS SYSTEM OUTLETS 1 50 c i INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD Off. 0 U 0 . N V W a ut Z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK �'�j) ROUGH PLUMBING �- TOTAL FEE �J` GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST _ CALIFORNIA OR THAT 1 AM THE LEGAL OWN R OF AND INTEND TO RESIDE IN,THE ABO IBED RES,DEN A PROPERTY UTILITY CO NOTIFIED SIGNATURE . f OF PERMITTEE FINAL LIDATION ROBERT A WOOD CK M'3 CASH SUPERVISING MECHANICAL ENG R L A[;o 4 5 6 9 JAN 17 5 D 35 0 76A667—CE 817468 APPLICATION FOR PLUMBI G PERW? COUNTY OF LOS ANGELES U DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FADDIESS ING JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING AL FOR APPLICANT TO FILL IN (PR NT OR TYPE) EST A, p SS ST. ,V J NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1 50 MAIL BATH TUB 1 50 ADDRESS SHOWER 1 50 CITY TEL. NO. LAVATORY 1 50 CONTAACTO /`P SINK 1 50 ADORES DISHWASHER 1 50 CLOTHES WASHER 1 50 STATELIC LICENSE NOA, V 0/ CLASS p SWIMMING POOL RECEPTOR 1 50 DIST ICT NO GROU ZONE P BY LAWN SPRINKLER SYSTEM 2 00 O WATER HE 50 A INDUSTRIAL GAS SYSTEM OUTLETS 1 50 WASTE APPROVAL INSPECTION RECORD z OUTLETS OVER O 5 PER SYSTEM 30 W H z Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No HOT WATER HEATER I 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER O AND INT TO RESIDE IN,THE ABOVE OESCRIBED RESIDENTI P OPERTY FINAL I'Z_Op�y SIGNATOR JACK R. ALLEN, SUPERVIS CHANICAL ENG'R OF PERMI PERMIT VALIDATIO cK M o CASH PLAN CHECK VALIDATION CK M o ASH _ r_... L 7445%-D MOV27 5 D 3:5Q11, r.