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
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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.
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CITY �T/YDry.1�fY [:r TEL NO. Cr 3 d? Y� ADDREH9
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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.
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U
0
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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
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