HomeMy Public PortalAbout6013 CLOVERLY AVE_Plumbing__ 76A 887-CE#817 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING / Q/
JOHN A LAMBIE COUNTY ENGINEER ADDRESS �O �J �C C�i/{/L.X�
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY �%-Z.=-� _ G••
FOR APPLICANT TO FILL IN NEARESTOSS ,+--
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 3125 MRIL
BATH TUB 1 25 ADDRESS Q
SHOWER 125 CITY TEL NO ��0
LAVATORY 195 CONTRACT
i
SINS 1 25 ADDRESS
DISHWASHER 125 CITY 4— TEL
LAUNDRY fUB 1 25 CONTRACTOR 6 STATE
REGISTRATION NO / J COUNTY FE
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE" PROCESSED BY
WATER HEATER 1 50 --
1 50 INDUSTRIAL
GAS SYSTEM OUTLETS
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD O
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N
Z
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APPROVALS DATE INSPECTOR 5 SIGNATURE
PERMIT S 2 00
UNDER SLAB WORK
/ \
ROUGH PLUMBING
TOTAL FEE O GAS PIPING / \�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
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WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER /I�,�.�y,
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES -
LICENSED AS REQUIRED BLOS ANGELES COUNTY ND STATE OF GAS TEST
CALIFORNIA OR THAT Ito...DLR
HE EG OWNER OF ND INTEN TO
RESIDE IN THE ABOVE D I ENTI R ERTV UTILITY CO NOTIFIED
SIGNATURE
OF PERMITT FINAL I//
VALIDATION ROBERT A WOOD
M o CASH SUPERVISING MECHANICAL ENG R
Oho 6 0 1 2 VOV 3 5 D 5.00—
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D B 17 '5M SETS 12-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
'`COUNTY OF LOS ANGELES J
Wm FOX.CHIEF RNGINEER PLUMBING
NATURE-OF INSTALL TION rDISTRI N GROUPOES , PER
ROUGH FIXTURES COMPLETE rli 4:N /`�
READY FOR f
HEATER CESSPOOL I SEPTIC TANK RE EIVH BY FIRST INSPECTION �6�j�pc ISSUED/
AS MISCELLANEOUSLm
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APPLICANT
�IFILL
yI-N IIEAVILY1 OUTLINED PORTION ONT,,YJOB
a, NAME �.T" /x Arl �L,_± ADDRESS
m ADDRERS G ' LOCALITY 6� •
NEAREST
A CITY U NO CROSS ST � FS
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COUNTY / �!
CERT NO EXPIRES r�jr�1�'- Id NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL a MAIL O >�
3 ADDRESS
NORTH O CITY
1 AM THELVGAL PO68 O OF THE A OV LOS
ANGELES CO`U�NfY CER TIFIC / F gUA�IFI N
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I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
L ABOVE.
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.3 n( OWNER
_1I CORRECTIONS
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SOUTH
J
DESCRIPTION OF WORK d
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BATH TUB FURNACE [7
R'
HOWER 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 8 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN I I�
OUTL 6A8 PIPING
GAS VENT I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
L UTILITY CO NOTIFIED
TOTAL FEE FINAL
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76A667-CE817 12/59 T + NF-OLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND�S1 gTY DIVISION BUILDING '5 %
JOHN A LAMB[ OUNTY ENGINEER ADDRESS V
WILLIAM A JENSEN SUP T OF BUILDING }
LOCALITY
FOR APPLICANT TO FILL IN NEARES �ft
T [
CROSS ST Cl7
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAR
BATH TUB ADDRESS
CITY �� NO
SHOWER
LAVATORY CONTRACTOR
SING ADDRESS
DISHWASHER CITY TEL NO
CONTRACTOR S �` 7 +^f r STATE
LAUNDRY TUB RCGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICTNOO GROUP ,[ZONE P CESS BY
WATER HEATER �I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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CfQ $1 00 PER ITEM IgAr-lfl
OR FDCTURE $ 04 APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
C r ROUGH PLUMBING
TOTAL FEE 6
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT /l ,,��yy
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER L X91 /� Gi{l
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES - / blrR,9SfILL
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED ----"f'
SIGNATURE 7
OF PERMITTE FINAL tJ z T /vt,
®r VALIDATI o A WOOD,
CK la O CASH SUPERVISING MECHANICAL ENG R
LAS 2 2 -0 JAN 3 0 5 D 4 .0 0
76A667-CE617 6-60
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 SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSs STt-b /l�"
NUMBER FIXTURE OR ITEM OWNER ,
WATER CLOSET MAIL
BATS TUB ADDRESS
CITY l TEL. NO
SHOWER
LAVATORY CONTRACTOR
SING ADDRESS r '�„� p� �,.1*_1
DISHWASHER CITY TEL NO. •en4
CONTRACTOR 3 `LJ ,. COUNTYSTATE ❑
LAUNDRY TUB REGISTRATION NO LJ
a,
CLOTHES WASHES DISTRI T NO GR'OOUU ZONE P OCMp
WATER HEATER :5! IA Y
GAS SYSTEM INDUS
WASTE APPROVAL
INSPECTION RECORD
P.
O
U
W
O
F
ER ITEM
U
W
Val`
OR FIXTURE $ ✓
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
4HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ASTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I'f'Y-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 1"/!r rr 2" (' �vtrLrt,fJ�.`,.G/
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE �/�
OF PERMITTE FINAL - / ! �i'I 'a1
®r VALIDATION ROBERT A WOOD,
is 0 CASH SUPERVISING MECHANICAL ENG R
ILS2 2 4 4 FEB 8 5 A -7 00
76AS67 17 25M SETS 7-48 APPLICATION
T/�AT7®N F®D D1L1D
DEPARTMENT OF—BUILDING-AND-SAFETY— PLUMBING
--- ---- -- BUT
COUN�'Y OF LOS ANGELES
Wm J FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRI /tO GRO..4P ZONE
EPlJ/ M/I/TTN
ROUGH FIXTURE'S COMPLETE
HEATER __ CE86POOL -I SEPTIC TANK RECEI II�SY FIRDY FOR
ST INSPECTION 1 ATB 188U[EfD
AS MISCELLAN OU l� 1 F I r
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB
n �j
cc NAME ADDRESS //� 'f '31
W _
ADDRESS 1 LOCALITY L/�"
n NEAREST /�
d CITY T L No CROSS ST D v4//l )��
I LICENSE COUNTY NEXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL ?
3 ADDRESS'?//
NORTH O r�11 n Q
CITY /" r l TEL NOITTL 7�1
' I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
PLUMBMR
I AM THE LEGAL OWNER OT 10 ERTY DESCRIBED
ABOVE
�'/ OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORT{ z
HATH TUB FURNACE O
.ROWER DISHWASHER D
.-- LAVATORY - REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP,
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPRCTOR 9 MAMA
_WATER HEATER DENTAL LAVATORY 'o �
ROUGH PLUMBING
ETER ' OAS SODA FOUNTAIN I I y
OUTL GAS PIPING `
GAS VENT 1
CESSPOOL
TAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOI SEPTIC TANK SEWER
S UTILITY CO NOTIFIED
TOTAL FEE FINAL , //B4q4,
/I
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDNG /
WILLIAM J. FOX, COUNTY ENGINEER ! FADDREISS l0
F R APPLIC TO FIL IN LOCALITY
BUILDING NEAREST
ADDRESS CROSS ST
DISTRICT NO GROUP ZON• U PERMIT NO
LOCALITY I R� S
NEAREST
CROSS ST RE EIV D B�Y`� Ready for Inspection O} DATE,I{S`SUED
OWNER l �'"l7" ! —3U���
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
ClT TEL NO INSPECTION RECORD
PLUM
ADDRESS
CITY TEL NO !�
TATE
LICENSE N ` [] COUNTY
PERMIT FEES z
DUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 080 3
BATH TUB @ 080
SHOWER @ 080
LAVATORY(WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 BO '
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 080
DRINKING FOUNTAIN @ 080
URINAL @ 0 80
GAS SYSTEM OUTLETS @ 1 00 °
WATER HEATER @ 1 00
MIS LLANEOUS
APPROVALS
e DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIF RNI THAT I AM THE LEGAL OWN-
ER OF THE ABOVE SC ED RESIDENTIAL PROPE TY UTI ITY CO NOTIFIED
SIGNATURE
OF PERMITT E - - - - FINAL 30`
76AO67 DBS 17 (:db 12-53