HomeMy Public PortalAbout6047 CLOVERLY AVE_Plumbing__ 76A667-CE817 8-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE CountF Eag�. ADDRESS O
CASSATT D GRIFFIN. Sup t of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST s
CROSS ST
NUMBER FIXTURE OR ITEM
O WNE
WATER CLOSET MAIL
G°
BATH TUB ADDRESS �
SHOWER
CITY NO 0
LAVATORY CONTRAC OR
SINS ADDRESS
DISHWASHER CITY 7 y, TEL NO
CONTRACT R'S �7 STATE
LAUNDRY TUB REGISTRAT ION NO (/ COUNTY ❑
CLOTHES WASHER DISTRIC'NO GROUP I ZQNE SED BY
WATER HEATER D'D
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Q $100 PER ITEM
OR FIXTURE APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
LDCESCRIBED
H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
MBING
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
IFORNIA OR THAT I AM TH LEGAL OWNER OF THE ABOVE
RESIDENTIALAROP Y UTILITY CO NOTIFIED
NATUREF PERMITTEE
FINAL
OF VALIDATIO�ROBERT A WOOD,
CK H o jCASR SUPERVISING MECHANICAL.ENG'R
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY �/' TEL NO
DISHWASHER CONTRACTOR " .!
CLOTHES WASHER —P ADDRESS
41 9PA
Q
SWIMMING POOL RECEPTOR ` ^
CITY �/ TEL,NO
LAWN SPRINKLER SYSTEM
STATE LIC `
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS —J APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK `
5 PER SYSTEM t ROUGH PLUMBING
GAS PIPING
GAS VENT u
99
HOT WATERHEATER
PLUMBING FIXTURES
GAS TEST ®.
Plan check fee _ UTILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE$ t
TOTAL FEE FINAL
PLAN CHECK VALIDATION
Plan check,appllcant �
Name
Address
,
City Tel No - E)3 Q 1 A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANDiSTATE , # O O O O O 5
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION `t O o a Q Q
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE , o _
LEGAL OWNER OF AND INTEND TO RESIDE IN ROVE DESCRIBED RESIDENTIAL O O O 2 U O O U
PROPERTY , O 9, 1 8-78
-78 '
SIGNATURE,
OFPERMITTEE
DISTRICT NO P ESSED BY
.s" Q
INDUSTRIAL
WASTE APPROVAL
D B S 17 25M SETS 12 44 - APPLICATION FOR PERMIT ~'
DEPARTMENT OF BUILDING AND- SAFETY,
COUNTY OF LOS ANGELES PLUMBING 1
Wm J FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUPI ZONE PERMI NO ae
ROUGH FIXTURES COMPLETE �.
HEATER CESSPOOL I—I 813- ION iICTANK RECHIVED BY� READY FOR DATE G ISSUED
FIRST INSPECT ��
GAS MISCELLANEOUS
APPLICANT'FILL IN HEAVILY OUTLINED PORTION ON Y
JOB "
K NAME ADDRESB'"
W � ^
m ADDRESS OQ� � /l - LOCALITY
s T
.J Q NEAREST
'I
d CITY No' . �a CROSS ST
COU Y `qD, J,�
CERT No EXPIRES 7 'Y+ E- NAME
LOCATION OF SEPTIC
AK, OR CESSPOOL'` o AMAIL
DDRESS Al—
NORTH
Y CITY TEL No +
1 AM -THEGAL BSES�OR OF THE ABOVE LOB
i ANGELES COU Y RT
CE ! IC F GALI ICATION
t
�+ 1 PLUMBER
1 1 AM THE LEGAL'OWNER OF THE PROPERTY DESCRIBED
ABOVE '
?� V OWNER
i
CORRECTIONS
SOUTH,
a
DESCRIPTION OF WORK .
BATH TUB FURNACE (�
w
ROWER DISHWASHER r-
--LAVATORY REFRIGERATOR } r
KITCHEN OINK WATER SOFTENER
OOR SINK SAND TRAP
—SLOP BINK FLOOR DRAIN
WASH TRAY URINAL ' APPROVALS,
WATER CLOSET DRINKING FOUNTAIN DATE 1NBP[CTOR i NAME
_WATER HEAT" DENTAL LAVATORY ROUGH PLUMBINd.
METER—GAS SODA FOUNTAIN
OUTL GAS PIPING
e
GAS VENT
CESSPOOL C
L
OTAL NUMBER OF'FIXTURES vSEPTIC TANK
ESSPOOL SEPTIC TANK SEWER
UTILITY CO NOTIFIED -
I
v
TOTAL FEE (/ (�
FINAL �
76AS67 DB917 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY� PLUMBING
�� ���� I
y COUNTY OF LOS ANGELES
S-- ,WILLIAM J. FOX, CHIEF ENGINEER
F� Ry,APPLICANT TO FILL IN DISTRICT O. R
PLUMBER r «`f. RECEIVED SY READY FOR DATE ISSUED
9 „ _ FIRST INSPECTION
ADDRESS
t GBUILDING D
CITY .,,Q,,,r 1 STEL. N I I ADDRESS
L CENSE NO ��/ EXPIRES e J LOCALITY
NEAREST � J�2�
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER,�?JAAMAIL
WATER CLOSET(TOILET) @ 0513 ADDRESS
BATH TUB @ 050 CITY -, Lx:ye�" TEL No i �J
SHOWER @ 0501 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND,IFTATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 50 AND STATE LAWS REGULATING PLUMBING
i CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESABOVE i
GAS SYSTEM OUTLETS � O 50 �
SIGNATURE OF
WATER HEATER O 50 PERMITTED
SLOP SINK O 50 INSPECTION RECORD
►LOOR BINK @ 050
FLOOR DRAIN @ O 50
DISHWASHER @ 050
DRINKING FOUNTAIN O SO
URINAL Q O 50 J
a
HOUSE SEWER O 50 Z
MISCELLANEOUS 0
Ir
n O
A -:41X0/1"7^ .�i✓1iJ�
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK I SEPTIC TANK i
DRAIN ( ) PIT ( ) @ 1 00 I SEWER
PERMIT t DO GAS TEST
UTILITY CO NOTIFIED)
TOTAL FEE $ _—ya
FINAL
F