HomeMy Public PortalAbout4948 DOREEN AVE_Plumbing__ 7fiA667 -CE#017 2-62rT
APPLICATION FOR PLUMBING PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fADDRESSUILDING
0 2 r N
JOHN A. LAMBIE. COUNTY ENGINEER -
WILLIAM A. JENSEN. SUPT OF BUILDING CALPCY
FOR APPLICANT TO FILL IN CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER � LL..r� 5
WATER CLOSET $1.25 J MAIL
BATH TUB 1.25 ADDRESS � U 0 �Q C P A
% SHOWER 1,25 CITY 6_ L E C..+/ 7-✓ TEL. NO. p
LAVATORY 1.25 J CONTRACTOR L% r L 01(9 L U• Al C Y L U 6
SINE 1,25 ADDRESS /3/0 JAI C,
DISHWASHER 1.25 CITY A -144 In oetzq TEL. NO.,47
LAUNDRY TUB 1.25 CONTRACTOR'S (� (J STATE F
REGISTRATION NO. /a ` C Q COUNTY p
CLOTHES WASHER 1.25 DISTRICT NOGROUP I ZONE PR CE B
ED Y
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 r
1 / INSPECTION RECORD d
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APPROVALS /DATE �INSPECTOR'G�SS'IGNyI� RE
PERMIT S' 2 00 UNDER SLAB WORK b v �
'ROUGH PLUMBING 1 _ /J, � 71, 1
TOTAL FEE J GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. /��////
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES //.//(A3
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO GAS TEST
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RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED ----------
SIGNATURE __4Ij
OF PERMITTE FINAL bl'/O�L 7J
/VALIDATION ROBERT A. WOOD
cK. H.D. CASH SUPERVISING MECHANICAL ENG'R
LAW 9 3 6 0:2 J11 i 10 5 D 5.7/J5-. r
76A6E7 17 B-A9® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES 99 2.
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC/TB O. GROUP I ZONE PERMIT NO.
PLUMBER p RE IV D BY READY FOR DATE ISSUED
�f4 / G FIRST INSPECT ION
ADDRESS �1/ / �� L�;S /V/�/�'J
�� /'� /,//� /,G BUILDING
CITY {/s / TEL. NO. '/ T�/]��� ADDRESS ��•
s.
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COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES cRoss sr. /91 ,
OWNER d/ � -5-14141,,' -,lJ y.49.
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL 11 �
WATER CLOSET (TOILET) @ 0.50 5 ADDRESS
BATHTUB @ 0.50 CITY /J p�"/.' �� TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE' READ 'THIS
LAVATORY !WASH BASIN) @ O.SD APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK (T0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS'
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PR ERTY D CRIBE ABOVE
GAS SYSTEM-OUTLETS @ 0.50 SIGNATURE OF C �/
WATER HEATER @0.50 PERMITTEE S
SLOPSINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50I
FLOOR DRAIN @ 0.50
DISHWASHER . @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 W
HOUSESEWER @ 0.50 V
MISCELLANEOUS IL
APPROVALS
DATE INSPECTOR-3 NAME
ROUGH PLUMBING
GAS PIPING '
GAS VENT
CESSPOOL 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.OOI SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE
S� I UTILITY CO. NOTIFIED
FINAL
96A669 n 2SM SETS 7-� - - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTR GROUP ZONE PERMIT FOR! APPLICANT T❑6 FILL IN `F I �� �j �� •7
PLUMBER Superior Plumbing S RECEIV LV-,D, READY FDR DATE ISSUED_
eft, �F^l FIRST INSPECTION 1
.. ADDRESS 262U W. al T. [,p2 � /l
CITY 'sl Monte TEL. No. FO U-1963 JOB -
ADDREa9 y� (}. So. �ar-men
COUNTY
LICENSE NO. EXPIRES LOCALITY Temn
I CERTIFY THAT I POSSESS THE ABOVE VALI tO9 NEAREST '
ANGELES COUNTY LICENSE. CROSS ST.
U/ Q
MAIL
PLVMpER ADDRESS
PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY TEL. No.
ITEM LISTED BELOW. PLUS SOC FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
NUMBER TYPE OF FIXTURE OR ITEM IRi1:
WATER CLOSET (TOILET) CORRECTIONS }S.
YI
1 BATH TUB
SHOWER
LAVATORY'(WASH BASIN) ' -
r
1 KITCHEN SINK
1 LAUNDRY TUB OR TRAY
' 11 GAS SYSTEM_pA—OUTLETS
1 WATER HEATER
W
SLOP SINK F
-FLOOR SINK [aj
FLOOR DRAIN J
a
DISHWASHER
O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS.VENT
.CESSPOOL
SEPTIC TANK - DRAIN I 1 PIT I ) $ SEPTIC TANK
CESSPOOL $ SEWER I
HOUSE SEWER $ GAS TEST
UTILITY.CO. NOTIFIED
TOTAL FEE $ 4 50
FINAL
76A667A ICE 81701 -AIYI
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING f
NUMBER FIXTURE OR ITEM . ® FEE ADDRESS Jf = A -
WATER CLOSET LOCALITY
NEAREST,
BATH TUB CROSS ST.
SHOWER OWNER -�
LAVATORY MAIL JJ
ADDRESS L J
SINK CITY .r 4111,
TEL NQ S—l/
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY iEl.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE P CESSED BY
OUTLETS OVER Cl
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL d.
INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE$ •7 –0
TOTALFEE
Plan check opplicont
Nome
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING.
City Tel.No. GAS PIPING
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING. h
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED A5 PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE C' FINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.o. CASH
7 2'. O�JN 2 5 D 0.() U e?o
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