HomeMy Public PortalAbout5137 DOREEN AVE_Plumbing__ 7GA667-CENO 17 5163
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING / 7 C
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING r
LOCALITY /
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE L
OWNER
WATER CLOSET $1.25 MA
BATH TU6� 1.25 ADDRESS
SHOWERCITY TEL. NO. T 67 Q
,-/ 1.25
LAVATORY 1,25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY / TEL. N . F6 737 7Z.
STATE
LAUNDRY TUB 1.25 L� R G STRAT ON NO. l-9 t /13 3 9/G COUNTY
CLOTHES WASHER 1.25 �7 DISTRICT NO. GROUP I ZON O .SED BY
WATER HEATER 1.50 ./ - }
1.50 INDUSTRIAL D_
GAS SYSTEM
-OUTLETS— WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .20 INSPECTION RECORD V
Q
V
a
y
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK A1��
ROUGH PLUMBING
TOTAL FEE ,3 Z� GAS PIPING ,Q
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND 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 AND/OR PLUMBING FIXTURES `
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABOVE OES/C BEO RESIOEN wL PRovE UTILITY CO. NOTIFIED
SIGNATURE
F PERMITTEE (� ..Q K tivTi/'l��L -
FINAL
/VALIDATION ROBERT A�WOOD �^
(`/\c/%/ M.O. CASH SUPERVISING MECHANICAL ENG'R
Lj� 2 9 3 6� NOV 27 5A 3.25- v
~ DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING '�
WILLIAM J. FOX, COUNTY ENGINEER I ADO RESS S /3/1 /v < 0 d Air/'-
FOR APPLICANT TO FILL IN LOCALITY /I' Gr
NEAREST'
BUILDING /� ) �j CR DISTRICT
S RI NO.
ADDRESS `J • 3 / �./^� yor e e. n
O.
LOCALITY T{z.Yrl 'D�2� L- A l \/ OISTIT- I GRI &P/ 19 -7
NEAREST I� A
CRG58 ST. /r �1 P.{l. Y RECEIVED 8V Ready for Inspection DATE ISSUED
OWNER 4 !U ' R n b I'S 0 '71. - -
MAIL L+ / 2 7 '4 1 ^ AY e, e, V - INDUSTRIAL
ADO REyS`S c7 a7 /� y'I i.� WASTE USTRIAAPPROVAL
CITY /(�V4t 01 R G it s/TEL.NO. FO 'O -S 6 Zq INSPECTION RECORD
r /
PLUMBER
ADDRESS
CITY TEL.NO.
❑STATE
LICENSE N0. ❑COUNTY J
PERMIT FEES a
z_
NUMBER TYPE OF FIXTURE OR ITEM rEE P
WATER CLOSET(TOILET) @ 0.80 i .S'O ' It
0
BATH TUB @ 0.80 —`
SHOWER @ 0.80 -- �Q .
O LAVATORY (WASH BASIN) @ 0.80 �' G
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK @ 0.80 _
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80 q
DISHWASHER @ 0.80 /�.���• R .r /
DRINKING FOUNTAIN @ 0.80 ���.�® 4W 'w i�) v
URINAL @ 0.80 .
GAS SYSTEM_.-----------OUTLETS @ 1.00
WATERHEATER @ 1.00 __
MISCELLANEOUS _
__ APPROVALS
_ DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT S 1 00 ROUGH PLUMBING
TOTAL FEE Q GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLI- GAS VENT AL1 A6'�
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS �) Imo/
REGULATING PLUMBING. PLUMBING FIXTURES it 1%
AND/OR LICENSEDHEREBY AS REQUIRED FY THAT I A BY PROPERLY
EANGE ES COUNTY GAS TEST .�1 I1y�II�
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE V � o Ic AF„J/„�pA
OF PERMITTEE.{'_..___.._..._..1_._.___._.__.._.... .._.._._._,..,_--1 FINAL
76A667 DBS 17 1/53 r