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HomeMy Public PortalAbout9018 DUFFY ST_Plumbing__ 76A887C (CE-817.) -9/75 ' APPLICATION FOR PLUMBING PERMIT {� BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ^ �- NUMBER FIXTURE OR ITEM @ FEE ADDRESS pL. WATER CLOSET LOCALIT NEAREST BATH TUB CROSS ST. SHOWER OWNER LAVATORY MAIL ADDRESS 0 r� SINK CITY TEL. NO DISHWASHER CONTRACTOR CLOTHES WASHERff ADDRESSQ. SWIMMING POOL RECEPTOR CITY TEL. NO r�J LAWN SPRINKLER SYSTEM E STAfELIC C,/^ y WATER HEATER ? LICENSE NO. 6 J — J CLASS Y LL G4$ SYSTEMOUTLETS DISTRIC;NO. I.GROUP ZONEI 'PROCESSED By C OUTLETS OVER CD 5 PER SYSTEM INDUSTRIAL C~? WASTE APPROVAL Ly INSPECTION RECORD y Z Plan check fee PLUMBING PERMIT ISSUING FEE S TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTORS SIGNATDRE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. NO. GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COON TT ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLLMBI NG. I HEREBY CERTIFY THAT I AM PROPERLY RE STERED AND/OR PLUMBING FIXTURES LICEN5ED AS REQUIRED , LOS ANGELES COU Y AND STATE OF GAS TEST CALIFORNIA OR THAT I HE LEGAL OWNE OF AND INTEND TO RESIDE IN THE ABOVE 0 C IBED RESID P ER TY UTILITY CO. NOTIFIED SIGNATURE OF PE RMI TTE FINAL PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH 9'8 8'OEG 31 5 U 7.5 0 Aai 7EAE61 ¢¢517 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING" I DISTRI O. UKOLIP NO. F R APPLICANT TO ILL IN PLUMBER, RECCCCtttEIVED BY READY FOR O TE IMBUED ^/ 2 FIRST INSPECTION ADDRESSBUILDING f ✓ ,,y1 p }. CITY ADDRESSCOUNTY V V LICENSE NO. �!/ / EXPIRES 0/60- LOCALITY I NEAREST PERMIT FEES CROSS ST. N¢MBfi0. TYPE¢F FI%TITRE¢R ITEM FEE OWNER ✓" `� MAIL WATER CLOSET(TOILET) 50 S t✓C ADDRESS BATH TUB ® 0.50 ) l)f CITY TEL Na. SHOWER lR 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) (g 0.50 1 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER GAB SYSTEM OUTLETS a 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED WATER HESIGNATURE OF ATER O.SO� GLOP BINK 0.50 INSPECTION RECORD FLOOR BINK 0.50 FLOOR DRAIN 0.50 - DISHWASHER ® 0.50 DRINKING FOUNTAIN ® O.SO URINAL 0.50 J Q HOUSE HEWER @ 0.50 Z MISCELLANEOUS O a I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING ✓ OAS PIPING GAS VENT CESSPODL @ 1=1 I CESSPOOL SEPTIC TANK- [SEWER PTIC TANK DRAIN ( ) PIT ( ) @ 1.00 )PERMIT { 1.00 T UTILITY CO.NOTIFIED /n-/IG!/"NG TOTAL FEE S ,� .S () FINAL 17, 76 A 667t`CE 817 7-69 APPLICATION FOR PLUMBING PHS ZMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONBUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 9128 East Duffy COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM [EACH FEESOWNERL WATER CLOSET MAIL Ste hen©ATH TUH ADDRESS SHOWER' CITY TEL. NO. 286-5631 LAVATORY CONTRACTOR gant Heating & Air Cond. SINK ADDRESS 1350 E Las Tunas Drive DISHWASHER 1.50 CITY San Gabriel TEL- NO. 286-1141 CLOTHES WASHER 1.50 'STATE LIC LICENSE NO, 221751 CLASS C20 SWIMMING POOL RECEPTOR 1.50 O'RTRICT yQ. GR�IY ZO E PROC BY LAWN SPRINKLER SYSTEM 2.00 F Vlj O(J ' WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL 1 GAS SYSTEM OUTLETS 1.50 1 75 (1� �y INSPECTION RECORD P OUTLETS RE SYSTEM .30 �/}fI�PJ,G :T/ A.�Yw'� yl d N 7.. Plan check fee 250 of above. See reverse. PLUN1131NG PERMIT ISSUING F'EE .$ 3 00 Tt7hAL 1'ISE 4 75 APPROVALS DATE INSPECTORS SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING ��yyqq '7 I Address - GAS PIPING t/—f�v�I 17 9 ,1A GAS VENT City Tel. No. HOT WATER HEATER HEREBY THAT TH ABODGE 1. 1 HAVE READ THISGRE APPLICATION AND STATE TXAT TXE ABOVE 1E CORRECT AND AGREECOMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CER*� AT M PR RLY REGISTEREDAND/OR UTILITY CO. NOTIFIED LICENSED AS flELO AN E ES COUNTY AND STATE OF CALIFORNIA OR TH OWNER OF.ANO INT ND TORESIDE IN,TXE AI D E IAL PROPERTY. FINALSIGNATUREJACK R. ALLEN, $UPERvIsw CHANICAL ENG'R. OF PERMITTE �_. _ -. _� PERMIT VALIDATION CH.' M.O. CASH PLAN CHEC ALIDATION c M.o. CASH !P ?40� AUG10 2 0 4.75Jr s