HomeMy Public PortalAbout8820 ELM AVE_Plumbing__ 76 A 667 - C E 917 7-69
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGADDRESS
JOHN'A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
• FOR APPLICANT TO FILL IN(P,R NT OR TYPE) NEAREST
.CROSS ST. -
NUMBER FIXTURE OR ITEM EACH FEE
OWNER.
WATER CLOSET 1MAIL
J BATH TUB
`ADDRESS
SHOWER - 1.50 CITY 'aa j EL. NO. .
LAVATORY .50 CONTRACTOR
SINK 1.50 ADDRESS �'^ 5'� "�1P�S ri✓ �i ./� U
DISHWASHER 1.50 C plo7 TEL. NO.
LIC
CLOTHES WASHER 1.50 STATE •� 7 i J
LICENSE NO.f L V CLASS
.
SWIMMING POOL RECEPTOR 1.50 - ec-
:�-17
DISTRICT NO, GROUP ZONE P ED
LAWN SPRINKLER SYSTEM.- 2.00 0
WATER HEATER 0 - INDUSTRIAL -
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER /
5 PER SYSTEM '30 ��"'��.5 G ��'IsGl< +vA yY- Gt/Ort— O +
a
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ .� 00
TOTAL FEE
APPROVALS 'DATE INSPECTOR'S SIGNATURE
Plan.check-app�icant' UNDER SLAB WORK•
Name (. �i .�" �/�� .T ROUGH PLUMBING
Address JG .� �yi `, GAS PIPING
GAS VENT
Citl Tel. No. - �-
- ? HOT WATER HE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -
a AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY• PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
o LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TH LEGAL OWNER OF,AND INT ND TO
RESIDE IN,THE ABOVE DESCRI D RES NTI P PERT ; FINAL '
SIGNATURE JACK R. ALLEN, SUPERVISI G NJ HANICA G'R.
OF PERMIT TE
PERMIT' VALIDATION . cK CASH
PLAN CHEC&VALIDATION CK. M'.O. CASH
i �o.2.8d t :r 04i15 :0 1 Q.Q. ~ o
76A667 - CE817 5/70
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER - 31
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS Q
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT R TYPE) •o NEAREST
CROSS ST.
rNUIMBER FIXTURE OR ITEM EACH FEE v_
OWNER
WATER CLOSET 1.5
MAIL
BATH TUB 1.5 ADDRESS
SHOWER 1.5 CITY TEL. NO.
LAVATORY 1.5 CONTRACTOR p `
SINK 1. 0 ADDRESS 3^ [S"
DISHWASHER 110 CITY TEL. NO.2
CLOTHES WASHER 1. 0 STATE �� .>> LIC
LICENSE NO. J CLASS
SWIMMING POOL RECEPTOR 1.
DISTRICT NO GR P ZONE• I M1P OCESS B
LAWN SPRINKLER SYSTEM 2. 0 -
WATER HEATER 1. 0 INDUSTRIAL '
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30
630
Ub
Plan check fee 25% of above. See.reverse.
PLUMBING PERMIT ISSUING FEE $ 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING .:��i ,��
GAS VENT
City. Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION-''
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'j'. PLUMBING FIXTURES -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING it GAS TEST _,� �6r ,� O
PLUMBING. - ® &�
I HEREBY CERTIFY THAT I AM PROPERLY .REGISTERED AND/OR r' UTILITY CO. NOTIFIED Ol
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. " FINAL
.SIGNATURE JACK R. ALLEN, SUPERVISING MECH AN.�EN-R.
OF PERMITTE
PERMIT VALIDATION CK.. O. CASH
PLAN.CHECK VALIDATION CK. M.O. CASH
LAW 7 1.9 1 [4Dv 5 D 4.75--