HomeMy Public PortalAbout9024 EMPEROR AVE_Plumbing__ 76A667 (CE-817)-8-71
4
i APPLICATION FOR' PLUMBING PERMIT
w
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER TBUILDINGBUILDING AND SAFETY DIVISION DDRESS OCALITY �FOR APPLICANT TO FILL IN (PRINT OR TYPE) EAREST r�eJ�rn��Dr �ROSS ST A
NUMBER FIXTURE,OR ITEM @ FEE'
OWNER jN rIVC 1 e l fc H
WATER CLOSET 1 75
MAIL �a
BATH TUB 1 75 ADDRESS cl
SHOWER 1 75 CITY TEL NO
LAVATORY 1 75 CONTRACTOR RIP OB S y/LC-
SINK 1 75 ADDRESS d 67 ITOreoe ,po ?IVl7
DISHWASHER 1 75r'
CITY ' WtYp`� TEL NO
O Y
CLOTHES WASHER 1 75 ( STATE �J�3,f LIC C _
LICENSE NO ' 7 d3 CL s 3
SWIMMING POOL RECEPTOR 1 75 I
DISTRICT NO U ZONE �PROCIXESSY
LAWN SPRINKLER SYSTEM 1 75 ®_ J�
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL ink
GAS SYSTEM OUTLETS 1 750
INSPECTION RECORD
OUTLETS OVER
5 PE STE ,, 30 z
p
Lu
7 Lu
9L
V1
g
Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
CL
Tel NO GAS VENT
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
TE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY PLUMBING FIXTURES '
LL COUNTY ORDINANCES AND STATE LAWS REGULATING _
G GAS TEST -
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTI ITY CQ NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IN THE ABOVE DE R BED RESIDENTIAL PROPERTY FINAL
URE
ERMITTEE
PERMIT VALIDATION CK M O CASH
PLAN CHECK VALIDAT ON CK M o CASH
ell ,
1 I
76A667
CE 8178-56 APPLICATION FOR PLUMBING PERMIT ' ..
BUILDING AND SAFETY DIVISION
Department of County Engineer _
County of Los Angeles FADDRESS,-,%;,
DING
JOHN A. LAMBIE,COUNTY ENGINEER - �CASSATT'D.GRIFFIN,SuP'T of BUILDINGe__ _ __ LITY 4�
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER � fJ id DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
i I INDUSTRIAL y
CITY TEL. NO., ,,.., 't WASTE APPROVAL
PLUMBER' 1 INSPECTION RECORD
ADDRESS 1~'- ,,,•/J
CITY -�;- /j TEL. NO.
LICENSE NO`�3, ,+''
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
I
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
_ CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
�(? DATE INSPECTOR'S SIGNATURE
UNDER S WORK
PERMIT $ 1 00 ROUGH PLUMBING 4
GAS PIPING
TOTAL FEE
- GAS VENT
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
I,'L) blrft THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING UMBING. PLUMBING FIXTURES
PL
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE z
OF PERMITTEE ��`+""' _ FINAL
ROBERT A.WOOD,
JOHN A. LAMBIE. COUNTY ENGINEER -�.,_VALIDATION SUPERVISING MECHANICALENG'R
CK. M.0. CASH
r G
7BA667-CES 17359
APPLICATION FOR PLUMBING PI; IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUMDING AND SAFETY DIVISION ADDRESS p�
JOHN A LAMBIE, County En asst
CASSATT D GRIFFIN, Sup t L
mldmy
LOCALITY
FOR APPLICANT TO IN Coss ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL NO.
SHOWER ly
LAVATORY CONTRACTOR _c
SINK ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR S STATE
LAUNDRY TUB REGISTRATION NO 7 0/ Y COUNTY
CLOTHES WASHER DISTRICT N GR Z I- ?RQC. BY
WATER HEATER 1--5r V
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
JS"'7 X91 T� 1�I /�i11 `
Q / L/lift,
OR F LTURE $ I a
ER ITEM APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE Q ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY T I AM PROP Y REGISTERED AND/OR PLUMBING FIXTURES
CALIFORNIATE 0
LICENSED SORETHIR 1 BYfdLTHE/G�E
L OWUNR OF THETY AND AABOVETESTDESCRIBED RESIDE IAL OPERTr UTILITY CO NOTIFIED
WASIGNATURE.
PERMIT
FINAL (O
OF VALIDATION ROBERT A WOOD,
cK Id o. CASH SUPERVISING MECHANICAL ENG'R
fay t� 5 D
3.0 V tn
76A667A(CE a178)- 11/76 f -
o�y� � APPLICATION FOR PLUMBING PERMIT
LBUILDING
A D AFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS O 2 EM P� o
WATER CLOSET LOCALITY �+, i t L
NEAREST
BATH TUB CROSS ST � mf L t C T .
SHOWER OWNER L V
LAVATORY MAIL i
ADDRESS
SINK TEL NO
DISHWASHER
CLOTHES WASHER °
SWIMMING POOL RECEPTORrIF,(�
TEL NO - O
LAWN SPRINKLER SYSTEM CITY L
STATE � LIC
WATER HEATER -LICENSE NO CLASS
GAS SYSTEM OUTLETS DI7,T;
GROUP ZONE PR SED BY
OUTLETS OVER
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL U
V
INSPECTION RECORD u
cc0
- LN
tIf
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS 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 �i FINAL - -7.7)—
PLAN
,PLAN CHECK VALIDATION CK M Q CASH PERMIT VALIDATIONK M o CASH
80 6 -JUL 26 5 1) 7.5 0 A�