HomeMy Public PortalAbout9153 EMPEROR AVE_Plumbing__ 76A6674CE-817) - 5/73
APPLICATION FOR PLUMBING PERMIT`
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FBUILDINGMAKE CHECKS PAYABLE TO ,�HARVEY T. BRANDT, COUNTY ENGINEER San Gabriel
FOR APPLICANT TO FILL IN (PRINT OR TYPE)
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1 75 t OWNER Mr. & Mrs. Marion j: Olsen
MAIL
BATH TUB 1 75 - ,
ADDRESS `9153 Emperor >;
SHOWER 1 75 CITY San Gabriel _" '-TEL No 286-1141
LAVATORY 1 75 CONTRACTOR Bryant TH�eat. & Air Cond_:
SINK 1 75 ADDRESS 1350 E. Las Tunas Drive,
DISHWASHER 1 75 CITY San Gabriel TEL No 286=1141
'CLOTHES WASHER 1 75 STATE LIC
LICENSE NO 221751 CLASS Ci20
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUPONE FRO ESS BV
LAWN SPRINKLER SYSTEM 1 75 6
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL a
1 GAS SYSTEM OUTLETS 3CA5 3 00 INSPECTION RECORD OV
OUTLETS OVER i
5 PER SYSTEM 30 y O
LW
W
CL
Cn
_ y �
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
,APPROVALS DATE INSPECTOR 9 SIf NATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES '
WITH ALL COUNTY OROINANC ES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY T T I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRE B LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OWNER OF, NO INTEND TO
RESIDE IN THE ABOVE ES IBED RESIDENTIA P RTY FINAL
SIGNATURE
OF PERMITTE t
PERMIT VALIDATION CKJM CASH
PLAN CHECK VALIDATION CK M o CASH
5 5 or'-OAPR 27 5 D 7.5 U ®�a
„
7 A'B0T 1Y APPLICATION FOR PERbUT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI NO GFrUP 0= SPE IT N%
PLUMBER RECEI Y R READY FOR ® �E I$�ED
FIRST INSPECTION
ADDRESS /�
BUILDING
CITY EL NO ADDRESS / +�. //J� ./!✓�k"F/''L/�F�C!
COUNTY LOCALITY
LICENSE NO EXPIRES --
NEAREST
PERMIT FEES CROSS ST V sf�/�f
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER2V e—f /
n 4&tt&64
MAIL ` v
WATER CLOSET (TOILET) Q O 50 I$ I ADDRESS
BATH TUB Q O 50 I CITY TEL NO
SHOWER Q O SOI I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O $01 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 I STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUD OR TRAY Q O Sol ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS Q O 5011 OF THE RESIDENTIAL-PROP TY ES RIBED ABOVE
WATER HEATER Q O 501 SIGNATURE OF I//
PERMITTEE
I SLOPSINK Q o Sol INSPECTION RECO
FLOOR SINK Q O 50
FLOOR DRAIN Q O 501
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O 501
1 URINAL Q O 501 „J
HOUSESEWER Q O 501 I Q
MISCELLANEOUS
0
_ I-I
1 APPROVALS
1 DATE INSPECTOR S NAME _
ROUGH PLUMBING
1 GAS PIPING
GAS VENT
CESSPOOL Q 1 OO I CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q I OO I SEVER I .. Q.,(I�, ( �
PERMIT I I Oo GAS TEST , y
I
TOTAL FEE —O UTILITY CO NOTIFIED
I $� q
FINAL I
Yexeel ry a-wo I" APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLU
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC NO GROUP ZONE �PE MIT N
PLUMBER / RECEIVE BY READY FOR DATE ISSUED
�/ FIRST INSPECTION
ADDRESS / � (/(may
Pp q BUILDING ���„ n -1
CITY Q..- /kms h 1 �1'�l � TEL NO ADDRESS y/r,J1 (J / m /FtY X�j d}*1
COUNTY // \ LOCALITY
LICENSE NO EXPIRES .�
NEAREST
PERMIT FEES CROSSST
A
�y�l1 i .L fie A A.W /!1
NUMBER 1 TYPE OF FIXTURE OR ITEM FEE OWNER
IMAIL d^
WATER CLOSET (TOILET) Q O 50 $I I ADDRESS
BATH TUB Q O 501 CITY ---, TELC CITY TEL NO
SHOWER Q O 50I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 501 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 501 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
I OF THE RESIDENTIAL PhOPERTY DES CCR1BED ABOVE
GAS SYSTEM OUTLETS Q O 501
SIGNATURE O� (� F
WATER HEATER Q 0 Sol PERMITTEE
SLOP SINK Q O Sol� INSPECTION RECORD
FLOOR SINK Q O 501 -
FLOOR DRAIN Q O 501
DISHWASHER Q O 50I
DRINKING FOUNTAIN Q O Sol .J
URINAL Q O SOI I _
I HOUSESEWER Q O 501 I Z
MISCELLANEOUS I I U
0
1 I
I
1 APPROVALS
1
. 1 DATE INSPECTORS NAME
ROUGH PLUMBING LI
GAS PIPING
1 1 I GAS VENT
CESSPOOL Q 1 00 I CESSPOOL
SEPTIC TANK SEPTIC TANK
1 DRAIN ( ) PIT ( ) Q 1 00 I SEWER
PERMIT I 1 00 GAS TEST
I I
TOTAL FEE UTILITY CO NOTIFIED
$ (���}
FINAL v
t
YBTieel 75' w-wo T APPLICATION FOR PERMIT
DEPARTN[ENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT FILL IN DISTRIC NO GROUP ZONE PERMIT NO
S�'-03 7
PLUMBER 0 R EI D BY READY`FoRf DATE ISSUED
�o
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL N ADDRESS
COUNTY / LOCALITY d
LICENSE NO 6�� I !? EXPIRES
NEAREST
PERM FEES CROSS ST
NUA�BER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
W4TER CLOSET (TOILET) Q O 50 $ I.�. ADDRESS A,
I_ BATH TUB Q O 5Q
CITY NO
SHOWER Q O Sol Z5 1 HEREBY CKNOWLEDGE T AT I HAVE READ THIS
1 LAVATORY (WASH BASIN) Q O 50I /�!' APPLICATION AND STATE THAT TH ABOVE IS CORRECT AND
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 KITCHEN SINK Q O 501 I _ STATE LAWS REGULATING PLUMBING
I CERTIFY THAT i POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O Sol ANGELES COUNTY CENSE OR 1 AM THE LEG OWNER
.�,^y OF THE RESID T PROPERTY SC ED ASOYE
GAS SYSTEMOUTLETS Q O SOI
SIGNATURE
1 WATER HEATER Q O Sol PEP�IITT 44 1
1 SLOP SINK Q O so INSPECTION RECORD
1 FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 501 -t"-�
DRINKING FOUNTAIN Q O Sol ' 6�7'p q A'T + � � D�� � i
IURINAL t+ O 50I I
HOUSE SEWER Q O Sol i rkl �/2 7�fT ' 6#'-'9 Z
z
1 MISCELLANEOUS F, ' E/ / (
N-Fr-s-o fes _ G ,� Fr
ISI &-- 20
W#-APPROVALS DriJ E,P1 X 1:f /
'I`` \ .•/DATE INSPECTORS NAME
I N OUGH PLUMBING
I 1 \ GAS PIPING
I I \ /
GAS VENT
CESSPOOL Q 100 I-L CESSPOOL
SEPTIC TANK I I� SEPTIC TANK
DRAIN ( ) PIT ( Q 1001 I SEWER
PERMIT I 1 00 GAS TEST 11-116 'L.-
I UTILITY CO NOTIFIED
TOTAL FEF I $ Lj d 6 FINAL (!4 P," /�1mo- I11/4^"-Q