HomeMy Public PortalAbout10657 FREER ST_Plumbing__ 76 A 71—CE817 B/68 _ - _ �
l� APPLICATION FOR PLUMBING PERMIT
COUNTY OF.LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10 57 Freer Street
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY
Tem le Cit
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNER James A. Yarborough
BATH TUB• 1.50
ADDRESS ' 10657 Freer Street
SHOWER 1.50 CITY _ _ e CitfEL. NO-442-0321
LAVATORY 1.50 CONTRACTOR tandard •rInc,
SINK 1.50 ADDRESS p 0 Boxy+ 21
DISHWASHER 1.50 CITY • Temple Cit L. NO-285-1241
CLOTHES WASHER 1.50 STATE -- LIC
LICENSE NO. 60 1 CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT N ZONE PROCES D BY
LAWN SPRINKLER SYSTEM 2.00 0 [GROUP
Q v
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
U
GAS SYSTEM OUTLETS 1.50 _ INSPECTION RECORD Lu
OUTLETS OVER o_
5 PER SYSTEM .30 Z
Plan check fee 27)% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant 1La UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER '
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AHD 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 I AM PROPERLY REGISTERED ANDIOR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM TH LEGAL OWNER OF,AND INTEND TO ./.
RESIDE IN, THE ABOVE DECOR E RESIDENTIAL PROPERTY FINAL - `Q 17
SIGNATURE iy �� JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE—
PERMIT VALIDATIO c K I •M.O. CASH
PLAN CHECK VALIDATION C M.O. CASH
.ar; 1 1 5 6 .JutJ 7 Q D 3.50
76A667-CE#817 9/63
J (•
APPLICATION F'ORPLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING -ry
BUoILDING AANB E SAFCOUETY DMTY SEON ER ADDRESS % ��
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
C�
FOR APPLICANT TO FILL IN _ x
NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEqlE
OWNER
WATER CLOSES 51.25 5d MAIL
BATH TUB 1.25 �S ADDRESS
SHOWER 1.25 �- CITY TEL. NO.
LAVATORY 1.25 r�� CONTRACTOR
J
SINK 1.25 ADDRESS
,.\ , �� iJZR-�
DISHWASHER 1.25 CITY & TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. 7 COUNTY 0
r CLOTHES WASHER 1.25
DISTRICT NO. GROUP ZONE PROGFSSED BY
WATER HEATER 1.50 1 s 0 5;,o
GAS SYSTEMOUTLETS 1.50 ` .�� INDUSTRIAL 0
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
U
w
a
N
Z
APP OVA DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER Ot"VB WORK
ROUGH PLUMBING '
TOTAL FEE `r IGS q d
Isloo � GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. •� - A-C�/1 ANLIV
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO 1"A J
RESIDE IN, THE AB RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE GC /
OF PERMITTEEy-toFINAL
I 1 �
LIDATION ROBERT A:WOOD
CK_ M O CASH SUPERVISING MECHANICAL NG'R
fir,?o0026, I'l'R29 5 D 15.00