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HomeMy Public PortalAbout5522 GRACEWOOD AVE_Plumbing__ 76A667-Cf 817 12/59 APPLICATION FOR PLUMBI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY RIVISION BUILDING JOHN A. LAMBI COUNTY NGINEER ADDRESS ���� Gr�Camnnrl WILLIAM A. JENSEN, SUF•T of BUILDING LOCALI CALI FOR APPLICANT TO FILL IN NEAREST Y T�I73F CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL 4 ADDRESS BATH TUB 550!7 149 1 lr4)Wj A329 Ad i CITY TEL. NO. 4 SHOWER 30 LAVATORY CONTRACTOR SINK ADDRESS rj 01 SO-- Tenth Aire, DISHWASHER CITYArp p d i a TEL. NO. CONTRACTOR'S TE ZI LAUNDRY TUB REGISTRATION NO. 'COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP Z NEP O S BY WATER HEATER r Q_ 1 GAS SYSTEM INDUSTRIAL WASTE APPROVAL Clinic service sick INSPECTION RECORD a ' O O H bL.1J CJ ua a z PER ITEM OR FIXTUBE $ 80.00 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ I 2 100 UNDER SLAB WORK ` r TOTAL FEE 8 00 ROUGH PLUMBING 'r o GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT 1 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 THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED r SIGNATURE OF PERMITTEE FINAL Or i �IO1J�ROBERT A. WOOD. cic. U.O, (c�esH JSUPERVISING MECHANICAL ENG'R �* 4 7 5 0 8 2.0 iyh��rt�r-cern/ 76A667 (CE-817) - 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �• /'� MAKE CHECKS PAYABLE TO: ADDRESS 45':5 HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ` FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE _ OWNER `" WATER CLOSET 1.75 MAIL J BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR r" } SINK 1 1.75 ADDRESS — DISHWASHER 1.75 CITY TEL. 1\10.2 "j. .74 - CLOTHES WASHER 1.75 STATE LIC LICENSE NO. Z�f� � CLASS O-.31 SWIMMING POOL RECEPTOR 1,75 DISTRICT NO. GROUP ZONE FROCESSED BY LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1,75 INDUSTRIAL WASTE APPROVAL a GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V OUTLETS OVER 30 5 PER SYSTEM O h L 41�' E� P .J4/� w CL h Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE ''s APPROVALS DATE INSPECTOR s 51.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 ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUIRED.„@Y LOS ANGELES COUNT LAND STATE OF CALIFORNIA OR THAT,d'-AM LEGA OWNER AND INTEND TO RESIDE IN THE ABOy£ DESCRIBE RES -O.NE OPER 7Y. /f !! FINAL SIGNA TU RE - ------------- OF PERMITTEE PERMIT VALIDATIONcKi M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 21 o1"tFtAr 9 5 a 1 0.0 0 •�� 76A667 (CE-817)- 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: AUILDING DDRESS e,arp HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. �)V't NUMBER FIXTURE OR ITEM @ FEE _ _ OWNER. hl1I QJ --i- WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS ►y� SHOWER 1,75 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR ),) ab,C4) SINK 1.75 ADDRESS DISHWASHER 1.75 CITY / M TEL. NO. _.-)ijII4 CLOTHES WASHER 1.75 STATEj LIC r G 2-7'-;111C?q CLASS ;3b SWIMMING POOL RECEPTOR 1.75 LICENSE NO. DISTRICT GROUP ZONE FUAFESSED BY LAWN SPRINKLER SYSTEM 1.75 7 �/ WATER HEATER 1.75 INDUSTRIAL C` WASTE APPROVAL at GAS SYSTEM OUTLETS 1.75 O INSPECTION RECORD V OUTLETS OVER 5 PER SYSTEM .30 lj�� OO V z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE � APPROVALS DATE INSPECTOR'S SIGNATURE 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 ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A LEGAL OWNER OF, D INTEND TO RESIDE IN THE ABOVE D �B�VTIAL PROP TY. FINAL + 51 GNA TU RE OF PERMITTEE PERMIT VALIDATION CK. M.0. CASHf'� PLAN CHECK VALIDATION CK. M.0. CASH __ 2 5 2c�L -W 44 5 0 4.7 5 ,c'-, 78AO87 (CE-017)- 5/73 APPLICATION FOR PLUMBING PERMIT. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Al- BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDY, COUNTY LrE NGi1NER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST . NUMBER FIXTURE OR ITEM • FEE CROSS ST %/ OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS }n t� SHOWER 1,75 CITY , l►. , TtL. NO. LAVATORY 1,75 CONTRACTOR »r SINK 1.75 ADDRESS 1,,A DISHWASHER 1.75 CITY TEL N0.Z . CLOTHES WASHER 1'75 LICENSE NO. Z-9l CILASSOL SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP &N — OCESSED"BY LAWN SPRINKLER SYSTEM 1,75 �7 y- WATER HEATER 1.75 D C/ `yZVIV AOVAL p GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD S OUTLETS OVER 6 PED SYSTEM 30 W fn Z Plan check fee S« Reverse PLUMBING PERMIT ISSUING FEE 8, 00 TOTAL FEE APPROVALS DATE INl P[C TO N'D SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HERESY ACKNOWLEDSE THAT I HAVC READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY 0RDINAN CES AND STATIC LAWS Rr6IJLATINI GAS TEST PLUMSINI. IHERESY CERTIFY THAT I AM RLY RESISTERED AMD/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED SY LOS VSEL S COUNTY AND STATE OF CALIFORNIA OR THAT SAL' WNER OF, AND INTEND TO RESIDE IN THE AS DEDCRIS EBI NTIAL PROPERTY. FINAL 81aNATU RE OF PERMIT EE PERMIT VALIDATION �1, M.O. CASH PLAfY CHECK VALI ATION CK. M.O. CASH 4 5 6 tQl-.i 12 5 D 3 2.,8 5 ,A98 7CM67AJCK 8175)-11/76 ,n Y f . -1 `AP.PLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DFVISI©N FOR APPLICANT TO RLL IN(PRINT OR TYPE) BUILDING w NUMBER FIXTURE OR ITEM FEE L lr LOUIJTY WATER CLOSET N EA REST BATH TUB p v CIOs ST. IL SHOWER 00 OWNER LAVATORYhWL 0 ADDRESS <µJL SINK QTY TEL NO. D{51iW'ASH CONTRACTOR CLOTHES WASHER AD � 77 SWIMMING POOL RECEPTOR QTY TEL NO. � LAWN SPRINKLER SYSTEM STATE -34 WATER HEATER UCe4Sf�STATEO G GAS SEYTSTEEyMg� OURETS D{STRiCT GROU P E ED BY 5 P825iSTEM INDUSTRIAL +L WASTE APPROVAL V KTI INSPRECORD u V Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE 1151 S'v Plan check applicant Name APPROVALS DATE I1t9PFCTOR'b SNiMA UNDER SLAB WORK Addraw ROUGH PLUMBING •Z J City Tel.No. GAS PIPING I FM"ErY AOUIOtYLEDQY THAT I HAVE READ THt5 AFPUCATK)N AND STATE GAS VENT THAT THE ABOVE M COMtECT AND AGREE TO COMPLY WrFH ALL COUNTY ORDIMAMC83 AND STATE LAWS RLGULAnMa PLUMBING. HOT WATER HEATER I HEREBY CERTIFY TRAT I AM PROPERLY RERLSTERID AND/OR 4LCEN31iD AS PLUMBING FIXTURES REOULRED BY LAS AMOELES !n'Y AMD STATE OF CALIFORNIA OR THAT 1 AM THE GAS TEST LEGAL OWMCA OF.AMD I O F=E LN THE ASOVF NID I1f5DCMTVIL PaoF¢RTY. UTIUTYCO. TIflED SIONAYURE C1FPEikmr mff FINALOF ,.� �9PE I CL I0a 612 "�[S ALII�T14N c' u �a sH POLICY HOLDEP,--g !: `r POLICY NUMBER: "IbI/"-7- 77 �• 7U"7 - OW17 S/f0 APPLICATION FOR PLUMBING PER IT COUNTY pF LOS ANGEIFS �ARTW OF �OIINTY ENGINE UILDING AND SAFETY DM3ION �, JOHN A. LAMBIE, COUNTY ENGINEER ADDnn COLEMAN YY,JE?VKINS. 8UP'T. of BUILDING ��Y FOR APPLICANT TO FrLL IN R O TYPE 1� CAW�'L NUMBER FIXTU RE OR ITQM EAFH FQQ b'a�xla HATER CLOSET 1. 0 riAII, APO I BATH TUB 1. 0 AD � 'SHOVER 1. 0 cnT TEL NO. LAVATORY 1 0 CONTRACTOR !SINK 1 0 AAD>' t ~ DNHWA9HER 1. 0 CPfT TEL NO, -/.r- 37 CLOTHES WASHER 1. 0 STA LIC LICKNOR NO. - CLASS pl O 8WThGAINO POOL RECEPTOR 1. 0 plfTlR1CT Hp� GROUT LAWN SPRDUU-EtR SYSTEM L. 0 � D I WATER HEATER 1. 0 D AIrM APPROVAL OAS SYRTEM OUTLETS 1. 0 MCTtQN ]tZCOIID OUTLETS OVER 3 PER SYSTEM 0 Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE ,t 00 TOTAL FEE APPROVALS DATE INST[C'rO11•S SIGNATURE Plan check applicant UNDER 19LAS WORK Name ROUdH PLUMBING Addres■ GA8 PIPING WAS VI}NT Clty, Tel. No. HOT WATER HEATER 1 HS]oY ACKNOWIiDK THAT I HAVE READ THIS ArrLiCAT10N AND STAT[ THAT THE AS10YE IS COMM= AND Asw>a TO COMTLY PLUMBING FIXTURES WITH ALL COUNTT ORDMKMCLS AND frA4'[ LAWS w[GULATINS GAS TENT KU MS7 N o. I Hnor CtRI Fr THAT I AIY rworcwLY mas"nx m ANDlow UTILITY CO.NOTIFIED UC>QflmAS MKQVIwSS M m T LO* ANr■ CQVNTY AD STAT[ Or CAUFORN IA ON THAT 1 AM THE L[OAL OWPMR Or,A140 INTEND TO P"m D[IN,TH[A10Y[ RES rlw[Im. FIf1AL •I OFF MR R " JACK R. ALLEN, SUP folN HANICAL [N9'R. PERIIQT VALID N CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH -41CQ LACo 75169;J MAR28 6.50- 76vA 667 CE.817 8/68 i APPLICATION FOR PLUMBING PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS r� Z COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST. ewe NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS C) / DISHWASHER 1.50 CITY TEL. NO. 7�73` CLOTHES WASHER 1.50 STATE LIC -%'� SWIMMING POOL RECEPTOR 1.50 LICENSE NO. CLASS DISTRICT NO. GROUP ZONE P D LAWN SPRINKLER SYSTEM 2.00ar. ' CD WATER HEATER 1.50 INDUSTRIAL v WASTE APPROVAL o GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD I.– OUTLETS OVER W PER SYSTEM •30 N Z I � — Plan check fee 25% of above. See reverse. I PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE VAPPROVALS 9ATE. INSP TOR'S SIGNATURE Plan check applicant UNDER SLAB WORK �I Name ROUGH PLUMBING Address GAS PIPING GAS VENT Tel.el. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED t LICENSED AS REQUIRED BY LOS ANGELES COUNTY TE OF CALIFORNIA OR THAT I AM TME LEGAL OWNE OF ND INTE D TO RESIDE IN, THE ABO E DEQ RIB SIDENYAL PERTY. FINAL - I f SIGNATURE ., JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION� M.O. CASH PLAN CHECK VALIDATI M.O. CAS 76AW-CE817 12/59 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 5522 N. 3racewood Ave. WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY -Temple City FOR APPLICANT TO FELL IN NEACROR SST. nAines Dr• NUMBER FIXTURE OR ITEM WATER CLOSET OWNER Santa Anita Sanitarium BATH TUB MAIL 5522 N. Gracewood Ave. SHOWER CITY Temple CitY TEL. No. GI 8-6143 1-^ LAVATORY CONTRACTOR arn J. Paul a 3 SINK ADDRESS 1201 SO. Tenth Ave DISHWASHER OITYArcadia TEL. NO. Hi 77386 CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO.154034 COUNTY ❑ CLOTHES WASHER fDI(S�T� GA T NO. UP gZEE ROCESSED BY WATER HEATER J� — I 6/ GAS SYSTEM INDUSTRIAL _ WASTE APPROVAL Ie�a✓ INSPECTION RECORD >. P. O G 0 fl pi 6 ' W < z 0 I PER P $1.00 TEM ' OR 0 PER T $ `�J APPROVALS DATE INSPECTOR'S SIGNATURE FEMPERMIT $ 2100 UNDER SLAB WORK TOTAL FEE �z4 ROUGH PLUMBING GAS PIPING HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 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 THE ABOVE DESCRIBED RESIDENTIAL'PRO E Y. UTILITY CO.NOTIFIED SIGNATURE r OF PERMITTE FINAL Z -3- OF VALIDATIOCpY�. ROBERT A. WOOD, CK. M.0 CASH SUPERVISING MECHANICAL ENG'R f1r 4 5 0 : DEC ?6 5 D 14.0 0 7:-CE 817-8-57 ` APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS.f".�i2.7-- JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS Z SHOWER CITYL.NO. LAVATORY CONTRACT SINK ADDRESS 2 DISHWASHER CITYAmajoiTEL.NO. H17-73 V4 LAUNDRY TUB CONTRACTOR'SSTATE REGISTRATION NO.15110�� 466 G COUNTY CLOTHES WASHER DISTR ICT GROUP ONE READY FOR INSPECTION WATER HEATER / GAS SYSTEM INDUSTRIAL WASTE APPROVAL tgfti:4-01 11INSPECTION RECORD APPROVALS �f @ $1.00 PER ITEMn DATE INSPECTOR'S SIGNATURE -!/ OR FIXTURE $ (/J d>0 UNDER SLAB WORK llL-- ROUGH PLUMBING PERMIT S 00 GAS PIPING TOTAL FEE OQ GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 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 JROPERTY. SIGNATURE OF PERMITTEE FINAL - 7�'' ROBERT A. WOOD, �P VALIDATION UPERVISING MECHANICAL ENG'R CK. M. 0. CASH � !6 2 6 1 in OCT 31 5 A 1 1 .0 0 r 76A6 8 (7 CE CE 817(REV.6/78) ©s APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING � NUMBER FIXTURE OR ITEM @ FEE ADDRESS 1...--- WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. `^ SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS =- GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING O L? GAS PIPING Lu GAS VENT U. HOT WATER HEATER ge PLUMBING FIXTURES GAS TEST O Plan check fee UTILITY CO.NOTIFIED a' PLUMBING PERMIT ISSUING FEE$ W 1-� TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATION Name 1 Address s ✓t 0 City Tel.No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION #'� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 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 ABO�IE DESCRIBED RESIDENTIAL PROPERTY. � SIGNATURE OF PERMITTEE DISTRICT Np PROCESSED BY INDUSTRIAL WASTE APPROVAL i I 76A667A CE 817(REV.6/78) ?S APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY 7FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING� I! j � � 1�. +, ADDRESS eC•• E i/ /! NUMBER FIXTURE OR ITEM @ FEE _ LOCALITY WATER CLOSET NEAREST BATH TUB CROSS ST. LJ IT SHOWER OWNER ,.-/^� I`f/ LAVATORY MAIL ADDRESS 3 SINK CITY! e:..1 TEL.NO � / . / DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS �'I SWIMMING POOL RECEPTOR sshh CITY r t TEL.NO. i t. LAWN SPRINKLER SYSTEM STATE / r WATER HEATER LICENSE NO. / t:r CLASS C- GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK �. 5 PER SYSTEM ROUGH PLUMBING O. LUU !� wq/AJ GAS PIPING tJ {1 r Ur1( 111 1l�1' ]GAS VENT f ,+ r' � r' > HOT WATER HEATER 1 L 3 oe PLUMBING FIXTURES GAS TEST Plan check fee UTILITY CO.NOTIFIED IL PLUMBING PERMIT ISSUING FEE$ w r° TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATION Name Address City Tel.No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION .' T 4: h f• IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REDUI R ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND I END TO RESIDE IN THE ABOVE DES RIBED RESIDENTIAL . ♦ , PROPERTY. SIGNATURE ,�.w,,,,, � a y OF PERM ITTEE 1 DISTRIC N PROCESSED BY INDUSTRIAL WASTE APPROVAL �'�. . --�•'i+�,r- •,.y, t Y 1 t, j �( APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS 5 �� ✓'a7_t NUMBER FIXTURE OR ITEM ® FEE LOCALITY WATERCLOSET NEAREST �! BATH TUB CROSS ST. PC 4" SHOWER OWNER v CIO LAVATORY MAIL ADDRESS SINK CITY `S / TEL.NO. DISHWASHER CONTRACTOR _ CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR �/ 7 CITY TEL.NO.7�J LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO., CLASS =o GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING d. O GAS VENT V OC HOT WATER HEATER PLUMBING FIXTURES GAS TEST d V! Plan check fee UTILITY CO.NOTIFIED Z PLUMBING PERMIT ISSUING FEE$ TOTAL FEE FINAL GL CHECK VyA�IDATIOrj Plan check applicant p,7 $!Q �l�6e h Name Address City Tel.No. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE 1 LEGAL OWNER OF.AND INTEND TO RESIDE IN THE AB DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE DISTRICT NQS CESSED BY V INDUSTRIAL WASTE APPROVAL f` J YSAee7 h 5-60 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTR2F NO. I GRPUPI ZO•��NE PERMIT NO. PLUMBER M. C. Nottingham Co. of lempi.e .4y R EIVED BY READY FOR DATE ISSUED 5933 N. CLOVERLY AVE. . FIRST INSPECTION / - Y� i ADDRESS / IEMPLE MIT, CALIF. BUILDING CITY TEL. NO. ADDRES �. COUNTY !^/ �� :V` �� LOCAL LICENSE NO. A EXPIRES NEAREST CROSS ST. PERMIT FEES NUMBER I TYPE OF FIXTURE OR ITEM FEE MAIL 1_WATER CLOSET (TOILET) Q 0.501 $ 1 ADDRESS / BATH TUB Q 0.50 I CITY TEL. NO. SHOWER Q 0.50 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS 1 LAUNDRY TUB OR TRAY (al 0.501 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER GAS SYSTEM OUTLETS Q 0.501 OF THE RESIDENTIAL P PARTY DES�R16Eo aBnvF, SIGNATUR F WATER HEATER Q 0.50 I .PER TE SLOP SINK Q 0.501 1 INSPECTION RECORD FLOOR SINK Q 0.50 1 FLOOR DRAIN Q 0.501 1 DISHWASHER Q 0.501 1 DRINKING FOUNTAIN Q 0.501 1 URINAL Q 0.501 „J 1 HOUSE SEWER Q 0.50 1 1 Q Z MISCELLANEOUS I O' 1� O 1 1 1 1 1 1 APPROVALS 1 DATE INSPECTOR'S NAME ROUGH PLUMBING 1 1 1 GAS PIPING _ 1 1 GAS VENT CESSPOOL Q 1.001 CESSPOOL / v z r �►'•- 1 SEPTIC TANK: SEPTIC TANK I DRAIN ( ) PIT ( ) Q 1.001 SEWER PERMIT , I 1,00 GAS TEST /? UTILITY CO. NOTIFIED TOTAL FEE i FINAL .�_�'''- �f,-✓" �i. 51 7JA667 17,';-490 APPLICATION FOR PERMIT DF.00,TMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GR UPZONE PERMIT NO. PLUMBER RE5EIVED 13Y READY'FOR DATE ISSUED ti 4�— N FIRST ISPEPTION S _ ADDRES 'r .. .t,. f ?- BUILDING CITY !,, TEL. NO. �' ADDRESS J g COUNTY LOCA L IT Ws�L-.7 LICENSE NO. / EXPIRES �- III NEAREST PERMIT FEES CROSS ST. NU ER TYPE OF FIXTURE OR ITEM FEE OWNERIG MAIL V, WATER CLOSET (TOILET) @ 0.50 $ MAIL �S � BATH TUB @ 0.50 CITY /y-`— C TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q 0.50 O APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 ` SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE -/- SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 1 _ , �,� C� FLOOR DRAIN @ 0.50 DISHWASHER @ 0.501 ! N y 12 1��' fr..--e DRINKING FOUNTAIN Q 0.50 URINAL @ 0.50 ..l HOUSESEWER @ 0.50 Z MISCELLAtJEOUS a O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . 1,00 GAS TEST TOTAL FEE UTILITY CO. NOTIFIED / I $ FINAL s s � 76A557 17 5-50 Xb ' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1 FOR APPLICANT TO FILL IN DIST7XaT NO. GROUP ZONE PERMIT NO. PLUMBER M. C. NOTTINGITAN O. RECEIVED BY READY FOR DATE ISSUED j 1� FIRST INSPECTION ADDRESS 123 11'�T o. Clo ery AAve. /+ BUILD CITY TF]1��PLEs'I'�, �` ADDRENG E N L i h ADDRESS a "fyt COUNTY LOCALITY {✓ °"� � LICENSE NO. EXPIRES NEAREST ' PERMIT FEES cRoss sr. �i NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL ,,... . WATER CLOSET (TOILET) @ 0.50 $ I ADDRESS «.rP BATH TUB @ 0.50 CITY TEL. NO. SHOWER @ 0.50 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS _LAVATORY (WASH BASIN) @ 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 I STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESID/EN Y_ IAL PROPERT ,.D&BCICfiS'Ei3 ABOVE. GAS SYSTEM OUTLETS @ 0.501 SIGNATURE OWATER HEATER @ 0.50 PERMITTE :, �f SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.501 DISHWASHER @ 0.501 IDRINKING FOUNTAIN @ 0.501 I URINAL @ 0.501 ..I HOUSE SEWER @ 0.50 I Q Z MISCELLANEOUS _D I 1 � 1 O I 1 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING i I GAS PIPING II GAS VENT CESSPOOL @ 1.00 I CESSPOOL SEPTIC TANK: I SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.001 I SEWER PERMIT . . I 1.00 GAS TEST TOTAL FEE $ - n UTILITY CO. NOTIFIED I FINAL I -', 761 A887•CENS:7 4-64 APPLICATION FOR PLUMBI G PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST . NUMBER FIXTURE OR ITEM EACH FEE OWNER t I WATER CLOSET $1.2S MAIL BATH TUB 1.25 ADDRESS CITY TEL. NO. SHOWER 1.25 o LAVATORY 1.2SCONTRACTOR . SINK 1.25 ADDRESS 1,201 DISHWASHER 1.25 CITY r,TEL. NO. 7CONTRACTOR'S � STATE LAUNDRY TUB 1.25 REGISTRATION NO. J �Q 37 COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO ROUP Z E P OC _ BY WATER HEATER 1.50 02 Q 1.50 50�- INDUSTRIAL GAS SYSTEM OUTLETS WASTE APPROVALIp Zh 6 } O OUTLETS OVER S PER SYSTEM .30 INSPECTION RECVRD U I w KZ9 I �z e e O PLLJM W a k-iN i 1 Z APPROVALS AATE, INSPECTOR'S SIGNATURFf PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING �•. �, TOTAL FEE GAS PIPING 1 I HEREBY ACKNOWLEDGE THAT I HAVE 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. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ! t CALIFORNIA OR THAT 1 AM THE LEGAL OWNER O AND INTEND TO GAS TEST RESIDE IN,THE ABOVE DE CViIBED RESIDEN IAL OP RTY. UTILITY CO. NOTIFIED r SIGNATURE F PERMITTEE ' O FINAL VALIDATI OBERT A. WOOD CK. M.o. cwSH UPERVISING MECHANICAL ENG'R 03 965" JUL23 5o 69.00, APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANG :BUILDING AND SAFETY FORAPPL]CANT TO FILL IN(MNT OR TYPE) -BUILDING V c7 V NUMBER FIXTURE OR ITEM Q FEE L WATER CLOSET N EARQST BATH TUB 21055.51". ROSS ST. ' SHOWER OWNER Cp oS LAVATORY VATORY ADD SINK GLTY C4nTEL NO. DI$Hf W A5♦j ER CONTRACTOR CLOTHES WASHER AQDUZ S SWI NG POOL RECEPTOR LIT Y TEL NO. I,AWN SI0%Ngf:R SYSTEM STATESS c,3 LIC WATER HEATER IJOENSE NO. co a 4A GA,SSXSTW OUTLETS APPROVALS DATE INMPCCTORS SIGMTURE ppUT��ppyyo UNDER SLA-B WORK42 S PER SYSTEM 140"PLUMBING r GAS PIPING GAS VENT LJ T WATER HEATER PLUMBING193CTURFS GAS TEST Plan check fee LMLITYCO.NOTIHE� J11o PLUMBING PERMIT ISSUING FEES O� TOTAL FEE FINAL- PLAN CHECK VALIQAT1 Play aleck vpPlkarlt , Name Addrms City Tel.No. IHEREBY ACKNOWLEDGE THAT I HAVE OWL THIS APPUCATIOM AND'STATE THATTH H ABOVE LS GORRECTAM AGREE TO COY P LY wrrH ALL COU NTY O RD INANc Es 3 �3�7 A AND STATE LAWS REGULATIM&K-UMBU1G. PERMIT VALIDATION I HEAEVY CERTrY THAT I AEf PROPERLY REGLSTE1=ANP/OR UCCNMD AS REDUIRED YY LOS ANGITLES COUMTY ANQ STATE"OF CAIJFORMUI OR THAT T AY THE # D.oDDoS LEGAL O"kR OF.AN TNTENP TO RESIDfi IN THE"qi7-DFSCRIBED RESIDF,NTIAL PRaPvrrr. , 2 - 64,00 SIa NATURE L aFPERMrTE O O,O VOOT DIST PROCESSED BY O a09_79 NDOSTRIAL EAPPROVAL APPLICATION FOR PLUMBING PERMIT COUNW OF LOS ANGELES BUILDING AND WUY FOR APPLICANT TO FI41 IN lPR]NT OR TYPE/ ADDRESS �G NUMBER FIXTURE OR 7EM FEE p WATERQOSET ' LOCALITY N EAREST BATH YUB CROSS ST. �lf• �y y &-TOWER OWNERMAIL ��/i LAVATORY DA DRtSS SINK UTY t 1 fEL NO. DiSHWASHER CONTRACTOR �� y 7- CL OTH ES - CLOTHES WASHER ADDRESS Q SW I MM NG POOR_RECEPTOR TEi_Nla ^ LAWN SPR1yK1ER SYSTEM )TATE / L1C C!/ NATE $E R HEATER UCENNO. CLASS GAS SYSTEM OUTLETS APPROVALS BATT; I R'5"NATURE ANDER-SLAB WORK i S ROUGH PLUMBING GASPIPING O GAS VENT - H OT WATER H EATER In O PLUMBING FIXTURES. GA$TT ST Plan check fee U'fILITY'w.NOT'IhED _ PLUMBING PERMIT JSSUING FEE$ 0-0 TOTAL FEE FINAL Plan check applicant PLAN CHE�K VALIDAT N Name Addreu City Tel,No. I HEFIEEY ACt(NO4YLEDGE tMT I RAVE READ THIS APPUCATK3N AND SPATE - THAT THF ABOVELS COItlFI•CTA"D AGREE TO COMELY WITH ALL COUNTY'ORDINM1 cu . AND STATE LAWS REGULATING PLUMBING. PERMIT VAIIDATIQN ryi AA �] L I1 I1 1 JIE}1JeY C�RIIFY THAT f A.M HKWERLY REGLSTEBED AND/OR LJCY.mw AS - Y 4 2 4 4 A RE W I IAD BY I. •,��vn C W NTY AN 0.STATE G-F CALJFORN IA-OR YHAT I AM THE L QAL O*MEA Of.AND O RESIDE IN THE AD C9 CRIBED RESmENT1Ak # O O O O 6 PROPERTY. 51T' Rfi S 8 YF OF PERM 444 ...AAA DIST NO. Ep8Y Ga09-79 cS O 21 I N QDSTRIAL W E APPROVAL 76A667-CEtl617 4-64 eo APPLICATION FOR PLUMBI PERMIT �'11,•ul'lll COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �a� Gracev�oo_: JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITYTern le Cit FOR APPLICANT TO FILL IN CROSS STDG ine s Dr. NUMBER FIXTURE OR ITEM EACH FEE OWNERI, - - WATER CLOSET 31.25 a,� (�` O MAIL `/ BATH TUB 1.25 ADDRESS SHOWER 1.25 C. CIE EL. NO. Q LAVATORY 1,2S 5 C e! CONTRACTOR ,..,illiam J. PAuley SINK 1.255 ADDRESS 1201 ^T - DISHWASHER 1.2S CITY t.rcaaia TEL. NO.Hi n STATE LAUNDRY TUB 1.25 CONTRACTOR'S COUNTY �C7 REGISTRATION NO. 15403 CLOTHES WASHER 1.2S DISTRI T NC. GROUP ZONE P OCE D BY STATE EF WATER HEATER 1.S0 �U L� 06 GAS SYSTEM OUTLETS 1'� WASE AIPPROVAL 0 OUTLETS OVER S PER SYSTEM .30 IN N RECO D V GC f�?f ;�ta 0 1 W a N Z I ' APPROVALS DATE INSPECT SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING Y TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY NO STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL O ER A D INTEND TO RESIDE IN,THE ABOVE DESCRIBE SIDfTN AL O RTYUTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE - FINAL VALIROBERT A. WOOD M.0. CK. M.O. CASH SUPERVISING MECHANICAL ENG'R LAL,o 9 9 8 8 FEB 2 4 5 D 6 9.0 0- D.S.S. 17 23M SETS 12.44 APPLICATION FOR, PERMIT DEPARTMENT OF 'BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBINGWM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. ROUGH __I FIXTURESREADY FOR COMPLETE I ��5 �� •� Ef{ HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY DATfi ISSUED I FIRST INSPECTION GAS I MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY r JOB It I NAME �� ` M(. 1 ADDRESS 3 g C Awa Oct ILI III ADDRESS W 0.k h l,a LOCALITY �� /f NEAREST IL CITY Q. R �� TELNO.J JCROS$ST. C �- , COUNTY (/ Q CERT.No.ICI I EXPIRE /x-31^ r- 1K NAME CCI N-J ;�A,v,;-/9 /C/ LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAILU � 3 ADDRESS Se 4 1Le + v,/1 NORTH O CITY TEL.No. I AM THE LEGAL POSSESS F € ABOVE L08 ANGELES COUNTY CERTIFICATE fOATION.. % PLU M SER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED 0� ABOVE. W 4 0,1 OWNER - CORRECTIONS SOUTH — 'a d DESCRIPTION OF WORK z -BATHTUB FURNACE rr 0 HOWER DISHWASHER -LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER ---DENTAL LAVATORY ROUGH PLUMBING METER_.-- GAS CODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES Cts PO I I SEPTIC TANK CESSPOOI SEPTIC TANK SEWER IUTILITY CO.NOTIFIED TOTAL.. FEE �� (i �7 FINAL 7GA667 17 8-49 ® APPLICATION FOR PERMIT bEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES `UB' G WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER RECW BY READY FOR DATE'ISSUED FIRST INSPECTIONADDRESS_ _ (} jj�� o NG CITY T x. CJ' .� TEL. NO.a'L �. ADDRESS S'1 LICENSE NO. b M EXPIRES �� .�•5 j) � LOCALITY NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER S \�A _I MAIL WATER CLOSET (TOILET) @ 0.50 $ II.J70 ADDRESS —,2-_I BATH TUB @ O.50 I CITY TEL. NO. SHOWER @ 0.50I� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 I U APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.501 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O.50 I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL ROPERTY DESCRIBE ABOVE. I GAS SYSTEM�O UTLETS @ 0.50 I hi_SL SIGNATURE OF - r .�I WATER HEATER @ 0.50 I� PERMITTE SLOP SINK @ 0.50 I �� INSlffCTION RECOR FLOOR SINK @'0.50 FLOOR DRAIN @ 0.501 IDISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 URINAL @ 0.501 ,J 1 HOUSESEWER @ 0.501 I Q I Z MISCELLANEOUS � I I ,_o. I I I APPROVALS DATE INSPECTOR'S NAME 1 ROUGH PLUMBING _ GAS PIPING .a GAS VENT CESSPOOL @ 1.00 I CESSPOOL SEPTIC TANK: SEPTIC TANK 1 DRAIN ( ) PIT ( ) @ 1.00� I SEWER PERMIT . I 1.00 GAS TEST TOTAL FEE $ UTILITY co. NOTIFIED FINAL 76A667 17 9-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ���g' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER (1 (^] RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION _ ADDRESS 3looks ` BUILDING CITY nS4t Z TEL. NO. ADDRESS C e Woo r. COUNTY LICENSE NO.I �+ I EXPIRES LOCALITY ^ C-44 NEAREST L / 0 q / PERMIT FEES CROSS ST. ` V NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER m C6111 r+S �� MAIL �R e WATER CLOSET (TOILET) @ 0.50 I S ADDRESS u�S 1•+,- �4� ,Tr, BATH TUB @ 0.501 I CITY TEL. NO. SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND LAVATORY (WASH BASIN) @ 0.50 I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.501 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE AB VE VALID LOS LAUNDRY TUB OR TRAY i--o.-0 ANGELES COUNTY LICENSE, 1 AM TH LEGAL OWNER OF THE RESIDENTIY; ESC71BE P ABOVE. GAS SYSTEM--2,--OUTLETS 10 0.501 SIGNATURE OF 1... WATER HEATER @ 0.501 PERMITTEE-2 �/+� SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK @ 0.501 _ FLOOR DRAIN @ 0.501 DISHWASHER @ 0.501 JDRINKING FOUNTAIN @ 0.501 URINAL @ 0.501 1 „J HOUSE SEW ER @ 0.50 Q1 1 MISCELLANEOUS 1 a lqf I o I � _I bei- ./7et" I� II APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING 1 GAS PIPING 1 GAS VENT • CESSPOOL @ 1.001 I CESSPOOL ISEPTIC TANK: 1 SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.001 I SEWER PERMIT . . I 1.00 GAS TEST I . I TOTAL FEE $ S UTILITY CO. NOTIFIED I FINAL 0.8.5.-17 25M SETS „-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT No. GROUP ZONE P RMIT NO. ROUGH FIXTURESCOMPLETE d HEATER CESSPOOL H SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS- M 18C ELLA N EOU APP CANT FALL IN HEAVILY OUTLINED PORTION ONLY NAMEJOB E ADDRESS W m ADDRESS LOCALITY j NEAREST L CITY TEL.No Z. CROSS ST. COUNTY .1 CERT.NO. 7(J EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH Q CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ BATH TUB FURNACE L� (Y SHOWER DISHWASHER D IS7 -LAVATORY REFRIGERATOR �—KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN ASHTRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DAT9 INSPECTOR'S NAME 1 WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL GAS PIPINGell /I GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER I I S UTILITY CO.NOTIFIED TOTAL FEE 7 d 0 FINAL D.B.S.-17 25M SETS 6-46 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP zo E y.PERMIT NO. ROUGH FIXTURES COMPETE HEATER CESSPOOL 1_1 SEPTIC TANK RECEIVED BY READY FOR DATH ISSUED FIRST INSPECTION GAS- MISCELLANEOUS G4 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME ADDRESS ADDRESS W m ADDRESS $ LOCALITY .J CITY NEAREST 4 TEL.NO. CROSS ST. COUNTY CERT.NO. EXPIRES IK NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ADDRFSB NORTH p CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. t� PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED t� ABOVE. Y7 j 3 a OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK Q z_ BATH TUB FURNACE U' 2 SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN _WASH TRAY URINAL 1 APPROVALS —_WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING —METER—GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT i CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER $ UTILITY CO.NOTIFIED TOTAL FEE — FINAL r- D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE _ HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS- MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY X06 3 24 S. G ,,�� It NAME ADDRE36 W / m ADDRESS _ LOCc LOCALITY T, a NEAREST yCITY TEL.No. CROSS ST. J)0,0.0,6- COUNTY N,'COUNTY CERT.No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH 0 CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. D iOWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a _z BATH TUB FURNACE Q' SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT .. CESSPOOL ( - TOTAL NUMBER OF FIXTURES _ SEPTIC TANK CESSPOOL EPTIC TANK SEWER k UTILITY CO.N 1&p(',_ f i TOTAL FEE FINAL D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBINGWM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP) ZONE /PERMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOL SEPTIC TANK REgXQIVED BY READY FOR DATE ISSUED � FIRST INSPECTION f GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAMEM, C. NOTTINGHNM CO JOB _ ADDRESS 'i, W m ADDRESS123 No. Cloverly Ave. LOCALITY LL CITY J.1 LNEAREST !�Ab!"�I �,fll�' CROSS ST. COUNT CERT.No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED q ABOVE. i OWNER CORRECTIONS L SOUTH d DESCRIPTION OF WORK c� BATH TUB FURNACE ►r SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING r METER GAS CODA FOUNTAIN � OUTL GAS PIPING GAS VENT CESSPOOL I L `1-C,- TOTAL NUMBER OF FIXTURES SEPTIC TANK -CESSPOOL------SEPTIC TANK SEWER 1 S UTILITY CO.NOTIFIED TOTAL FEE _"2en 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ,t BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. ,. NUMBER FIXTURE OR ITEM - " OWNER WATER CLOSET r�.. ....r 221 BATH TUB ADDRESS _t SHOWER CITY r r NO. I LAVATORY CONTRACTOR ;� 1 SINK ADDRESS DISHWASHER CITY 1 � TEL.NO. 1�/✓i ? O"p I LAUNDRY TUB CONTRACTOR'S _ STATE REGISTRATION NO. /4l .T 9 COUNTY ❑ CLOTHES WASHER DISTRICO. GROUP ZONE READY FOR INSPECTION WATER HEATER T GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD M APPROVALS @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ UNDER SLAB WORK ROUGH PLUMBING PERMIT $ 1100 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. - - IHEREBY CERTIFY THAT 1 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 / OF PERMITTEE Y'% - FINAL �i`! ,/� ��-•�,/^ ,/l ROBERT A. WOOD, VALIDATION SUPERVISING MECHANICAL ENG'R CK. M. O. ASH !.G2 0 0 MAR 14 3 A 2.0 0 ch 7CA667 DBS 17 11-513 APPLICATION FOR PERMIT FaF.,"'�RTMENT OF BUILDING AND SAFETY PLUMBING �� � �' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT 132ROLIPJ Z NEPERMIT NO. PLUMBERRECEIVED J ED BY READY FOR DATE ISSUED / FIRST INSPECTION ADDRESS / �1 +p BUILDING CITY LG%�'C:-�{ P, TEL.No. S cJ ADDRESS COUNTY /'°1 LOCALITY C Vk. , �.. LICENSE NO. 0 EXPIRES NEAREST PERMIT FEES CROSS ST. (\� NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER cL MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 CITY TEL. No. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIB LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS 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 V LID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEO,L OWNER OF THE RES IDENTI PROPERT CRIBED OVE. GAS SYSTEM OUTLETS @ 0.50cu - SIGNATURE OF %7- WATER HEATER @ 0.50 PERM ITTE SLOP SINK @ o.so INSPECTION RECORD FLOOR SINK @ 0.50 17 _ FLOOR DRAIN @ 0.50 - DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 r �+""/ �-� — �URINAL @ 0.50 HOUSE SEWER @ 0.50 MISCELLANEOUS 0 APPROVALS DATE IN6PECTORIN NAME ROUGH PLUMBING /-2 GAS PIPING GAS VENT CESSPOOL @ 1,013 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST TOTAL FEE UTILITY CO.NOTIFIED $ 1. FINAL PLUMBING 1 DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDINGr /� (9 n 1f n WILLIAM J. FOX, COUNTY ENGINEER ADDRESS aC Z l A ljCF 14/0lJ FOR APPLICA T TO FILL IN LOCALITY �/`f C BUILDING r�� ADDRESS ;? CROSS ST. -�7 `,�: DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY �_. 099aa- NFAREST CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED OWNER � 9M ��jRKlytEfj� f�" S MAIL INDUSTRIAL ADDRESS WASTE APPROVAL s� 9 INSPECTION RECORD CITY 4t N0. / a/)L�. 1 PLUMBER VAKEY BOULEVARD PLUMBING CO. ADDRESS 8300 EAST VALLEY BLVD. CITY ROSEMEAD TEL.NO. AT. 2-2719 STATE !_ICENSE NO. 25 ~ WOUNTV PERMIT FEES z Ii..MBER TYPE OF FIXTURE OR ITEM FEE I' WATER CLOSET(TOILET) @ 0.80 $'91160 O BATH TUB @ 0.80 SHOWER @ 0.80 /. LAVATORY(WASH BASIN) @ 0.80 Oo KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 q t SLOPSINK @ 0.80 J FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM.....--------OUTLETS @ 1.00 WATER HEATER @ 1.00 Q a MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK S' . PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE ,70 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THI APPLI. GAS VENT ^,ATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THA I AM PROPERLY REGISTERED AND/OR LICENSED AS RE IRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFOR R THAT I T LEGAL OWN. ER OF THE ABOVE DES D RESIDE IAL PERTY. 4TILITY CO.NOTIFIED L SIGNATURE OF PERMITTEE_..................................................._ .. ............ FINAL S 76A667 DBS 17 1/53 r 781 CE L1 17 B-56 APPLICATION FOR PLUMBING PERMIT 1 - BUILDING AND SAFETY DMSION Department of County Engineer County of Los Angeles BUILDING JOHN A. L.AMBIE,COUNTY ENGINEER ADDRESS Q CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY -77e--, FOR APPLICANT TO FILL INNEARES__j CROSS T. � �vL OWNER / Z DISTRICT NO. GR I jr�% IREADY? �N S)/CiPHMA1L /' !'� 7 LLQ ADDRESS CITY INDUSTRIAL ` L. NO WASTE APPROVA PLUMBER rWj 1P,, A-A A4 INSPECTION RECORD ADDRESS 1 CITY T,tEL. NO. ` LICENSH NS4)4 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 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 r ' APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBINGI.z.. TOTAL FEE GAS PIPING GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. �. 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 OF PERMITTEE _tom '' FINAL ' ROBERT A.WOOD, JOHN A. LAMBIE, COUNTY ENGINE VALIDATION SUPERVISING MECHANICALENG'R CX. M.O. CASH 17 2 1 y+ Ate 2 7 32.00 7BACS7 APPLICATION FOR PLUMBING PERMIT 1 DBS (DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D,GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST t CROSS ST. OWNER 4.� Cr'(' --,,# DISTRICT NO. ' ZONE I READY FOR INSPECTION MAIL ADDRESS mss/ +^ A-1 INDUSTRIAL CITY TEL. NO. .e WASTE APPROVAL PLUMBER �` .Cr.r.�,t,//ai��G:- INSPECTION RECORD ADDRESS2 �s✓J CIT AL -wr/ /71C/C_TEL. NO. 4 0���� LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ f 00 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 O O KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING •/5 - TOTAL FEE V 31500GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 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 THE OVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL P � PERTY. - - SIGNATURE OF PERMITTEE FINAL JOHN A. LAWRIE. COUNTY ENGINEER TALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. Y.•. CASH Ivo 5 1 7 3 DE j 3 3 0.0 0 0 DFPAILTMENT OF COUNTY ENGINEER fes- PLUMBING 1 DIVISION OF BUILDING AND SAFETY / PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANX TO FILL IN LOCALITY _ BUILDINGy NEAREST ADDRESS yJy„1 JG ./ ��-j►�� CROSS ST. t DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY L_ r74 7 NEAREST • (�s CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED OWNER 04 MAIL N—DU STRIAL ADDRESS WASTE APPROVAL CITY TEL.N0. INSPECTION RECORD PLUMBER :,mei .:._ 311 E. >r '. : , ADDRESS Jr .t CITY TEL.NO. ❑STATE LICENSE N0. / , rl COUNTY J PERMIT FEES i /UMBER TYPE OF FIXTURE OR ITEM FEE UI WATER CLOSET(TOILET) @ 0.80 $ m O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM..............OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS o� APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING (! TOTAL FEE GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE '' � lei • OF PERMITTEE.-........................................ — —....._..--. FINAL 76A667 DBS 17 1/53 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer PLUMBING DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer DIS R NO. GROUP ZONE PER T . FOR APPLICANT TO FILL IN PLUMBER READY FOR Y� RESEIV D IY DATE ISSUED �' � FIRST INSPECTION c � ADDRESS I P S,,77 qq CITY �' � 11'9 TEL- NOP. Q ADDRESS COUNTY +� LOCALITY LICENSE NO. EXPIRE w - NEAREST PERMIT FEES _cRoss ST. NUMBER TYPE OF FIXTURE OR ITEM FEE _ OWNER MAIL .ATER CLOSET(TOILET) 0 O.SO $ ADDRESS 2: BATH TUB @ 0.50 CITY TEL. NO. �(%( SHOWER @ 0.50 1 HEREBY ACKNOWLEDG THAT I HAVE READ THIS AVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE HA LT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ O,SO AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O.SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL OPERTY DESCR ED ABOV . GAS SYSTEM-OUTLETS- (� 0.50 /�� SIGNATURE OF'•' WATER HEATER w1 0.50 PERMITTEE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 L FLOOR DRAIN <'` �++ 0.50 DISHWASHER `� 0.50 Td•LEi �[�ca r-� -'G-GS' �o �4�a DRINKING FOUNTAIN @ 0.50 i URINAL 0.50 HOUSE SEWER @ 0.50 Z MISCELLANEOUS / 9 L �Z - c. e. t, d ST 8 - s 4 Z APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST TOTAL FEE / n b UTILITY CO.NOTIFIED _ 3 CJ�1 FINAL 76A667 DBS#17 6-52 76AS67 17 5-30 10 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING �� � ' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE MI NO. nz. C. NOTTINGHAM �� ...� FOR Art PLUMBER RECEIVED BY READY FOR DATE ISSUED 1 6 t FIRST INSPECTION ADDRESS TEMPLE No..1 Cloy rlyye c-' ✓ CITY 1 EM LE,� I/ , BUILDING i ADDRESS � +.+ �• LICENSE NO.COUNTY EXPIRES LOCALITY: `f; NEAREST PERMIT FEES CROSS ST. ' !! NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ O.50 $ 1 ADDRESS _ IBATHTUB @ 0.501 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 I STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF ; WATER HEATER @ 0.501 PERMITTEE" SLOP SINK 0.501 INSPECTION RECORD 0.50 FLOOR DRAIN FLOOR SINK @ 0.501 �V 1 / DISHWASHER @ 0.501 / DRINKING FOUNTAIN @ 0.501 GJ ( Fj IURINAL @ 0.501 J HOUSE SEWER @ 0.50 I� / Z MISCELLANEOUS I I - (� I---I O I� I APPROVALS � x 1 DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING _ GAS VENT CESSPOOL @ 1.001 CESSPOOL SEPTIC TANK: -- SEPTIC TANK DRAIN ( ) PIT ( ) =Do SEWER PERMIT . . _. . I 1,00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE I S FINAL 76AS67 DBS 17 1I-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT 13ROUP I ZONE PE MIT NO. FOR APPLICANT TO FILL IN M. C. Nottingham Co. ol lemple CIV A " 3 PLUMBER RE EIVED BY READY FOR D TE ISSUED ,J FIR INSPE 51133 N. CttJVLKtY AVE. TION ' /- ADDRESS PE CALIF.CAL .( ( t% BUILDING {, CITY TEL No. ADDRESS E- COUNTY LOCALITY LICENSE N0. f EXPIRES" NEAREST yr-] PERMIT FEES CROSS ST. G On NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 CITY TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASHBASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. ' CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, ORI. AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY 11ESC'RIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 ' SIy���•y/yTURE ,OF •� WATER HEATER @ 0.50 (,;-PER EE` SLOP SINK @ O.SD _ INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ O.SO URINAL @ 0.50 Q HOUSE SEWER @ 0.50 z MISCELLANEOUS O O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: 5EPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 ( SEWER PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE 31 FINAL 7e"66' 17 3-50 ® APPLICATION FOR PERMIT EPARTMENT OF BUILDING AND SAFETY PLUMBING ���� ' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER ,�,,I,f�'.;-�•; RECEIVED READY FOR FIRST INSPECTION DATE ISSUED ADDRESSBUILD1 �� NG ADDRESS - I� ''�" ((�� \ 7- TEL. NO.�,�l,/ ADD EISS CITY `,jl�,/y�.i� u_J��_ �- COUNTY 1 LICENSE NO. I ��U N� EXPIRES LOCALITY NEAREST PERMIT FEES CROSS ST. r t _ NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 1 MAIL WATER CLOSET (TOILET) @ 0-501$ I S(� ADDRESS BATH TUB @ 0.50 I I CITY TEL. NO. SHOWER @ 0.50 I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 I 0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 I STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL OPERTY DES,Cl41BED ABOVE. GAS SYSTEM— OUTLETS @ 0.501 I 1-1 SIGNATURE OF WATER HEATER @ 0.so 1 PERMITTE SLOP SINK @ 0.501 1 INSPECTION RE RD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.501 IDISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.50 I IURINAL @ 0.501 I J I HOUSESEWER @ 0.501 I Q MISCELLANEOUS O 1 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING - GAS PIPING GAS VENT CESSPOOL @ 1.001 CESSPOOL SEPTIC TANK: 1 SEPTIC TANK I DRAIN ( ) PIT ( @ 1.00 SEWER PERMIT . . I 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE I $ FINAL 7GA66 A GE 8' EV•6/78) - JS, APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING ADDRESS . � � Y NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET LOCALITY PA`S' "D NEAREST BATH TUB CROSS ST. iy �+ q �1 SHOWER OWNER n A I ^ C/ (�V� LAVATORY ADDRESS C'-Lk1100,0 At SINK r' CITY TEL.NOS - _3/ ! DISHWASHER CONTRACTOR 'A-J9 r� C' CLOTHES WASHER ADDRESS 3� -_IV . , _'q C, � "^ SWIMMING POOL RECEPTOR CITY TEL.NO. _. 5r1 LAWN SPRINKLER SYSTEM TATE LIC. WATER HEATER LICENSE NO. U CLASS C- 361 GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK S S PER SYSTEM ROUGH PLUMBING GAS PIPING L� 's► p If GAS VENT V ag HOT WATER HEATER O 0 tj/ 3 PLUMBING FIXTURES Cr.— GAS TEST Plan check fee UTILITY CO.NOTIFIED Z PLUMBING PERMIT ISSUING FEE$ TOTAL FEE ` FINAL Plan check applicant PLAN CHECK VALIDATION Name Address City Tel.No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT TME ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES R1 4 3 2 A AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION ��// I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS # * 95 REQUIRED BY LOSANGELE COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND IN END TO RESIDE IN THE ABOVE, D !`BE'D RESIDENTIAL PROPERTY. C , * 43 4 Z O O 3,OOSIGNATURE OF PERIVITTE DISTR CT i PROCESSED 1.20-78 INDUSTRIAL Z� WASTE APPROVAL D.S. 17 25M SETS 12-43 APPLICATION FOR-PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE _ HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION AS MISCELLANEOUS r APPLICANT ILL IN HEAVILY OUTLINED PORTION ONLY JOB E NAME ADDRESS '�r^(.0 W ! ADDRESS LOCALITY ss -- NEAREST - IL CITY f_ TEL.No. CROSS ST. COUNTY CERT.No. EXPIRES IY NAME w LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ry� ABOVE. W A 0 4� OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z_ BATH TUB FURNACE L3 (Y SHOWER DISHWASHER 0 LAVATORYNtiv REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY J URINAL APPROVALS WATER CLOHI4'd" DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER'S DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FQU T AIN j 1 GAS PIPING OU,Y r� C I GAS VENT I I CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOI QEPTIC TANK SEWER S $ 0 TOTAL FEE UTILITY CO.NOTIFIED I � �!' FINAL D.B. 17 2SM SETS 12-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �����'�� COUNTY OF LOS ANGELES Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT No. ROUGH FIXTURES COMPLETE HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS I MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY I JOB ' C NAME ADDRE88 W D ADDRESS LOCALITY NEAREST ', CITY TEL.No. CROSS ST. il. COUNTY CERT.No. EXPIRES NAME W LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY - E4�No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFECATION. '✓ ri s. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. D i OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a Z_ BATH TUB FURNACE SHOWER DISHWASHER p LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL 6A8 PIPING I i 1J GAS VENT I 1 CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOI SEPTIC TANK y SEWER II $ 1 UTILITY CO.NOTIFIED TOTAL FEE FINAL D.B. 17 25M SETS 12-43 APPLICATION FOR. PERMIT RPAFTMENT OF BUILDING AND SAFETY �����'�� COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOLRECEIVED BY READY FOR DATE ISSUED -I SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB x NAME ADDRESS W m ADDRESS LOCALITY g NEAREST '1 CITY TIZL.No. CROSS ST. IL COUNTY CERT.No. EXP;RES 11 NAME &1 LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. m OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE p lY SHOWER DISHWASHER O LAVATORY REFRIGERATOR — ._KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS -WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAB SODA FOUNTAIN OUTL 6A8 PIPING GAS VENT I 1� CE&SPOOL ( I TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER $ TOTAL FEE UTILITY CO.NOTIFIED FINAL o.o. li to-al 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO— _ ROUGH (_ FIXTURES I COMPLETE RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL I I SEPTIC TANK j. FIRST INSPECTION GAS MISCELLANEOUS �• _ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY (- JOB _NAMEl ( i' i I I ADDRESS m ADDRESS t'- J o' LOCALITY .'.I CITY (� (� NEAREST a, TEL. No. CROSS ST. COUNTY 1 A CERT.NO. I VII M EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ADDRESS _- NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. InF W - _I OWNER CORRECTIONS � J F" [ Ah lw�pjdIjl�'l SOUTH I_I Q Z DESCRIPTION OF WORK --BATH TUB FURNACE 0 SHOWER ______DISHWASHER _ —_LAVATORY REFRIGERATOR — KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP — SLOP SINK --_FLOOR DRAIN WASH TRAY ______URINAL APPROVALS —J WATER CLOSET .._DRINKING FOUNTAIN _ DATE INSPECTOR'S NAME I _WATER HEATER ____DENTAL LAVATORY ROUGH PLUMBING METER GAS ___.__SODA FOUNTAIN GAS PIPING 61y 1i�+ D 16�4 � + OUTL GAS VENT CESSPOOL _TOTAL NUMBER OF FIXTURES I SEPTIC TANK __CESSPOOL SEPTIC TANK SEWER - ! $ UTILITY CO. NOTIFIED I TOTAL FEE I I_ FINAL D.B.17 8.41 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING OF LOS ANGELES WM, J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. ROUGH FIXTURES COMPLETE / RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL -I SEPTIC TANK FIRST INSPECTION i- GAS MISCELLANEOUS i )APPLICANT FILL IN HEAVILY OUTLINEDD PORTION ONLY JOB E NAME ADDRESS �d 9 (3C'Q_ VV V D d M ADDRESS 3 / R- V LOCALITY e IL CITY de- /y TEL.N CROSS ST. v i9 COUNTY 1 t' CERT.No. EXPIRES �- ? t,, W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAIL DDRESS R4,9 v-c— NORTH NORTH O �„�+^(1� CIT P .r (3 ',. EL.No. IAM THE LEGAL POSSESS OF THF/ ABOVE LOS T ANGELES COUNTY CERT_!F ,F Q A1/ TION. P LUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. F W S i OWNER i CORRECTIONS SOUTH a DESCRIPTION OF WORK — a BATH TUB FURNACE 0 SHOWER _DISHWASHER - LAVATORY REFRIGERATOR - KITCHEN SINK WATER SOFTENER - FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN lnw--WASH TRAY URINAL APPROVALS ( WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME ATER HEATER DENTAL LAVATORY ROUGH PLUMBING i METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT 3 l CESSPOOL i L_TOTAL NUMBER OF FIXTURES / SEPTIC TANK SEWER CESSPOOL SEPTIC TANK $ UTILITY CO. NOTIFIED L/ TOTAL FEE FINAL � -/9 D.o. r, 10-41 26M APPLICATION FOR PERMIT DEPARTMENT ' BUILDING AND SAN,�;'Y PLUMBING COUIG'I'1' 0� LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP i ZONE PERMIT NO _ T ROUGH FIXTURES I � COMPLETE RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL I--I SEPTIC TANK FIRST INSPECTION Cy GAS I MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS W m ADDRESS f LOCALITY ^1 CITYTEL.No. NEAREST 0. CROSS ST. COUNTY CERT. No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOI, zMAIL 3 ADDRESS --- _ NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. F N W 3 OWNER 1 CORRECTIONS SOUTH Q — Z DESCRIPTION OF WORK --_BATH TUB FURNACE — Q SHOWER __—DISHWASHER _LAVATORY _REFRIGERATOR — KITCHEN SINK —WATER SOFTENER — — FLOOR SINK SAND TRAP _SLOP SINK _FLOOR DRAIN WASH TRAY __URINAL APPROVALS WATER CLOSET _DRINKING FOUNTAIN _ DATE INSPECTOR'S N M[ _WATER HEATER _______DENTAL LAVATORY �— L ROUGH PLUMBING _METER GAS ___ AODA FOUNTAIN GAS PIPING OUTL �, 2— _ 4 GAS VENT ��..� CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK .__CESSPOOL SEPTIC TANK SEWER - $ UTILITY CO. NOTIFIED -�— I TOTAL FEE �� FIMAL D.B. 17 10-41 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER l� NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO ROUGH FIXTURES I_ COMPLETE I_ CESSPOOL I RECEIVED BY READY FOR DATE ISSUED HEATER SEPTIC TANK FIRST INSPECTION ! GAS MISCELLANEOUS L NT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME I. ' C- ADDRESS a m ADDRESS-, Swj �-V LOCALITY NEARESTf LL CITY TEL.NO. Le v_�rl CROSS ST. COUNTY / _3!- CERT.NO. P EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS NORTH CITY TEL.No. I AM THE LEGAL POS OR OF THE ABOVE OS ANGELES COUNTY CERTI F QUALIFICATION. Ir PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 1- OI 3 1 OWNER CORRECTIONS - J SOUTH Q — Z DESCRIPTION OF WORK 2 BATH TUB FURNACE O SHOWER DISHWASHER - _LAVATORY REFRIGERATOR - KITCHEN SINK WATER SOFTENER FLOOR SINK _ SAND TRAP - _SLOP SINK ---- FLOOR DRAIN WASH TRAY ------URINAL APPROVALS WATER CLOSET ---.—DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS S A FOUNTAIN d GAS PIPING OUTL GAS VENT ��. CESSPOOL _ TOTAL NUMBER OF FIXTURES I O SEPTIC TANK SEWER CESSPOOL SEPTIC TANK — / _UTILITY CO. NOTIFIED I TOTAL FEE I FINAL U.o. ii 10-41 25M DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP 7O!,NE PERMIT NO ROUGH FIXTURES COMPLETE - HEATERRECEIVED BY READY FOR DATE ISSUED CESSPOOL I SEPTIC TANK - FIRST INSPECTION GAS MISCELLANEOUS ' ■ APP CANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME ! JOB C ADDRESS W El ADDRESS f LOCALITY O y CITY (- k:.t0 TEL.No. . CROSS ST. NEAREST COUNTY ) - d t , I 1 CERT.No. 3 �. EXPIRES �,� m NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAIL DDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. F m W D 3 OWNER CORRECTIONS -I J SOUTH Q z DESCRIPTION OF WORK - 0 BATH TUBii FURNACE O SHOWER DISHWASHER — LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK _FLOOR DRAIN - 2 WASH TRAY ____URINAL APPROVALS ^ WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER-�_—GAS —__SODA FOUNTAIN GAS PIPING OUTL GAS VENT .,"l—2,o CESSPOOL _TOTAL NUMBER OF FIXTURES SEPTIC TANK —CESSPOOL—S;EPTI C TANK SEWER S UTILITY CO. NOTIFIED TOTAL FEE FINAL D.B. 17 0-41 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO ROUGH I— FIXTURES 1-1 COMPLETE -- RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL i SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS % APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY / JOB CC -NAME / ` `I a T zf ADDRESS � r �p� 40 a ad ADDRESS 3 ,Q ✓ N't v LOCALITY 7 � a _CITY ,r' 1 TEL.No. CROSSNEAREST T. COUNTY _ CERT.No. EXPIRES w NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z3 AMAIL DDRESS NORTH O I CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. F N 3 Q OWNER 1 CORRECTIONS — J SOUTH Q DESCRIPTION OF WORK — c� BATH TUB FURNACE SHOWER _DISHWASHER _LAVATORY REFRIGERATOR — KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP — _SLOP SINK _FLOOR DRAIN WASH TRAY _..—___URINAL APPROVALS --WATER CLOSET _ _DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER —__DENTAL LAVATORY ROUGH PLUMBING METER GAS ___ SODA FOUNTAIN GAS PIPING OUTL — GAS VENT --��-/�-�— ..�� CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK SEWER CESSPOOL SEPTIC TANK $ UTILITY CO. NOTIFIED TOTAL FEE FINAL D.o. 17 iU-4i 25M APPLICATION FOR PERMIT DEPARTMENT.O]F BUILDING AND SAFETY �� COUNTY OF LOS ANGELES L M N� WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP I ZONE PERMIT NO ROUGH FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL --I SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS ` W m ADDRESS LOCALITY NEAREST LL CITY TEL.NO. CROSS ST. COUNTY' . CERT.No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. F 01 W 0 OWNER 3 1 CORRECTIONS SOUTH Q — Z DESCRIPTION OF WORK - BATH TUB FURNACE O SHOWER DISHWASHER — --LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY _URINAL APPROVALS WATER CLOSET --DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS — SODA FOUNTAIN GAS PIPING OUTL — GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES I SEPTIC TANK SEWER CESSPOOL—SE PTICTANK E UTILITY CO. NOTIFIED TOTAL FEE I FINAL ILDINC;,ANI) SAFETY APPLICATION FOR PERMIT OF LOS ANGELES PLUMBING . .J. FOX, CHIEF ENGINEER TURE OF INSTALLATION DISTRICT NO GROUT ZONE I PERMIT NO t ROUGH I_ FIXTURES I_ COMPLETE RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL I I SEPTIC TANK FIRST INSPECTION GAS I MISCELLANEOUS ��' �- } APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB w NAME ADDRESS".,'-) &1 W ADDRESS f LOCALITY D JCITY TEL.No. NEAREST 9L CROSS ST. COUNTY CERT. No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL s AMAIL DDRESS NORTH 0 CITY TEL.No. IAM THE LEGAL POS$ESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF -jDF PUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. F- N [� W v -- Z OWNER -1 CORRECTIONS J SOUTH _I Q Z DESCRIPTION OF WORK c� BATH TUB FURNACE SHOWER ._______DISHWASHER — --_LAVATORY REFRIGERATOR =I KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP —I _SLOP SINK —___FLOOR DRAIN -. WASH TRAY ___.__URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME —WATER HEATER DENTAL LAVATORY ROUGH PLUMBING "�- METER GAS _ SODA FOUNTAIN GAS PIPING OUTL ---- GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES I SEPTIC TANK —_CESSPOOL SEPTIC TANK SEWER – i $ UTILITY CO. NOTIFIED f TOTAL FEE FINAL I O.B.17 8.41 23M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. OG ZONE PERMIT NO ROUGH i� PLUMBING FIXTURES COMPLETE �J RECEIVED BY READY FO DATE ISSU HEATER CESSPOOL SEPTIC TANK FIRST INSPEfCTII'_N GAS /- ".. �.i-. '• €' /���. MISCELLANEOUS - APPLICANT FILL ,IN HEAVILY OUTLINEDD PORTION N ` K I NAME 0, i -I P ADDRESS �✓ W n` ADDRESS � LOCALITY i j CITY NEAREST 6 i►'"*`"-<.`. �iE'. CROSS ST. -_.t�4_.. COUNTY CERT.No. EXPIRES d' NAME ki LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAIL DDRESS NORTH 0 CITY TEL.No. IF AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. H N ISI W Y OWNER CORRECTIONS SOUTH _ J DESCRIPTION OF WORK z BATH TUB FURNACE a SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER — - FLOOR SINK SAND TRAP –SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL & TOTAL NUMBER OF FIXTURES SEPTIC TANK /�. CESSPOOI SEPTIC TANK v a+ SEWER (s UTILITY CO. NOTIFIED TOTAL FEE FINAL D. B. 17 7-40 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GFZDLJP i ZONE PERMIT No. PLUMBING FIXTURES I COMPLETE fp. /e r ✓� RECEIVED BY READY'FOR DA •E S' SSUED HEATER CESSPOOL ASEPTIC TANK ,. FIRST INSPECTION ,n GAS MISCELLANEOUS �•' 7 e: l I /; `r iE ,�j APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JLj �e -y NAME S. . / 1+� ADDRESSOB , {. 'f` .t zD ni— W ' m ADDRESS c 1. LOCALITY f NEAREST J h CITY 4t,,kU T. 6t TEL No. CROSS ST. C.^ COUNTY CERT. NO. EXPIRES W NAME A LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADIL DRESS NORTH CITY TEL No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATFomGWQUALIFICATI0 bwww r LUMBER - 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. N 3 1 w CORRECTIONS OWNER SOUTH DESCRIPTION OF WORK a z BATH TUB -FURNACE SHOWER DISHWASHER - O _LAVATORY REFRIGERATOR KITCHEN SINK -WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME_ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK _—J—CESSPOOL SEPTIC TANK SEWER UTILITY CO. NOTIFIED TOTAL FEE FINAL r — O. S. 17 4-40 10M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATUREPP INSTALLATION DISTRICT NO. GROUP /ZONE ERMIT o. ROUGH / )_3 PLUMBING FIXTURES COMPLETE RECEIV BY READY FOR DAT MOVED HEATER CESSPOOL ASEPTIC TANK i•� FIRST INSPECTION / l GAS MISCELLANEOUS V/t ` APPLICANT FILL IN HEAVILY OUTLINED P RTION ONLY JOB ? �C NAME k F._ - r� r ADDRESS 3 40 ADDRESS LOCALITY /l NEAREST a -CITY _ 1P�'�( tJ�� TEL No. CROSS ST. _ COU N CERT.TY NAME NO. /G I EXPIRESy.�yl^ wZ MAIL LOCATION OF SEPTIC TANK, OR CESSPOOL O ADDRESS NORTH TEL No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF[C"�kTE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED j ABOVE. W y OWNER e CORRECTIONS v SOUTH r J • , DESCRIPTION OF WORK BATH TUB __FURNACE I Iv SHOWER _DISHWASHER LAVATORY _- REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER__�LGAS SODA FOUNTAIN GAS PIPING OUTL 2 Vim- i G' GAS VENT � CESSPOOL TOTAL NUMBER OF FIXTURES —� �u � SEPTIC TANK CESSPOOL SEPTIC TANK SEWER $ UTILITY CO. NOTIFIED 1 TOTAL FEE I / FINAL I O. B. 17 7-40 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY "LUMBImG COUNTY OF LOS ANGELES jr WM. J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE ( PERMIT No. NATURE OF INSTALLATION r _. ROUGH �. 1 ,�,,,..- I 1 PLUMBING FIXTURES COMPLETi ECE D READY FOR DATE ISSUED HEATER CESSPOOL iSEPTIC TANK i FIRST INSPECTION �.� GAS MISCELLANEOUS ' i L+"tiI '' APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY aNAME. A. ADDRESS W 00 ADDRESS ( ' LOCALITY Le f f NEAREST a CITY TEL No. CROSS ST. COUNTY `� A CERT. NO. EXPIRES W I NAME I/ LOCATION OF SEPTIC TANK, OR CESSPOOLO AMAIL DDRESS NORTH CITY - t TEL No. t AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATIONT ter, ! i � PLUMBER ._. 1 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED II ABOVE. W h — i OWNER CORRECTIONS i SOUTH DESCRIPTION OF WORK a z __—BATH TUB – FURNACE SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TI-- TOTAL NUMBER OF FIXTURES SEPTIC TANK I CESSPOOL— SEPTIC TANK SEWER IS rte_ UTILITY CO. NOTIFIED r/ TOTAL FEE I / FINAL D. B. 17 4-40 IoM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONA PERMIT . ROUGH PLUMBING FIXTURES I COMPLETE RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL ASEPTIC TANK n FIRST INSPECTION GAS S� MISCELLANEOUS cq'`i R tel? i APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB <73 .._.jj _ It NAME _ r s / ADDRESS ., 3 ! W �', +►.,.,.+ t7 ADDRESS / CA) LOCALITY JK/' f / NEAREST n. CITY �4M AA- , a TEL No. '3 CROSS ST. COUCER NTN O. ,` / ll EXPIRES� 2 '� � m NAME Z MAIL LOCATION OF SEPTIC TANK, OR CESSPOOL O ADDRESS NORTH CITY TEL No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF T F ALIFICATION. X22 �� 1 PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. N j 1 OWNER 7 ] CORRECTIONS 4 I SOUTH DESCRIPTION OF WORK Z —_BATH Tue —FURNACE __._ SHOWER —DISHWASHER _—LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP _TTSLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATERH TER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FO NTA Nr GAS PIPING AA OUTL (f 1 GAS VENT CESSPOOL _TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER $ it UTILITYCO. NOTIFIED TOTAL FEE I FINAL 1 " > 1- "' D. B. 17 4-39 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT /-No. ROUGH --- - ..+-.. � 4G.a'tP t PLUMBING I FIXTURES , I COMPLETE ` - READY FOR RECEIVED BY DATE ISSUED. HEATER r ! CESSPOOL (SEPTIC TANK ✓ FIRST INSPECTION 7h- _GAS I MISCELLANEOUS r�� _zA✓") APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME f• ' ADDRESS ,. w W 1 III ADDRESS LOCALITY 1 f + N EAR EST .�y 1 -1 CITY .- _:. ��" 'I l / TEL No. CROSS ST. COUNTY REG. NO. EXPIRES W NAME - - LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL O ADDRESS NORTH CITY TEL No. CORRECTIONS F- m B N W 'I 3 ..I Q Z (7 0 SOUTH DESCRIPTION OF WORK BATH TUB FURNACE SHOWER —_ DISHWASHER APPROVALS LAVATORY REFRIGERATOR DATE INSPECTORS NAME KITCHEN SINK WATER SOFTENER ROUGH PLUMBING FLOOR SINK SAND TRAP GAS PIPING SLOP SINK —FLOOR DRAIN GAS VENT WASH TRAY URINAL CESSPOOL WATER CLOSET —DRINKING FOUNTAIN SEPTIC TANK _WATER HEATER _—DENTAL LAVATORY SEWER METER GAS SODA FOUNTAIN UTILITY CO. NOTIFIED OUTL FINAL I AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES COUNTY REGISTRATION NUMBER.,. T TAL NUMBER OF FIXTURES ..___.___.._._. .. SEPTIC TANK PLUMBER .CESSPOOL 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED I �-------- ABOVE. TOTAL FEE OWNER D5 77 7-98 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATION I DISTRICT No. � GROUP I PERMIT No. RUGH _ PLUMBING FIXTURES-- I COMPLETE 7 READY FOR RECEIVED BY ~� DATEISSUED _ HEATER _ C[SSPOOL BEPTICTANKI_�FIRST INSPECTION OAR 1 MISCELLANEOUS APPLIC T FILL IN HEAVILY OUTLINED PORTION ONLY i COs _ K NAME \ 1 ADDRESS _ T ADDRESS �� / (�JQ� _ LOCALITY CITY `` REST�"'� ..�-�Lt TEL. NO. a CROSS ST. STATEi j(�f C COUNTY LICHNSE NO. ! (p P✓ REG. NO. X NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z I MAIL - 3 ADDRESS _ NORTH 0 -- CIT! TEL NO. CORRECTIONS { I I � J Q I I � O I SOUTH —_ DESCRIPTION OF WORK _ __BATH TUB FURNACE APPROVALS gHOWER DISHWASHER DATX INSPOCTOR'S NAME _ --LAVATORY __—REFRIGERATOR ROUGH PLUMBING _ KITCHEN SINK _WATER SOFTENRR � GAS PIPING >Ll) FLOOR SINK ___BAND TRAP _GAS VENT _ .._SLOP SINK FLOOR DRAIN CESSPOOL WASH TRAY URINAL SEPTIC TANK _ ._WATER CLOSET _—.____DRINKING FOUNTAIN SEWER _ WATER HEATER ---- DENTAL LAVATORY UTILITY CO. NOTIFIED _ _..— METER OUTL 6GAS ---SODA FOUNTAIN FINAL ' _-Z ------- 1 AM THE LEGAL OWNER OF THE ABOVE LOANGELES COUNTY REGISTRATION NU TOTAL NUMBER OF FIXTURNG— SEPTIC TANK PLUMBER --1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED _CESSPOOL ABOVE. Iq TOTAL- FEE i OWNER DB 17 7-30 25M DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATION DISTRICT NO. 'G^/�R�/OUP ! N/o/. LPE`RMM`IT No. PROUGH LUMBING I_ FIXTURE6 ^, COMPLETE �` �- READY FOR REC1V D DAZE 1 D HEATER i "CESSPOOL EPTIC TANGS_ FIRST INSPECTION 1),!� OAS I MISCELLANEOUS , ! "• / APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB !' NAME � C � ADDRESS E ® ADDRESS fi _ LOCALITY_ NEAREST .J C!TY`�.F,.f3.---�L-/t TEL. NO. CROSS CROSS ST. . 6 STATE COUNTY LICENSE NO. - REG. NO. - K ( NAME -- W LOCATION OF SEPTIC TANK, OR CESSPOO o I ADDRESS NORTH s ---- ----- CITY TEL NO.t��� C5RRECTIONS I m I h I —� J Z 0 SOUTH-- - DESCRIPTION OF WORK I MATH TUB ---FURNACE APPROVALS HOWER _._.____DISHWASHER P-.. DATE INSPECTOR'S NAME -LAVATORY -__REFRIGERATOR ROUGH PLUMBING _-KITCHEN BINK ____-__WATER SOFTENER GAS PIPING ><LOOR SINK ---__SAND TRAP GAS VENT _SLOP SINK _.____._FLOOR DRAIN CESSPOOL __WASH TRAY URINAL SEPTIC TANK _WATER CLOSET ---_DRINKING FOUNTAIN SEWER WATER HEATER _ DENTAL LAVATORY UTILITY CO. NOTIFIED METER j OUTLAS --.--SODA FOUNTAIN FINAL -- ---- 1 AM THE LEGAL OWNER OF fo ABOVE LOS ANGELES COUNTY REGISTRATION NUMBER. TOTAL NUMBER OF FIXTURES P '` --- ---SEPTIC TANK `J _ 'AT71�'hIE LEGAL OWNER OF THEE PROPERTY DESCRIBED i --___.CESSPOOL _ r. ABOVE. TOTAL FEE OWNER DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATION DISTRICT No. GROUP ! �PPEERMIT N ROUGH ( ` o � PLUMBING I FIXTURES COMPLETE III READY FOR ECEIVE� BY D 188 _ U HEATER � CESSPOOL SEPTIC TANK__ FIRST INSPECTION F«� IV/ s I � .� (/ _ GAB I MISCELLANEOUS 1/ (/ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY t : _ JOB �. NAME ADDRESS �3 - 6 -- — W ��11 m ADDRESS '� V( � LOCALITY_ C IL CITY if TEL. NO.� �S� Tj CROSS ST. STATE COUNTY LICENSE NO. REG. NO. W NAME l''( LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL O _ ADDRESS NORTH - i CITY TEL NO. CORRECTIONS z I a SOUTH DESCRIPTION OF WORK BATH TUB FURNACE APPROVALS SHOWER DISHWASHER DATE INSPECTOR'$ NAME LAVATORY REFRIGERATOR ROUGH PLUMBING - KITCHEN SINK WATER SOFTENER GAS PIPING _ FLOOR SINK RAND TRAP GAS VENT SLOP BINK —_ FLOOR DRAIN p CESSPOOL 1{ WASH TRAY URINAL SEPTIC TANK <] WATER CLOSET —DRINKING FOUNTAIN I---r-- SEWER WATER HEATER DENTAL LAVATORY UTILITY CO. NOTIFIED METER GAS —SODA FOUNTAIN OUTLFINAL IAM THE LEGAL OW ER OF E THABOVE LOS ANGELES COUNTY REGISTRATION.NUMBER. 1 r TOTAL NUMBER OF FIXTURES_—_— i — ✓ l " " PLUMBER SEPTIC TANK — y— 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED `.____l—CESSPOOL _T/ BOVE. TOTAL FEE I , OWNER DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATION DISTRLgj_NO. GROUP N PERMIT No. . ROUGH PLUMBIHEATER FIXTURES QPMPLETE CESSPOOL SEPTICTANKA b` READY FOR R7Q ,7 E Y DAT I88 EDS'; FIRST INSPECTIONS V GAS MISCELLANEOUS ! -3 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME JOB ADDRESS MI ILI In ADDRESS O LOCALITY42 ond NEAREST IL CITY ale C .F TEL.NO. CROSS ST. STATE COUNTY / ' LICENSE NO. REG. NO. W r NAME � !e � //-/Nc Z MAIL 'w n LOCATION OF SEPTIC TANK, OR CESSPOOL3 ADDRESS S ,p NORTH --- - - CITY sw pt, jo TEL.NO. CORRECTIONS m w a O ai Z D r SOUTH DESCRIPTION OF WORK TUB _._ FURNACE APPROVALS __._-_SHOWER --- DISHWASHER DATE INSPECTOR'S NAME .-_LAVATORY _ - REFRIGERATOR ROUGH PLUMBING KITCHEN SINK WATER SOFTENER GAS PIPING _ _ _-FLOOR SINK -SAND TRAP GAS VENT SLOP SINK _. FLOOR DRAIN CESSPOOL _ -_-_WASH TRAY ----URINAL z /l+R. -. ___.__WATER CLOSET _.— DRINKING FOUNTAIN SEPTIC TANK - SEWER _.._._-WATER HEATER --DENTAL LAVATORY UTILITY CO. NOTIFIED ._METER GAS OUTL SODA FOUNTAIN FINAL G - - I AM THE L OWNER OF THZABOVE OSAN ELES COUNTY REGISTRATI ,ER TOTAL NUMBER OF FIXTURES _ -/—SEPTIC TANK _ 1 AM THE LEGAL OWNER OF THE HE PR PROIyERTY DESCRIBED CESSPOOL ABOVE. IPERMIT FEE TOTAL FEE OWNER DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATION DISTRICT NO. GROUP No. PERMIT No. . ... j� ROUGH PLUMBING !` FIXTURES � COMPLETE • v FIRj // HEATER CESSPOOL SEPTICTANK READY FOR RECEIVED' Y � Uqb ST INSPECTION ( � GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY / JOB y - NAME I L.� // �y ,(/� ADDRESS / r L�C U ADDRESS 1�j �/'1 L I (rN JF/Y D� % _ LOCALITY �( /�l'Q �` V(' NEAREST /� a EIV/Y( / 4 G TEL.NO.`^M< Q • & CROSS ST. F�/Q�'t I STATE COUNTY LICENSE NO. REG. NO. aJ / W NAMEMAIL LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS r ----------NORTH -- - ---NORTH ---� CITY �-� .�, h r/•': 6,4 `��.'` TEL.NO. CORRECTIONS H m w D 3Ni O Z D r I SOUTH DESCRIPTION OF WORK Z –BATH TUB FURNACE APPROVALS -. -3--SHOWER DISHWASHER DATE INSPECTOR'S NAME _._LAVATORY REFRIGERATOR ROUGH PLUMBING _ /—KITCHEN SINK WATER SOFTENER GAS PIPING ' - _. FLOOR SINK LAND TRAP ' GAS VENT �--SLOP SINK —FLOOR DRAIN CESSPOOL --. WASH TRAY URINAL i--WATER CLOSET —DRINKING FOUNTAIN SEPTIC TANK SEWER WATERAOUTL TER DENTAL LAVATORY UTILITY CO.NOTIFIED GAS SODA FOUNTAIN FINAL -_----- 1 AM THE LEGAL OWNER OF HE ABOVE LOS ANGELES COUNTY REGISTR; Ta ON UMBE ,. TOTAL NUMBER OF FIXTURE^ L� # /[/'Y(f –SEPTIC TANK F I AM THE L A W Y ESCRIBED CESSPOOL ABOVE. IPERMIT FEE 1 OU TOTAL FEE r OWNER WORKER.°,�O PENSATION DECLARA'T'ION rswss�A °�y, it ' T.hap : certificate of Nnshot to self (1-8e) APPLfCATIO FOR �L B Ih1G PERMIT , in-0, or�� fiesta of Workers'Cotopensation In/urance,or ■certitled copy thereof(Sec.3!100 b.C. u COUNTY OF LOS ANGELES BUILDING AND SAFETY . Policy No� CCgmp Lr. Cettlfled copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT b TYPE) BUILDING Al:)D R EBB 0-15�fflod,copt is filed with the unty building inspection NUMBER FIXTUFIE OR ITEM f6p t. LOC,QLLTY Date Applicant f WATER CLOSET NEAREST BATH TUB CPIQSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNS . 1This aection need. not be �le�t.ed if the wort[ tavotred LAVATORY MAIL by the.permit tl for one fi� doUm ($100) oC len.) CITY Q SINK CITY (� TE7,.NO i certify that in the performance of the work for which this DISHWASHER pelma Is issued,.I shall not employ "y person m any manner CONTRACtO _ 0 so as to become iubiect to the Workers' Compensation Laves. CLOTHES WAt3HER ACSDpE$8 Date_Applicant � SWIMMING POOL RECEPTOR lis -NO' ICE'I'O APPLICANT:,If, after malting this Certificate of CITY TEL.NO Exemption,, you 'should become subject to th¢ Workers' LAWN SPRINKLER SYSTEM STATE LIC, Z Compensation proyidon; of the Labor Codd, you mpst forth_.- with comply with such provisions or Yhlfi petmtt at1a11 be WATER HEATER LICENSE NO. deemed revoked. Gp$SY8TEM OUTLETS DISTR Ct NO, O SSI=D BY LICEi4SEDCONTRACTCRS DECLARATION OUTLETSOV(=R I hereby effEcm That I am licensed under provtsjogs of Chapter 15 P R BYSTE 9 (commencing with Section 7000) of D*Ision � of the Buri- FINAL nesa end ProfeafrTons Code,-and my license Is In Pull force and DATE Z�ef C? VALIDATION e tie Ft. FINAL License Number� Lie.Claes BY Contractor Date I am exempt irom the licensing requtrainents as I am a PIphCheck fee licensed architect or a registered professional engineer PLUMB]N(3PERMIT I$SULNG FEES /2001) ectigk in my professional capacity (Section 7051, Bus- in"s and Professions Code). TOTAL EEE Lie.or RqI;.No. Data Plan chock applicant HOME QWNER-BUILDEIT DECLARATIQN Name I hereby adirm that I am exempt from the Contractor's Ad draw License Law for the following reason ($actign.703'1.5, Buri- Cm ToL No, neo anis!Profeasions.Code): .1, as owner of the proper{y, am excludrety contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code). CONSTRUCTION i.ENDING AGENCY 1926.A I hereby affirm that there Is a construction lending agency # o o•0 0 0 5 for the perfotmance of Fhe work. for Which this permit Is issued(Sec.3097,Civ.C.). 2'-10 u'0 1 000 I,ender's Name Lender's Address o o c 1 Q Q Q 6 I certify that I have read this application and state that the 0 a 2 8`'8 0 above information Is correct.I agree to comply with all County or es.and ,State leges regulating PlumbipQ, and hereby SEE REVBRSE FOR EXPLANATORY LANGUAGE h tfves of this County to enter upon the bora do opertv for inspectlo 0 Date �-y i 1pes"COMPENSATION DECLARATION DP V% APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self In- 76.�667A sure,nr a certificate of Workeri Compensatlon Insurance,or a certified copy thereof (Sec-3800, Lob. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Polley No. Company ❑ Certified copy Is hereby furnished. FOR APPLJCAM TO RLL IN(PRINT OR TYPE) ��� department. copy Is fl led with the county building Inspection ��� FlXITJRE TTdN ADDRESS �O rr pa LOCALITY Date �y�3�/ LVAppIIcont wArsz CLOSET t1otLEr) NST CERTIFICATE OF EXEMPTION FROM WO BATH TDB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER w sz (TSIs s*ctlon need not be completed if the work Imrohred by MAIL the permit h for one hundred dollars(;100)or lets.) LAVATORY ADDRESS I certify that In the.performance of the work for which this per- �j mot Is Issued, I shall not employ any person In arty monnar so SNY CJTY "A C, TE1- NO. /b as to become subject to the Workers'Compensation Laves. DIST-IWA5 ER r CONTRACTOR N !4+ Date. Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADS POOL low emption,you should become subject to the Workers'Compen- SWIhAMING TEL NO satlon provisions of the Labor Code,you must forthwith comp' LAWN SPPJN?a.R SYSTEMS- C'ry ly with such provisions or this permit shall be deemed revok- STATE LIC ed. WATER HEATER LiaNsE NO. CfxT q 7C1r55 LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSffi BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS !' 9(commencing with Section 7000)of Division 3 of the Business OU LM OVER P d and Professlons Code, and my license Is In full force ar>d af- S PER SYSTEM FINAL VkUDATION fect. HOSE BIB DATE _ License Number S 9 ZQ Llc. Class 16 M. oQ-�3` J FINAL V Contractor AA C L to - BY a 0 I am exempt under Sec. . a U B.BP.C_ for this reason Plan check fee 4f oil.Date: PLUMBING PERMIT ISSUING FIE$ b D Signature TOTAL FEE T D a fiC:�:T. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant 133 r-y� I hereby affirm that I am exempt from the Controctor's License Name 1 ITGI F7 Low for the following reason (Section 7031.5, Business and Professions Code): Address TOTAL- 208 80 ❑ I, as owner of the property, will-do the work and the CfTY Tel. structure Is not Intended or offered for sale(Section 7044,' Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for 1 ? l+j the pefformance of the work for which this permit Is Issued (Sec. 3097, Cly. C.). 413K 1 AM 10:45 Lender's Name Lgnder's Address I certify that I have read this appilcatlon and state that the ► above Information Is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned pr f Ion purposes. of J;^ 9 y SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Data T WORKERS'COMPENSATIQN DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 40-0046 DPW 8/87 Insure, or b certificate of Workers' Compensation Insurance, 75A867A of a certified copy thereof (Sec. Lab. C.) COUNTY OF LOS ANGELES - DEPT. OF PUBLIC WORKS Policy No.—Compon Certified copy Is hereby furnished. //'-2 7'1;� ❑ FOR ArPLIC'ANT To Flu IN(PRINT OR TYPE) ADDRESS Certified copy Is filed with the county building Inspec- NUAA8 tion/d�yepartment. 82 FIXTURE OR ITEMO FEE LAY Date !�—a AppIIgont WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WC6MRS1 BATH TUB CROSS ST' COMPENSATION INSURANCE &40WER OWNER (This section need not be completed If tfse work Imrofved by _ the permlt Is for one hundred dollars ($106)or len.) LAVATORY A RESS sr.o« I certify that In the performance of the work for which this permit Is Issued, I shall not employ arty Person In arty manner S4NX CITYrSA C( AFX A/Q to as to become subject to the Workers Compensation Laws. DL%HWA,SEIER OR ra s la:• Date AT,pllcant aDTHES WASE NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS $ k re fi S N'' J Exemption, you should become subject to the Worken' SWIMMING POOL RECEPTOR CIYTg p,� p Compensation provisions of the Labor Code, you must forth- LAWN SPRNI)WR SYSTEM s N /� a 7t• 7 with comply with such provisions or this permit shall be STATE LIC deemed revoked. WATER HEATER LCENSE NO. CLASS LICENSED CONTRACTORS DECLARAT}ON DO NO.I hereby afffrrrrthat I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS CI D- (commencing with Sectlon 7000) of Division 3 of the Business OUTLETS and Professions Cadet,and my license Is in full fprce and effect. S PER SYSTEM FINAL VALID TION License NumberSSZ-172ly Lk Class SO DATE r s 0(9 FINAL Contractor BY a ❑ I am exempt under Sec. BAP.C. for this reason ff-f8 43' �(, Plan check fee Date: PLUMBINb PERMITISSUING FIE; signature TOTAL FEE AV Plan check applicant T � SINGLE FAMILY 1 HOME OWNER-BUILDER DECLARATION Name 142' _ 75, 1 hereby affirm that I am exempt from the Contractor's License Law for t1Te follawlnq reason (Section 7031.5, Business 71 anti '--=-�. i Tom+ i Professions Code): city Tel. No. ofi ❑ I, as owner of the property, will do the work and the structure Is not Intended or offered fa{ sale (Section 7044, business and Professions Coded CONSTRUCT}ON LENDING AGENCYiAIM � I he+ rm that there Is a construction lending agency for -- - 7. the performance of the work for which this permit Is issued (Sec. 3097, Civ, C} Lenders Name Lenders Address I certify that I have read this application and state that the ► above Information Is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize repretentatives of this County to enter upon the above-mentionedfor Inspectlon purposes. fB! R!<NBRf6 FOR EXPLANATORY LJ►WGLJAQi �4 -e-9)- Signature of Par-mlAe Date i - COLMTY OF LOS ANGELES TEMPLE CITY 0 Q508 G Y DEPARTMENT OF PLQLIC WOM 9071 LAS TL A8 N-P6-0508- BIJILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 255-0488 EXT: LEGAL FEES PAID BUIPPG_ADDRESS;� BIC: 94 � PG: 46 PC: 2 522 FEE DESCRIPTION: OUJIIITITY: LXM: AM"T: NEAREST CROSS STREET: -015-039 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Iia LOCALITY: TEMPLE CITY TMONT 45 WATER CLOSETARINAL 161.00 FIX 2,632.35 TOTAL FEES 2,660.10. ISSU�D ON: PROCESSED BY: PLAN BY: WIRES . 09/1 UT /17/98OWNER: TEL. NO: FI 7 DATE F I NAL GWE: . GOLDEN STATE HEALTH CEIITER$,IMC (213) 872-2618- 13347 VENTURA BL 8H1 1914233912 REPLACEJOILETS-RETROFIT TO ULTRA LOW FLUSH TOIL( APPLICANT: -TEL. NO: CALIFORNIA WATER COM. CO. (818) 787-5588- &�LES TEL. NO: DATE INSPECTOR-SIONATLIRE CONSERVATION RETROFITTER INC. - �® 7277 HAVENHLRST LIC. NO LKDJ SLAB WORK VAN NUYS CA 91406 706798 CbWAT SERVICE . ® / \\ PLAS IC Y/N METAL Y/N LIC. NO: ,Imwimmm GAS VENT ^� p SLIC WORKS HUT tlRTER HEATER l 7 ao CO LAWN SPRINKLERF IJ \ YGAS TEST. UTILITY COMPANY WTIFIED �C, tvice � . GRAY WATER SYSTE14 + REPORT ID: DPR263 ROUTE TO: BS0508 i I11"- �°a R�t°Ihaver�fi Of�sentto .elf CK"7; WORKERS'COMhave a7TIONDECLARATION 76A667A APPLICATION.-FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self cE en (z-eo) insure, or a certificate of Workers'Compensation Insurance,or a certified cppy thereof(Sec. 3800T Lab.C.) v BUILDING AND SAFETY COUNTY OF LOS ANGELES Policy No. Company" ` ffCertified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS �.r Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE - 4epart;rlent. LOCALITY f WATER CLOSET Date Applicant NEAREST BATH TUB CROSS ST., }> CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER• fl MAIL (This section need not be completed if the work involved LAVATORY a ADDRESS by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL. NO. LL I certify that in the performance of the work for which this DISHWASHER > permit is issued, I shall not employ any person in any manner CONTRACTOR p� so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER Q ADDRESS _ tr Date Applicant SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. n' Exemption, you should become subject to the' Workers' LAWN SPRINKLER SYSTEM STATE LIC. IJJ Compensation p>ovisions of the Labor Code, you'must forth- LICENSE NO. CLASS r ~ with comply with such provisions or this permit shall be WATER HEATER deemed revoked. DISTR J NO. PROG'ESSED BY GAS SYSTEM OUTLETS it LICENSED CONTRACTORS DECLARATION OUTLETS OVER, ." - ..� I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE effect. FINAL License Number Lic.Class BY Contractor Date I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ f acting in my professional capacity (Section 7051, Bus- iness and Professions Code). i TOTAL FEE ` Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address','" License Law for the following reason (Section 7031.5, Busi- CityC Tel.No. ess and Professions Code): I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY s � r • R � by al"tyrm,'that there is a construction lending agency performance of the work for which this permit is 3 p, iec. 3097,Civ.C.). • I C)01 Name v t R • • ,� r- ddress.., hat I have read this application and state that the mation is correct.I agree to comply with all County and State laws regulating Plumbing, and hereby SEE REVERSE FOR EXPLANATORY LANGUAGE �presentatives of this County to enter upon the fined property for inspection purposes. f Permittee Date