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APPLICATION FOR PLUMBING PERMIT
BUI;LD)NQ AND SAFETY DIVISION
HJR APPLICANT TO HLL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM O FEE ADDRESS
WATER CLOSET LOCALITY
BATH TUB NEARESTQHS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK 990 QTY TEL.NO.
DISHWASHEat CONTRACT O k
CLOTHES WASHER
ADDRESS2L o
SWIMMING POOL RECEPTOR
CITY TEL NO. Lv•
LAWN SPRINKLER SYSTEM
WATER HEATER U ACBISE NO. I r TE uLAM C p
GAS SYSTEM OUTLETS DIsma NO. GROUP JE BY
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I N DUST RIAL
WASTE APPROVAL,
iwgtcnON RECORD O
Plan check fee
PLUMBING PERMIT ISSUING FEE$ Al
TOTALFEE
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APPROVALS DATE INSPECTOR'S SFGMATURS
Name
LINDER SLAM WORK
Adder ROUGH PLUMBING
cky ToL No. GAS PIPING
I HEREMY ACKMOKLEDGI THAT I HAVE READ THm A"LICATNNI AND STATE GAS VENT
THAT THS ASM 6 CORRECT MD AGM TO CO&MY KITH ALL COUNTY ORDUTAMCES
AND STAY LAWS REGULA71149 n.UMB]W— HOT WATER HEATER
I HERESY CLATFRS
Y THAT I AY AROMMY GNRED TEAMD/OR LICSRSED AS PLUMBING I=IXTURES
REOUIRLD ST Los Amspi COUMTY Am StATM OF CALIPORNIA OR THAT I AN TFK GAS TEST
LEGAL Of,AMD IN77R�DTID SS3Di d T}$ASOVC DESCR]MED RES KATIAL
neon UTl LTTY CO.NOTIFIED
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PLAN CHECK VALIDATION CIL r.o. CASH PERMIT VALIDATION CFL bLo. CAMH
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FOR PL BING PERMIT
COUNTY AIGEIM
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p$RA4T !{ 2 00 UNDER BLAB WORK
TOTAL FEE ROUGH PLUMBING'
r 8A8 PIPING
1 HUMNY ACXMO*UUMA THAT 1 HAVU RKAD THW APPLICATION
AHD STAIN THAT THE AROVL IS COJM= AHD AIIlIQ TO COWMT GAB VENT -
TrrrH ALL COUNTY OiDD AkCp AHD STAY[ LAW 'Z%bULATDIs
PUltdhta HOT WATER HEATER
I HIMMT CMWMTY THAT I AY PROME31_Y Ila• �A■ PLU BRI
ING FIXTU #$
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IUAIJFOSHIA oAB R THAT of ASCW GTEST
dcirri>m
DaWDW UTILITY CO.NOTIFIED
SIdNATURE -
OF PAY
FINAL
A=ATlON ROBERT a WOOD
{ �,( iL 0. CASH SUPERVIS NG MECHANICAL, ErJG'R J
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D.B.S.17 25M SETB 7.47 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 N5.
ROUGH
_ FIXTURES __COMPLETE J
HEATER RECEIVED BY READY FOR
CESSPOOL SEPTIC TANK FIRST INSPECTION DATE ISSUED
GAS MISCELLANEOUS -
APPLICANT FILL IN HEAVILY'OUTLINED PORTION ONLY
JOB
E NAME ` ADDRESS
WAeG
ADDRESS - LOCALITY a
j NEAREST 1
L CITY TEL.No. CROSS ST. r._.
COUNTY
CERT.No. A EXPIRES C NAME
LOCATION OF SEPTIC TANK OR CESSPOOL z MAIL
3 ADDRESS �Z
NORTH v
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
q ABOVE. - -
W D
3
� OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
fp z
�LBATH TUB FURNACE _V`
lZ'
SHOWER DISHWASHER Q
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 I I
METER�L_GAS SODA FOUNTAIN
OUTL GAS PIPING
J
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOI SEPTIC TANK SEWER
$ I I
_�� UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
IL
D.9.8.,7 25M SETS -ate APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OFLOS ANGELES PLUMBING
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PgRMIT NO.
ROUGH FIXTURES COMPLETE /
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ti
AMISCELLANEOUS -
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
K, NAME an1� r ! v: ADDRESS
W
ADDRESS
i LOCALITY
NEAREST '
CITY TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH O ADDRESS ^
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.
u� a
3 1 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB FURNACE 2
(Y
SHOWER DISHWASHER ° p
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP
-SLOP BINK 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
I
CE88POOI SEPTIC TANK SEWER I I
3 UTILITY CO.NOTIFIED I I
TOTAL FEE `�' �-->--.,
FINAL
D.S.S.17 25M SETS 7-47 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 O.
ROUGH FIXTURES COMPLETE
HEATER I-I RECEIVED BY READY FOR DATE ISSUED
CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME ADDRESS
W
m ADDRESS LOCALITY
NEAREST
IL CITY TEL.No. CROSS ST. _
COUNTY
CERT.No. EXPIRES 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
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
dWp 'fi
CORRECTIONS
SOUTH
J
t DESCRIPTION OF WORK z
r BATH TUB FURNACE
R'
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPUCTOR'S NAME
WATER HEATER DENTAL LAVATORY I I
ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAB PIPING
GAS VENT
f� CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
-CESSPOOL------SEPTIC TANK SEWER I I
TOTAL FEE UTILITY CO.NOTIFIED I I
FINAL
76A667 OBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L U M B' N G 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO. GROUP ZONE P RMIT .
_/ 1204% 4R
PLUMBER �' �j READY FOR DATE ISSUED
oe RECEIVE�ByY�, FIRST INSPECTION
ADDRESS OX
CITYkAL y�np1 BUILDING
� EL NO VX ADDRESS
�1
COUNTY 7 LOCALITY
LICENSE N0. F Z / EXPIRES '
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. No.
SHOWER O.SO I 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
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
SI THE RESIDENTIAI(�Q`ROP�$T` D�SFRIB u^V,SE.
GAS SYSTEM OUTLETS @ 0.50 /�'vv !//I/,()
SIGNATURE OF �e 1
WATER HEATER @ 0.50 4ml PERMITTEE
SLOP SINK @ 0.513 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 ?
MISCELLANEOUS
&v A I lit A It ER o
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 . . . . . . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE C O(
FINAL
i
COUNTY OF LOS ANGEL R4 TEMPLE C= 4 0508
PLiIMBIIiC} PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508- 1012280012
BU=ZNG AND SAFETY / LAND DEVELOPMENT TEMPLE C= CA 91780
PRONE: (626) 285-0489 ETT:
LEGAL ED: FEE9 PAI BUILDING ADDRESS:
TR: 14020 LT: 27 10827 GRAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803549
ASSESSOR INFORMATION NUMBER: _ NRRMST CROSS STREET:
8574-006-005 01 PERMIT ISSUANCE FEE 27.80 THOIQS PAGE: 597 GRID: D4 LOCALITY: ATE CITY, C
47 WATER HEATER(S) 1.00 ►TTH 16.30
Tln0iqT: TOTAL FEES 44.10 ISSUED ON: PROCB<9SED BY: PLAN BY:
12/28/10 VG
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
AGUI AR, JOHN -
10827 GRAND AV rl I
TEMP 917803549 DESCRIPTION OF WORK
WATER HEATER CHANGE OUT
APPLICANT: TEL. 190:
FAST WATER HEATER COMPANY (425) 636-7084-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. 190: APPROVALS DATE INSPECTOR SIGNATURE
FAST WATER HEATER CO. (425) 636-7054-
12601 132ND AVE NE LIC. NO UNDER SLAB WORK
CTRKL ND SQA 98034 931237 C36 +
FUaTER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR E2+GIXl=2: TEL. NO:
- ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAIN BPpa:Nrr.RR.a
GAS TEST
UTILITY COMPANY NOTIF'=
CWV
WATER 37STEM
+ ADDITIONAL DATA ON FILE
REPORT ED: DPR263 ROUTE TO: BS0508