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HomeMy Public PortalAbout10065 GREEN ST_Plumbing__ 76A667-CE817-11-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES ,DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, Count.Engineer ADDRESS OO�j LS �IP CASSATT D. GRIFFIN, Sup t of Building LOCALITY M FOR APPLICANT TO FILL IN NEAREST CROSS ST. o NUMBER FIXTURE OR ITEM WATER CLOSET OWNER MAIL BATH TUB ADDRESS S' SHOWER CITY TEL NO. LAVATORY CONTRACTOR 'sq? s 1 ` C,` SINK ADDRESS Y,c p DISHWASHER CITY c C. TEL. NO. 1417- CONTRACTOR'S %(� g CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO. G COUNTY p ` CLOTHES WASHER DISTRICT O. OUPZONE / READY FOR INSPECTION ` WATER HEATER dZ '/ f GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD l Ih APPROVALS $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FDITURE $ l UNDER SLAB WORK j PERMIT $ 00 ROUGH PLUMBING TOTAL FEEH �r'0 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED La RESIDENTIAL PROPIII E FINAL TTEROBERTA.WOOD. VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.0. CASH 7 4..7,trl n1c 5 5 A 3 .0 0 o� 76A667-CE817-11-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER s BUILDING AND SAFETY DIVISION ABUILDING DDRESS d S JOHN A. LAMBIE, County. Engineer + CASSATT D. GRIFFIN, Sup t of Building LOCALITY C C1 FOR APPLICANT TO FILL IN CRO SSST. GcJ i �� NUMBER FIXTURE OR ITEM WATER CLOSET OWNER MAIL BATH TUB ADDRESS ~ SHOWER CITY TEL. NO. LAVATORY CONTRACTOR 5 T SINK ADDRESS Cly DISHWASHER CITY C' TEL. NO. 146 y G r✓ CONTRACTOR'S v �� COSTATE UNTY LAUNDRY TUB REGISTRATION NO. CLOTHES WASHER DISTRICT NO. GROU ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD kk l APPROVALS $1.00 PER ITEM L _ DATE INSPECTOR'S SIGNATURE OR FIXTURE $ UNDER SLAB WORK PERMIT $ OO ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 TH LE OVV#E OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PE SIGNATURE FINAL OF PERMITTE ROBERTA.WOOD. ®r VALIDATION SUPERVISING MECHANICAL ENG'R CASH 76A667A CE 8171REV.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 ® I ADDRESS LOCALITY WATER CLOSET NEAREST BATH TUB CROSS ST. + T ro / SHOWER 2 J�a� OWNER 'j ` / LAVATORY a•` cv MAIL 1 ADDRESS ? ' SINK CITY TEL.NO. DISHWASHER CONTRACTOR 1 CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY ( NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SM WORK 5 PER SYSTEM ROUGH PLUMBING3 GAS PIPING C► GAS VENT L7 OC HOT WATER HEATER O PLUMBING FIXTURES V W GAS TEST N Plan check fee UTILITY CO.NOTIFIED Z PLUMBING PERMIT ISSUING FEE$ /' Z TOTAL FEE / FINAL OZ �fll�� Plan check applicant PLA CHEyK VALID�'�� Name /0 3/ Address , City Tel.No. "" O f I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ,i+•� d;,:, - 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 c+ REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO fjWDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. • e • ♦ w SIGNATURE OFPERMITTEE ^ DISTRICT NO. PROCES BY INDUSTRIAL WASTE APPROVAL D.S.S.17 25M SETS 10-47 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GlFtOUP ZONE ___""RMIT NO. ROUGH FIXTURES COMPLETE �+ T— HEATER CESSPOOLI—I SEPTIC TANK R FIRST INSPECTION CEIVED BY READY FOR DATE ISSUFPL AS MISCELLANEOUS EOUS �-��L"� '� O'� APPLIC T 11 FILL IN HEAVILY 'OUTLINED PORTION ONLY NAM :.9 JOB a ADDRESS Q ADDRESt,�!� (/ "e LOCALITY Vf IL CITY fc/� /�/i'�'T-��.F` � 'i/.U�" ! NEAREST ' IL TE_.Ika: CROSS ST. COUNTY i CERT.NEXPIRES NAME LOCATION k� LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL ? NORTH O ADDRESS.r' +- CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CER�Tr FiCATE OF QUALIFICATION. R -' PLU MBRR I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. m 3 OWNER i CORRECTIONS SOUTH W DESCRIPTION OF WORK a U_ BATH TUB FURNACE 'J EL SHOWER DISHWASHER � LAVATORY REFRIGERATOR 10_KITCHEN BINK WATER SOFTENER FLOOR SINK BAND TRAP SLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET - DRINKING FOUNTAIN DATE INSP?CT0R'9 NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING (' METER—/—GAS - aODA FOUNTAIN IF OU f/ f GAB PIPING I fs < 6A8 VENT r' CE6-3 POOL TOTAL NUMBER OF FIXTURES L/ SEPTIC TANK CESSPC01_ ftEPTICTANK SEWER S TOTAL FEE (" UTILITY CO.NOe?aILD rlNat