HomeMy Public PortalAbout6125 HART AVE_Plumbing__ PLUMBING
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY ' PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS �(.� a- S4 ,
1
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FOR APPLICANT TO FILL IN LOCALITY
BUILDING f'�� P NEAREST
ADDRESS tN t7 y, CROSS ST.
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY yy� , 1!5- _= 19—
I 1] 4-SB-
VNEAREST1
CROSS ST./^ /`� RECEIVED 13Y Ready
Ready for inspection DATEISSUED
OWNER V OY} (` /d�/`� d Yl �C�'_ a ' ' ha /
MAIL INDUSTRIAL
ADDRESS ]/�'(�' /�✓ WASTE APPROVAL
CITY " /P L TEL.No. INSPECTION RECORD.
PLUMBER // �. �� �49
ADDRESS I O O //,, / PV y��y
CITY D 39 TEL NO. D / /
/ S" 77'3 ❑STATE
LICENSE NO. 7'�f if'� n COUNTY
PERMIT FEES /vzo ��C�'.U�/.� z
.NUMEER TYPE OF FIXTURE OR ITEM FEELI
WATER CLOSET(TOILET) @ 0.80 $ Q ��,'�' GG'�" A" Ex
BATH TUB @ 0.80 9O 2�z 7- /,A-7,W/f✓.lp 44 0
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
—-KITCHEN SINK @ 0.80
i
/ LAUNDRY TUB OR TRAY @ 0.80 CS
SLOP SINK @ 0.80
OLBFLOORSINK @ 0.80 �/qq/��� �
FLOOR DRAIN @ 0.80 F 1
DISHWASHER @ 0.80 1 / /r
DRINKING FOUNTAIN @ 0.80 \
URINAL @ 0.80
GAS SYSTEM.-.. :--.....OUTLETS @ 1.00 / 00
WATER HEATER @ 1.00 O O
MISCELLANEOUS
APPROVALS
F_ n, DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORKIIZ
PERMIT $ 1 00 ROUGH PLUMBING 7�K (77K tAA i
TOTAL FEE 716 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 I 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 r
SIGNATURE , s�, i - ;, An Inn.7 //1!/l�
OF PERMITTEE..-----......-----•--- � - ( v y L,
_
FINAL
76A667 DBS 17 1/53
76A667 (CE-817)-4/72 14
APPLICATION OR PL GIBING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS �IC /
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITv !- ,
r lG
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
1.75 OWNER
WATER CLOSET MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CIT E TEL. N( /J
LAVATORY1,75 CONTRACTO e "
SINK 1,75 ADDRESS �U! C,
, 1Z
DISHWASHER 1.75C1of TEL. NO _-7� 0
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. �r CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE FROCE;SED BY
LAWN SPRINKLER SYSTEM 1.75 V 3 r�
WATER HEATER 1,75 7 INDUSTRIAL �-
WASTE APPROVALCD
a.
GAS SYSTEM OUTLETS 1.75 INSPECTI RECOR V
OUTLETS OVER
5 PER SYSTEM .30 O�
U
W
O..
N
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 REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DES C ED RESIDENTIAL RO PER TY. FINAL
SI GNATU RE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
i� � �? 2 -0, 1-0 0B 21 0 -4.75- IT
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