HomeMy Public PortalAbout6167 HART AVE_Plumbing__ 76A667 (cE-8.17); 5/73 �AT
A PLICION. FOR,PLUMBING PERMIT!
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER G t
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING,?
ADDRESS a garbAve. -:
HARVEY.T. BRANDT, COUNTY ENGINEER .
LOCALITY Tem le Cit+
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. Garibaldi Ave.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,'75 OWNER i H; Taylor
MAIL
BATH TUB' - - 1,75 ADDRESS Same 1'
SHOWER -1,75 CITY TEL. NO. 286- 41
LAVATORY 1,75 CONTRACTOR. Pacific Installs r8
'SINK 1.75 ADDRESS 10920 E.. Oand
DISHWASHER 1.75 CITY Temple City TEL. NO.4j2 442-707
CLOTHES WASHER 1.75 STATE LIC,
LICENSE NO. 211898.. CLASS'
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. 'GROUP rEj. F OCESS D BYLAWN SPRINKLER SYSTEM 1.75 `WATER HEATER 1.75 rl; INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 INSPECT EC ORD
OUTLETS OVER a
5 PER SYSTEM ,30 O'
h
wc
1 —
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 4j :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 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
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 AND/PR
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
REST OE IN THE ABOVE DESCRIBED REEF 5.IDENTIAL PROPERTY. FINAL
SIOF PERMITTEE rt / r�1 j�r.•1�C ic-;-1 -
PERMIT VALIDATION CK. M,O.. CASH
PLAN CHECK VALIDATION CK. M.O. CASH 4 1 4r- .lAF S 5 D 4.7 5
UL MY i
READY M
00
76AS67 DBS 17 7-51 APPLICATION FOR PERMIT
%DEPARTMENT OF BUILDING AND SAFETY ' £_
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT GROUP I ZONE6PERMIT NO.
PLUMBER -¢..,� RECEIVED BY READY FOR DATE ISSUED
/ FIRST INSPECTION
JS
ADDRESS � � � 7 �)
�0
BUILDING 7
CITY (/ � TEL.N Q ADDRESS lO�lo
COUNTY // LOCAL !
LICEN NO, ITYll 3 EXPIRES /J T
NEAREST O
PERbdIT FEES CROSS ST.
NUMBER TYPE OFF FIXTURE OR ITEM FEE OWNER XV. �• ,�
MAIL
WATER CLOSET(TOILET) 0.50 GD C�
a ADDRESS
BATH TUB 0.50 �(� CITY TEL No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 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 40 0.50 AND STATE LAW® REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS 0.50 �f/
WATER HEATER (@ 00 E /.5SIGNATURE OF WATER
PERMITT
v
SLOP SINK 0.50 IxSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0:50
DRINKING FOUWrAIN 0.50
URINAL IV 0.50 -
a
HOUSE SEWER ® 0.50
MISCELLANEOUS - E3
m
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING Ll
OAS PIPING \
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK- SEPTIC TANK
DRAIN ( ) PIT 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
1"
FINAL
I
76AGS7 17 9=49 ® APPLICATION FOR PERMIT -
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT N.O. GROUPI ZONE PERMIT NO.
PLUMBE,M. C. 1V N./TTI Y.. HAN. COO RECEIVED BY READY FOR DATE ISSUED
'p 66}} {��,t7. 1� FIRST INSPECTION
ADDRESS 123 1 A o. Cloves ft Ave. �
TEMPLE
9� �'`1 j[T�V BUILDING `' 71/ l♦/.
CITY TJLj�J PPE CITY, ILtiQ,��1RIF, ADDRESS V E!'
COUNTYLOCALIT
LICENSE N0. EXPIRES NEAREST j
PERMIT FEES CROSS ST. '
OWNER"`
NUMBER I TYPE OF FIXTURE OR ITEM FEE _
MAIL
WATER CLOSET (TOILET) C 0.5013 - I ADDRESS
BATH TUB a 0.501 CITY TEL. NO.
SHOWER a 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) cCd 0.50 I� I. APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE,TO. COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK t+ 0.501 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
I LAUNDRY TUB OR TRAY a 0.50 I ANGELES COUNTY LICENSE. OR 1 AM, TIHE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRISP ABOVE.
GAS SYSTEM OUTLETS a O.so! � � I '�/�/,y [}�
SWNt NTU REO�OF�F!_/ §=
WATER HEATER a 0.501� k PERMITTEE
SLOP SINK 0.50 I INSPECTYON RECORD p
FLOOR SINK @ 0.501 _ I
FLOOR DRAIN .c@ O.50 J
DISHWASHER r@i 0.501
DRINKING FOUNTAIN n 0.501
URINALti 0.501 - J
HOUSE SEWER tl 0.50 I I _a
Z
MISCELLANEOUS .I C
O
I
I�
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Qi 1.00 I I CESSPOOL
1 SEPTIC TANK: I 1 SEPTIC TANK
_F DRAIN ( ) PIT ( ) chi 1.001 SEWER I '
PERMIT . I 1.00 GAS TEST I /'
�-- UTILITY CO. NOTIFIED
I TOTAL FEE I $ I t
''FINAL 4