HomeMy Public PortalAbout6245 HART AVE_Plumbing__ 76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION _
MAKE CHECKS PAYABLE TO: ADDRESS Ad 1z.
HARVEY T. BRANDT, COUNTY ENGINEER LOCALIT
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. 1.0 Na Q�•x
NUMBER FIXTURE OR ITEM @ FEE _ 1 r'-
I
WATER CLOSET 1.75 •
OWNER
MAIL 1 a V
BATH TUB 1.75 ADDRESS p�•
SHOWER 1.75 CITY r TEL. NO.
LAVATORY 1.75 CONTRACT
SINK 1.75 ADDRESS
DISHWASHER 1.75 - CITY - TEL. NO.
C LOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. UP NE OCESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL
—WASTE APPROVAL 0
GAS SYSTEM OUTLETS 1.75 SPEC TIO REC V
OUTLETS OVER
5 PER SYSTEM •30 ' p
U
W
LL
N
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE -
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant
7 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 44
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE RIBED RESIDEN TJAL OPERTY. FINAL
SIGNATU RE /4
OF PERMITT V1...
PERMIT VALIDATION CK` M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 MAY 15- 5 0 4.75-
• `J
DBS-17 12.84 AAI® �® f2m K A T I O N FOR R tl L U m FY B I N D P E ■tl I T -
DBS.17
DIVISION'OF BUILDING AND SAFETY '
Department of County Engineer
County of Los,A igeles
WM. J. FOX, COUNTY ENGINEER BUILDING
ADDRESS
CASSATT D.'GRIFFIN, SUPT OF BUILDING - -
LOCALITY
FOR, APPLICPAT TO FILL IN NEAREST
v'
CROSS..ST.
OWNER ?) DISTRICT NO. ROUP. N R,EADY'FOR INSPECT']ON.
MAIL
ADDRESS rINDUSTRIAL
_
�1 CITY �. EL. NO. -C / �`�i Jl VVASTE-A PROVAL I -
PLUMBER ��/'� ' �, - - INSPECTION RECORD .
A D D R ESS /69�/'I" �� cq.�/'!
CITY TEL. NO rf ��`11dqu -
LICENSE NO. / -
NUMBER TYPE OF FIXTURE OR ITEM FEE '
WATER CLOSET (TOILET) $ -
BATH TUB
SHOWER
LAVATORY (WASH BASIN) - ...
KITCHEN SINK -
DISHWASHER
LAUNDRY TUB OR TRAY -
CLOTHES WASHER .-
TOTAL NO. @. 0'.80 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
WATER HEATER @ 1.00 / (/"b UNDER SLAB WORK
ROUGHPLUMBING
PERMIT $ t 60 GAS PIPING _
TOTAL FEE_ I OD 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED. AND/OR -GAS TEST -
LICENSED AS REQUIRED BY LOS' ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED -
CALIFORNIA OR THAT �,�T�LE�GAI, OWNER OF THE ABOVEDESCRIBED RESIDENT
SIGNATURE gg _
OF PERMITTEE FINAL G
WILLIAM J. FOX, COUNTY ENGINEER 4VVALIDATION.
4 0 1 ���°. IF1R 1 3 2.0 0 m
By
DEPUTY'.
76,;A 667 -!-.CE 817 7-69
APPLICATION FOR 'PLUMB NG Pgm-
COUNTY OF LOS ANGELES
DEPARTMENT .OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 62 Hart
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST ti
CROSS ST. 7
NUMBER FIXTURE OR ITEM EACH FEE OWNER7
WATER CLOSET 1 Q13 Gilbert B. Bryan
MAIL- 5525 Alessandro Ave.
BATH TUB 1.5
ADDRESS
SHOWER 1.. 0 ( CITYlemple Clty TEL. NO.286-1009
LAVATORY 1. 0 CONTRACTOR Owen Bros. Plumbingjnc.
SINK 1. 0 75- ADDRESS 4265 No. Baldwin Ave.
DISHWASHER 1. 0 7f cITY El Monte 91731 TEL. NO.443-0078
SATE CLOTHES WASHER - 1. 0 LICENSE NO. ?31 741 CLASS C36 so 20
SWIMMING POOL RECEPTOR 1. 0_ DISTRICT NO I GROUP 7,Q►JF,/ PRO SSED Y
LAWN SPRINKLER SYSTEM 2.A0210
WATER HEATER � �� � 1.5 �° INDUSTRIAL
0.
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1.5 INSPEqTIOV, RE90RD _ u
OUTLETS OVER '
S.PER SYSTEM .3
O
LIJ
d
Z.
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 00
I TOTAL FEE 8 APPROVALS DATE INSP TOR'S SIGNATURE
I Plan check.applicant UNDER SLAB WORK `f '/ -
il Nagle ROUGH PLUMBING
1
Address a GAS PIPING
GAS VENT
Jo
City,. Tel. No.
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 GAS TEST
PLUMBING. I
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
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;azM7
TIAL PERT FINAL. , `(
SIGNATURE JACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALI)DAtIION
'LK M.o. , CASH
PLAN CHECK VALIDATION CV M.O. CASH