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HomeMy Public PortalAbout6266 HART AVE_Plumbing__ 76 1, 667 817 E 617 8/68 i �`'e"�✓d 1/ tee-% "-'� . APPUCATION FOR -PLUMBING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST," CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER v7 WATER CLOSET 1.50 MAIL /� J_ , /fzes BATH TUB 1.50 ADDAE / �-- . 64Gz SHOWER 1.50 CI TEL. NO. �'-73-377j LAVATORY 1.50 CONTRACTOR 69Uai SINK 1.50 ADDRESS DISHWASHER 1.50 CITY - TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 .DISTRICT NO� GROUP ZONE PR C-E$SED BY >' LAWN SPRINKLER SYSTEM 2.00 �`� Cys. ➢.I� ,�,/ U WATER HEATER -1.50 INDUSTRIAL CCCJII - �O�" o I d WASTE APPROVAL f- GAS SYSTEM OUTLETS 1.50 /IM INSPECTION RECORD Lu OUTLETS OVER _ a S.PER SYSTEM .30 Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING - Ad r,ss GAS PIPING J -7 GAS VENT. . Cit) Tel. No. 7J�7/ HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY n PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT 1 AM'PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO n RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROP 7v. FINAL J7 i SIGNATURE ,JACK R. ALLEN, SUPERV SING CH ANIC AL ENG'R. OF PERMITTEE PERMIIT VALIIDATIIO CK. M.O. CASH PLAN CHEC AII IIDAIIIION,.�, CK. M.O. CASH ;•Arr;'7-.3.21,` OC;T26 5 D 3.50N 76A667A (CE 817B( -4/77 JI 'AFFLOC ° TOON FOR PLL[til B OING IAC RM Off' 'r'uIi BUILDINrAND.SAFErYIVIS14 FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS (J WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. SHOWER OWNER `7 LAVATORY MAIL SINK " CITY 14 a L4-40 DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS C SWIMMING POOL RECEPTOR v LAWN SPRINKLER SYSTEM CITY TEL.NC� P STATI7 / WATER HEATER LICENSE NO. J 3 Y CLASS ` J GAS SYSTEM OUTLETS 3 DISTRI NO. GR P NE P ESSED BY '-. OUTLETS OVER 0 0 �, �� CD 5 PER SYSTEM INDUSTRIAL U WASTE APPROVAL LY_ INSPECTION RECORD C) U W 1L f/J Z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant OVALS DATE INSP C R'S SIGNATUR Name o UNDE WORK Address ROUGH PLUMBING City Tel.No. GAS'PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST 517' 79 .mss M111Aj�j(9e--__ LEGAL OWNER OF.AND 1 END TO RESIDE IN THE ABOV SCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERM ITTEE FINAL �/��i�. /l.1.✓L�' Z PLAN CH VAL•IDATIO.. cK. M.o. CASH PERMIT VALIDATION / CK � M.O. CASH �vJ1 eCQ . VAI f=ENSATMN 7 5 V�-'AL 11 -5 0 1' 9.Q 0 POLICY HOLDER: POLICY Nun4RFP• tv 76AB67 APPLICATION FOR PLUMBING PER ST ' DBs '71DIVISION OF BUILDING AND SAFETY' Depcatment of County Engineer a County of Los Angeles p rADDRE UILDING JOHN A. LAMBIE, COUNTY ENGINEER 4807 SS 6?66 N Dart Ave CASSATT D. GRIFFIN,SUPT OF BUILDING `.I'P.Bl le -Clt e OCALITY 1 y .FOR APPLICANT TO FILL IN "NEAREST. Las T J. & Lon do OWNER e mocol DIST 1 NO GROUP ZONE READY FOR INSPECTION MAIL - . . ' Now ADDRESS Some I I CITY - TEL. NO. WASTE APPROVAL PLUMBER GENERAL INSTALLATION CO. INSPECTION RECORD ADDRESS 6558 West Blvd. i CITY L•A• 43 TEL. NO. PLeasant 3-2541 ' LICENSE NO. 787 C=36 .151839 NUMBER TYPE OF FIXTURE OR ITEM FEE q WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASHBASIN) @ $1.00 KITCHEN SINK @ $1.00 - DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER - @ $1.00 - �; WATER HEATER @ $1.00 - GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ Qo ROUGH PLUMBING GAS PIPING 1 TOTAL FEE 00 GAS VENT L BY ACKNOWLEDGE THAT 1, HAVE READ THIS APPLICATION TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER ,��� L COUNTY ORDINANCES AND STATE LAWS REGULATING G. PLUMBING FIXTURES BY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF NIA OR THAT I AM HE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED D RESIDENTIAL �.,/,y /IGNATURE RM TTEE (j��sr/' ?� ✓ FINAL 1 �B9�.O�4i) � 9 r /V - JOHN A. LAMBIE, COUNTY ENGINEER / v1ALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR 0. CASH - //� T (�•r 76A667A ICE 8178)• 11/76 /� O/ 7 � �.0�� �" 17—LPPLOCA MN FOR [ALU NMI B ONG PERMOT dddddd I BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM Q FEE ADDRESS WATER CLOSET LOCALITY L "' NEAREST /^ BATH TUB CROSS ST. T SHOWER OWNER OWNER N LAVATORY MAI L ADDRESS SINK CITY TEL.NO. � vi SINK DISHWASHER CONTRA T CLOTHES WASHER ND AVE. ADDRES e S SWIMMING POOL RECEPTOR CITY TEMPLE E QU4U LAWN SPRINKLER SYSTEM CAU& A2 STATE LIC WATER HEATER CLASS LICENSE NO. .._...: t GAS SYSTEM OUTLETS DISTRICT NO. GROUP 7�NE PRI14SSED BY. J OUTLETS OVER v 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD u , IC9 u uA N z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name F- UNDER SLAB WORK . Address ROUGH PLUMBING City Tel. No. GAS PIPING �r I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE - GAS VENT THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - AND STATE LAWS REGULATING PLUMBING. I HOT WATER HEATER I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES. REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE GAS TEST LEGAL OWNER OF,AND IN TEN TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. � UTILITY CO.NOTIFIED v SIGNATURE � OF PE t%%%% F INAL r - ..: .. .... PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ;CK: M.O:- CASH _JUN ra ©s �C�QO�