HomeMy Public PortalAbout4919 HELEO AVE_Plumbing__ 76 A 667—CE 8178/68 �.. .
APPLICATION FOR PLUMBING RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING _
JOHN A. L.AMBIE, COUNTY ENGINEER ADDRESS 511.9
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 _
J
WATER CLOSET 1.50 OWNER d -
MAIL
BATH TUB 1.50 ADDRESS k14—
SHOWER 1.50 CITY TEL. NO.
i
LAVATORY 1.50 CONTRACTOR Aw
SINK 1.50 ADDRES
DISHWASHER 1.50 CITY TEL; NSATE LIC'
d
CLOTHES WASHER 1.50 LICENSE NO. `rO. CLASS
SWIMAIING.POOL RECEPTOR DISTRICT NO. ROUP E PROC SSEDeBY
LAWN SPRINKLER SYSTEM 2.00 }
Oill
0
WATER HEATER 1.50 INDUSTRIAL U
WASTE APPROVAL Z
GAS SYSTEM OUTLETS - 0
INSPECTION RECORD H
U
S PER PER S S 30 Lu
5 SYSTTEMEM �y
Cn
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 00
1'OT.4L FEE ��
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address - � � GAS PIPING
GASVENT,
City Tel. No. HOT WATER HEATER
1 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
1 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 1 AM THE LEGAL OWNER OF,AND INTEND TO 7-3
RESIDE IN, THE ABOVE7E D RESIDENTIAL PROPERTY. FINAL
SIGNATURE c JACK R. ALLEN, SUPERVISING M.E ANICAL ENG'R.
OF PERMITTEE .-
PIERMIIT VALIDATION CK. � M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
f 1 A 2 4 6 7,5 'UL 26 5 D . 6 .50A v
76 A 47 - CE 81] 7-69 7
APPLICATIO FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING / /� z 4
L
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUP-T. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST AA
CROSS ST. S @9uJ�frC T Z vSI�
NUMBER FIXTURE OR ITEM. EACH FEE- � / / /� �/ !
OWNER A(/��� L J '/l -
WATER CLOSET 1.50
MAIL
BATH TUB - 1.50 ADDRESS
SHOWER 1.50 CITY g`YL C C I TEL. NO. _
LAVATORY 1.50 CONTRACTOR / V n j' �ro C
SINK 1..:50 ADDRESS �� O ,A `- "
DISHWASHER 1.50 CITYZYA - J-L 'TEL. NO.,Y /Q 3,'
CLOTHES WASHER 1.50. STATE LIC
LICENSE NO. 17 .CLASS G L �
SWIMMING.POOL RECEPTOR 1.50 DSSTRICT NO. GROUP ZONE ROCESSED BY.
LAWN SPRINKLER SYSTEM 2.00 - - ✓1 / ,'...
Vc..
WATER HEATER 1.50 ° INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50INSPECTION RECORD u
OUTLETS OVER -
5 PER SYSTEM •30 . z
C� O
S
CL
• Vf
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant - - - Q UNDER SLAB WORK
Name - ��ZIZ (::.I, ROUGH PLUMBING "
Address 5"10 Q �N l4 Q B GAS PIPING
p(
c� GAS VENT
CityJVC IL.N(c;, Tel'. N HOT WATER HEATER
1 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 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
RESIDE IN, THE ABOVE DESCRIBED RESID �TJIAL PROPERTY.
� FINAL
SIGNATURE !7 �-/ �t"�� � JACK R. ALLEN SU ERVISING E HANK AL ENG'R.
OF PERMITT - '
PERMIT VALIDA'T'ION CK. M.O. CASH
PLAN CHECK ALIIDAT'ION CK. M.O. CASH
9 373, JUL 2 5 D 4.75- Q
D.B.S.77 25M SETS 7-47 v APPLICATION Y'ORy PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING Sb S 1L6LY11118
r. COUNTY OF LOS ANGELES
=� WM. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. oaa/OU�P �CZO E Fax WIT NO.
ROUGH FIXTURES COMPLETE G �.l ( , —1
REc1 D BY READY FOR ' DATE ISSUED
HEATER CESSPOOL —I SEPTICTANK FIRST INSPECTION //a
GAS- MISCELLANEOUS '"' /� `� 2 3�
APPLICANT FILL IN HEAVILY �,QUTLINED PORTION ONLY
JOB
NAME ,s� •,G" 'ADDRESS
W
® ADDRESS /1 /) ti LOCALITY
g
IL CITY (� 1 Al NEAREST _
TEL.No. CROSS ST.
COUNTY 6' NAME
,f�CERT.No. SEPTIC!�rB� AT�EXPIREVSw�wp ,I1�A
LOCATION OF SEPTIC 1Al��y ®Ib VlriA�7PW'd.e 3 ADDRESS"
NORTH O
CITY Q!'.� TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
r
PLUMBER
{ry I AM THE LEGAL OWNER OF THE//16E/RR��//C��PERTYrDESC�R,I�HED�
!, ABOVE. �l✓s.!� '��-u�`�6as'
f4 OWNER
'1 CORRECTIONS
s ,
s
a.
o•
S BOUTH�' J
DESCRIPTION OF WORD Z
BATH TUB FURNACE E9
Q.
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S HAMM
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER OAS SODA FOUNTAIN GAS PIPING
OUTL
r 6A8 VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
y�.- CE88P00
SEPTIC TANK SEWER
LrAa UTILITY CO.NOTIFIED I I
TOTAL FEE
FINAL
78A867 •CE9817' 9/63
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APPLICATION FOR " PLUMBI.NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS )19
JOHN A. LAMBIE, COUNTY'ENGINEER ADDRESSueleo St.
WILLIAM A. JENSEN,.SUP'T OF BUILDING
LOCALITY L"
it
FOR APPLICANT TO FILL IN NEAREST
CAOSS SL r,
NUMBER FIXTURE OR ITEM EACH FEE -
OWNER
Bill Knight
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
1 SHOWER 1.25 1 2 CITY TEL. NO. • 6--
2 LAVATORY 1.25 2 50 CONTRACTORRTpvpdprp Plumbing C.o.
1 SINE 1.25 1 25 ADDRESS1-3350 .�
1 DISHWASHER 1.25 .1_25—j.CITYin
d S TEL. NO. 962-44ol
LAUNDRY TUB 1.25 CONTRACTOR'S STATE [X;'
REGISTRATION NO. COUNTY [:1
'
1 CLOTHES WASHER 1.25 : DISTRICT NO. GROUPZONEP a SED,BY'
WATER HEATER 1.50
GAS SYSTEM 5 OUTLETS 1'50 ] INDUSTRIA a
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 a INSPECTION RECORD U
7 -_ o
�-
�`' ' LU
V)
Z .
a
f lAI a
- APP,liO,YAWLS Fiep. PATE INSPECTOR'S SIGNATURE
PERMIT' 2 00
UNDERFSLAB WORK. LA' S 'z.
ROUGH PLUMBING V
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
WITH ALL.COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. •w s� dl ,y- �A�W
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES W Y. ° /'"F
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a GAS TEST � •(� �-= 3Y y
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO JI d� A.
' RESIDE IN',THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. o UTILITY CO. NOTIFIED ��•
SIGNATURE / v ✓ L
OF PERMITTEE .g �`
a. FINAL +j'Ylf,��v
ALIDATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
`AU0 :3 5 1' ±Ji 6 5 D 1 5:?5