HomeMy Public PortalAbout9859 HOWLAND DR_Plumbing__ 76 A 667 - CE B17 7-69 C
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS SG/ 9;M, 2 COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITYFOR APPLICANT TO FILL IN (PR NT OR TYPE) NEARESTCROSS ST.NUMBER FIXTURE ORITEM EACH FEEOWNER -m-e-!' may(WATER CLOSET 1.50 -
MAILBATH TUB 1.50 ADDRESS � GSHOWER' 1,50 CITY TEL. NOLAVATORY 1.50 CONTRACTORSINK 1.50 Q ADDRESSDISHWASHER 1.50 CITY /7 TEL.CLOTHES WASHER 1.50 STAT LICLICENSE NO. S->y�B CLASWIMMING POOL RECEPTOR 1.50DISTRICT NO GRO ZONELAWN SPRINKLER SYSTEM 2.00 P i
WATER HEATER 1.50 INDUSTRIAL y
WASTE APPROVAL O
GAS SYSTEM OUTLETS
1.50 INSPECTION RECORD U
OUTLETS OVER 30 Z
5 PER SYSTEM O
I)
W
d
N
Z
Plan check fee 26°f of above. See rverse.
PLUMBING PERN'IIT ISSUING FEE $ 2 00
'f0"PAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plat) CIICCk npPl1C aRC UNDER SLAB WORK
(Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City' TcI. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT HAVE READ TNI$ APPLICATION
AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
W ITN ALL COUNTY ORDINANCES AND STLAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AHO TEND TO
RESIDE IN. THE ABOVE pE�RIB O gE810ENTIAL pPO�� FINAL
SIGNATURE.. /�
OF PERMITTEE n �� JACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
PERN1IT VALIDATIONcK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
f9( '3079n FEB13 5 D 5.00
76AS67 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �
MAKE CHECKS PAYA13LE TO: ADDRESS davalz
HARVEY T. BRANDT, COUNTY ENGINEER ADDRESS
ITY
PORICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
XTURE OR ITEM @ FEEOWNER
LOSET 1.75MAILB 1.75 ADDRESS 1,75 CITY TEL. NO.�RY 1,75 CONTRACTOR
1,75 ADDRESS
ISHSHER 1.75 CITY TEL. NO. /.b
CLOTHES WASHER 1.75 STATE LIC
LICENSE CLASS
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO. GROUP ON F JCESSJID BY
LAWN SPRINKLER SYSTEM 1.75 v CJ G _I
/ WATER HEATER 1,75 INDUSTRIAL y
WASTE APPROVAL y
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM
H
U
W
CL
H
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 Do
TOTAL FEE S
APPROVALS DOTE INSPECTOR 5 sl.Hary R[
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
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REDO REQAE'.IDENT
GELES COUNTY AND STATE OF
CALIFORNIA OR THAT IGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DI4L PROPERTY. FINAL YAS
SIGNATURE ,
OF PERMITTEE
PERMIT VALIDATION CK. M.D. CASH
PLAN CHECK VALIDATION CK. M.O. CASH n
i f 1 .9 2 173. ,;IsN29 5 D 4.75-
D.B.S. n 23M SETS Iz.AS APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �`u�®���� '
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. O
GROUP : E. PERMTT
NO.
ROUGH FIXTURES COMPLhTE c v
DY FOR
HEATER CESSPOOL I—I SEPTICTANK RECEIVED By FIRBT�INBPECTION DATE IBBVED`�
GAS MI6CELLANEOUH ✓«^'
^–
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
K NAME //y ( _ �/�J/ry�.I/��.�tA e /p��.� ADDRESS
ADDRESSLOCALITY
/e/ //
LL CITYST
NEA E
/�._� i� // _ TEL.NOLF' SAN CROBB BT. /DC7 P D IAN`Lb. I/W�
COUNTY
CERT.No. EXPIRES R NAME G ,1w q
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL3ADDRE88NORTH O �/CITY _.�Oa.�..-1 lines TEL.No.1AM THE LEGAL POSSESSOR OF THE ANGELES COUNTY CERTIFICATE OF QUALIFICPLUMBE
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
ow8[R
CORRECTIONS
SOUTH •� f�:� �//� a{
DESCRIPTION OF WORK A /�
BATH TUB FURNACE
C4
SHOWER —DISHWASHER O
LAVATORY REFRIGERATOR Y `
KITCHEN BINK WATER SOFTENER
FLOOR BINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL - APPROVALS
WATER CLOSET DRINKING FOUNTAIN
OATH INSPECTOR'S MAY[
WATER HEATER DENTALLAVATORY ROUGH PLUMBING
METER_GAS SODA FOUNTAIN
OUTL 'GAB PIPING I I
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES �/ SEPTIC TANK I
CESSPOOL / SEPTICTANK v(,J SEWER
TOTAL FEE I B /• d'� UTILITY CO.NOTIFIED
FINAL
70A667 n 3•50 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE PERMITNO.
I Q4f q k3
PLUMBER Revere: Service Corp. RECEIVED BY READY FOR DATE ISSUED
Iti
FIRSTINSPECTION
ADDRESS LIBEL Teale St. tj j
�/ BUILDING
CITY Culver City TEL NO EX12151 ADDRESS859-11
COUN
LICENSE NO, 3495-M EXPIRES 6-3o-51 LOCALITY Temple City
NEAREST
Ross ST. AgnBg Ave•
PERMIT FEES y+ T�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER y• PP Banb
erry
MAIL
WATER CLOSET (TOILET) @ 0.50 S ADDRESS Se1Re as above:
BATH TUB @ 0.501 CITY TEL. NO.
SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SI NK @ 0.501 STATE LAWS REGULATING PLUMBING.
1 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 @ 0.50SIGNATURE OF
WATER HEATER @ 0.501 PERMITTEE 'j
SLOPSINK @ 0.501INSPECTION"RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 1
1 DISHWASHER @ 0.501
DRINKING FOUNTAIN n 0.50
URINAL @ 0.501__ J
1 HOUSE SEW ER @ 0.501_1__ Q
MISCELLA EOUS 5
ater oftener 0
1
I I
I
I
APPROVALS
1
IDATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00I CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.0011 SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE I SI UTILITY CO. NOTIFIED
1
50 FINAL
11
5eAS5 n 5-30 (2) APPLICATION FOR PERMT
DEPARTMENT OF BUILDING AND SAFETY
,,V ' COUNTY OF LOS ANGELES PLUMBING
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER Revere. Service Cor • RECEIVED BY READY FOR DAT ISSUED
1(�11� 1 ` FIRST INSPECTION
ADDRESS 118111 Teale St. 12
ry BUILDING pp �,}� }}�� ,.
CITY Culver City TEL. NO. EX 72151 ADDRESS Howland Drive.
COUNTY 6� C� 1 LOCALITY T City
LICENSE NO. 3495-M EXPIRES 1
C ROSS ST. Agnes; Ave,
NEAREST
PERMIT FEES �}
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER y
MAIL
WATER CLOSET (TOILET) @ 0.50 3 ADDRESS Same as above:
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.501 I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRYTUBORTRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF / _ J '�, ,e,'-• f '
WATER NEATER p 0.50 PERMITTEE
SLOP SINK p o.sol INSPECTIONRECORD
FLOOR SINK p 0.501
FLOOR DRAIN a O.so
DISHWASHER a 0.501
DRINKING FOUNTAIN @ 0.50
URINAL @ O.SO W
a
HOUSE SEWER @ 0.501 U
MISCELLANEOUS I J
Water ener a
IL
I °
I
i— APPROVALS
y
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
.SEPTIC TANK: SEPTIC TANK
1 DRAIN ( ) PIT ( ) @ 1.001 1 SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE I S l l CD UTILITY CO. NOTIFIED
J FINAL
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUIL0I NO r
WILLIAM J. FOX, COUNTY ENGINEER- ;ADDRESS �J Q Q�J
FOR APPLICANT TO FILL IN LOCALITY 2 /1 -- G/�- uAT
--
ADDRESS
NEAREST /�
ADDRESS ✓ C CROSS ST. /'/.VVr B O aH � E
DISTRICTN0. GROUP {ZONE PER 11T%
N TY
EARELOCALIST O 1l
CROSS ST. f RECEIVED BY Ready for Inspection DATE ISSUED
OWNER
MAIL G _ INDUSTRIAL
ADDRESS p .E WASTE APPROVAL
CITY rEL.x0. T INSPECTION RECORD
PLUMBER Oj•1r(i�
ADDRESS ✓L �
CITY TEL.NO. "Ja_y_x _
❑STATE
LICENSE NO. I1 COUNTY - J
PERMIT FEES i
4UMBER TYPE OF FIXTURE OR ITEM 1EE to
WATER CLOSET(TOILET) 0 0.80 $
BATH TUB 0 0.80
SHOWER 0 0.80
LAVATORY(WASH BASIN) 0 0.80
KITCHEN SINK 0 0.50
LAUNDRY TUB OR TRAY 0 0.80
SLOPSINK 0 0.80
FLOOR SINKE� 110 0.80
•-FLOORDRAINa�n�. �' uLtlO 0.80
DISHWASHER 0 '0.80
DRINKING FOUNTAIN 0 0.80
URINAL 0 0.80
GASSYSTEM..............OUTLETS 0 1.00
WATER HEATER 0 I.DO
MISCELLANEOUS
APPROVALS
D DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE SD GAS PIPING
1HEREBY 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 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVEJIEE-WERIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATUREOF E /G�61_t . d�% ,
IGNATUITT .....'._.........._.. __lf../._....._......_.._...... ......_....
FINII I I I /*6 1
76A657 DBS 17 /•,b 12.53