HomeMy Public PortalAbout9240 KEY WEST ST_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 BUILDING ZJ�
SS
ADDRE
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEECROSS ST SS
WATER CLOSET 1,75 SO OWNER -7-M IL
TMAIL
BATH TUB 1.75 S ADDRESS
SHOWER 1.75 .7 5 CITY Th NO �3 s
�C LAVATORY 1,75 S CONTRACTOR
oe
SINK 1 75 ADDRESS
DISHWASHER 1.75 CITY TEL NO
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1.75
LAWN SPRINKLER SYSTEM 1.75
DISTRICT NO GROUP I ZONE FROCESSED BY
O C
WATER HEATER 1.75 S INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD C�
OUTLETS OVER Y w
5 PER SYSTEM 30 p
U
W
r� C"
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE (7
APPROVALS DATE INSPECTOR 5 51.NATV RE
Plan check applicant UNDER &L+ WORK 40._
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO 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 PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY T I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REO ED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR �TAT I AM HE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE A DESCR BED RESIDENTFINALSIGNATU REOF PERMIT _
PERMIT VALIDATION CK M oQ CASH
PLAN CHECK�LAIDATION CK M O CASH
6 3 4 1 JAS �9 5 D 1 7.0 0 ,6�k-
76 A 667—CE 817 8/68
V
APPLICATION FOR 'PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 7 Q n
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALTIY T C
1 j
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST 4 C n
CROSS ST. O�"
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50
MAIL
BATH TUB 1 50 ADDRESS ,.dA✓ 7—1
SHOWER 1.50 CITY TEL. NO.
LAVATORY 150 CONTRACTOR
SINK 1 50 ADDRESS
/ DISHWASHER 150 sp CITY TEL. NO.,,�"U
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO C 3 4 CLASS C (p
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO GR-yO-UP ONE P ESSED BY a
LAWN SPRINKLER SYSTEM 2 00 S�V / - CD
• WATER HEATER 1 50 INDUSTRIAL Z
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD U
w
OUTLETS OVER 30
5 PER SYSTEM
Z
i
Plan check fee 27,% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
i oT I- FFE 5 Ua
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Addres4 GAS PIPING
GAS VENT
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
z41 10 L:vv
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 �{ �,�}t �•
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO " i�f`{6
RESIDE IN THE ABOVE DEGCRIBED RESIDENTIAL PROPERTY FINAL 1
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL R
OF PERMITTEE
PERMIT VALIDATION CK M O CASH
PLAN CHEC ALIDATION C:Il M o CASH
.At- 1 5 1 4% "21 5 0 5.0 0
76"&67. oSB 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
R I ZONE PERMIT NEJ.
FOR APPLICANT TO FILL QI�NDISTRICT NO. G+/per q r I 77,f-9'�//l GG'
PLUMBER. RECEIVED BY READY FOR DATE 71 UED
FIRST INSPECTION
ADDRESS y,I 11 NGL
CITY G/�- hw-.zTEL N� a BUILDING
-ADDRESS
COUNTY / LOCALITY
/
LICENSE NO. y EXPIRES
NEAREST
PERMIT FEES C 08 ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 111 ADDRESS
BATH TUB ® 0.50 CITY ;. TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE -LEGAL OWNER
OF THE RESIDENTIAL PRGPERT�1(9DE�CRIBED ABOVE.
GAS SYSTEM OUTLETS 13.50 G.. V//r �R�S-/!�/b. .��".6/
SIGNATURE OF / t,�
es
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK 0 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER ® O.SO
DRINKING FOUNTAIN 0.50
URINAL 0.50 -I
Q
HOUSE SEWER 0.50 Z_
MISCZLI-AblEous,
I Q'
— O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
,
01
OAS PIPING Y
GAB VENT v IV,
CESSPOOL 1,013 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.130 GAS TEST
UTILITY CO.NOTIFIED A
TOTAL FEE p
FINAL
1