HomeMy Public PortalAbout10147 LA ROSA DR_Plumbing__ 75A667 (CE-817) - 5/73.
APPLICATION FON FUMBINGPERMIT" ;
COUNTY OF LOS ANGELES
DEPARTMENT. OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION '1
MAKE CHECKS PAYABLE TO: LDING
ADIDRESS - ID147 E;; LA IROSA' ti
HARVEY T. BRANDT, COUNTY ENGINEER � -
'iocaoTY 'TEMPLE C I TY-.. ' '
FOR APPLICANT TO FILL IN (PRINT OR TYPE) - NEAREST38 o
CROSS ST:• '"
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER n ROBERT, D I CKHO CTS
MAIL SAME ..,.. -
BATHTUB 1.75 ADDRESS- '
SHOWER 1.75 I CITY TEL. NO.
LAVATORY 1,75 CONTRACTOR 1L.M. HAMMY INC.j
SINK 1.75 ADDRESS 425 W. MAIN-ST.p
DISHWASHER 1.75 �^ CITY ALHAMBRpAR TEL"NO. 282-211.51
CLOTHES WASHER 1.75 STATE
CENSE NO171598 ' ' CLASSLIC
C36�..
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO/, GROUP NE FRO SSED Y
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL !/
WASTE APPROVAL y
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U
OUTLETS OVER '
5 PER SYSTEM .30' - o
Plan check fee See Reverse
• PLUMBING PERMIT ISSUING FEES 3 00
TOTAL FEE 75.
APPROVALS DATE wsvECTO R's SIGNATURE
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 NAVE READ THIS APPLICATION
AN 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/ORF
CO! OTIFIED -
LICENSED AS REQUIRED By LO .ANGELES COUNTY AND STATE OF
CAL(fORN 1A Ofl THAT AM TH LEGPL OWNER AND INTEND TO
RESIDE IN(THE ABOVE DESC ( EN IAL P 0 ERTT.SIGNATURE OF PERMITTEE2VALIDATION cK. M.D. CASH
PLAN CHECK VALI ION CK. M.O. CASH
4.,75 wy3
76A66 -CE-81] 6-65 / � �/ ///"� e 17 J
APPLICATION FOR PLUMBING/ PERMIT /�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING' 4
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS / aIEI'7 QS•/ p�lV
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FLAVATORY
PLICANT TO FILL IN COBS ST. YLD W/ S/j
RE OR ITEM EACH FEE 55��
OWNER fi•Y-MA'S j E T ✓I c- ICJ• OL'�-
ET F
+T !,,
IL
ADDRESS •�F' / kus'l D xi V e/
Cm -" CC' LIT TEL. NO. r
CONTRACTOR
ADDRESS
R CITY TEL. NO.
, LAUNDRY TUB LIC
LICENSE NO. CLASS
CLOTHES WASHER DIST T NO. GROUP ZONE P ES6E0 BY
l4�LHEATER 1.50 _
G STEM�__OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u
O!
O
F
U
ILL!
n.
N
Z
APPROVALS DATE INSPECTOR•$SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
U ROUGH PLUMBING
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.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. _ UTILITY CO. NOTIFIED
SIGNATURE
64
OF PERMIT.TE FINAL
VALIDATION
CK. M.O. CASH
1
LACo
6:1',1'8e"'DEC: A1. 5 D
1.A;67
.85 f'3-55 , APPLICATION FOR ;PLVMBING PERMIT
DI
.
DVISION OF BUILDING AND SAFETY '
Department of County Engineer
County of Los Angeles Bu1LpINc ) )�
WM. J. FOX. COUNTY'ENGINEER AD�RESSfZ�� LJE �O k� L ��
! CASSATT D. GRIFFIN, SUI-T OF BUILDING _
LOCALITY
FOR APPLICANT TO FILL IN NEAREST —
_ �CV �•��/ { - CROSS ST. i
OWNER [�, ) !/&•���Ztttil V'yyy✓i V 1 � pISTRICT NO. GROTpP ZO7N REEDY FOR INSPECT ON
AIL
_ADDR ES�Gl7/ / / i CnQr) 6/l — +— t/.T�i)Q �(!
INDUSTAP
PRIAL
N
EL . (r> - CJ WASTEROVAV�1 C ni
PLUMBER INSPECTION RECORD
ADDRESS jf '
CITY TEL.IN O.
LICENSE NO. -
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) /J J lI J
m
BATHTUB
SHOWER /IHlwf,�'1
LAVATORY (WASH.BASIN)' �(i T�fT p'C.7DV i � .Py_
KITCHEN SINK l (�/i�A' f—'7D 4- 1'71 n1A19!:/2
DISHWASHER
LAUNDRY TUBORTRAY
CLOTHES WASHER
✓'aGnn `� I .
TOTAL NO. @ O.Bo ' APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM-OUTLETS @ 1.00 _
WATER HEATER @ 1.00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT - S 1 00
. _ I GAS PIPING
TOTAL FEE GAS VENT '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-APP ICATION HOT WATER HEATER
WTO COMPLY
AND STATE
ALL COUNTYH CORRECT AGREE ORDINANCESE ABOVE IS AND LAWSREGULATING PLUMBING FIXTURES i Y'fd f�LyeyrC��bYp
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST _
LICENSED AS REQUIRED BY LOS ANGELES-COUNTY AND.STATE OF
CALIFORNIA OR THAT I AM. THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDE IAL PROPERTY.
SIGNATURE
OFPERMIT k"'^• FINAL /.••orf J AYK.r-gnial��..+._I
WILLIAM.J. FOX. COUNTY ENGINEER VALIDATION R. A.WOOD. CHIEF PESO. INSPECTOR
If' '!72 8 Y, JUN 2 2 3 4.0 Q n
s
7BA567-CE817-8-58
APPLICATION FOR PLUMBING PERMIT- ''/�/
COUNTY OF LOS ANGELES
_
DEPARTMENT or COUNTY ENGINEER `
BUILDING AND SAFETY DIVISION BUILDING
I TORN A. LAMBIE. Count' Engineer ADDRESS ��' f % :�tt-•-�tr l<�'"'^'�f%t^ �D""'v
CASSATT D. GRIFFIN, Supt of Building
LOCALITY �.;y(-y,'.:tr,:r�,1.Y„L'.. i"..•l-.'ur.u.
FOR APPLICANT TO FILL IN NEA
REST (."
CROSS ST. ;ff�'{�,i
NUMBER FIXTURE OR ITEM -
WATER CLOSET OWNER' .;2 iiti`•.��E.•'y's/J'':` G-•4t.t/
ADDR
BATH TUB ESS
_
SHOWER CITY L✓L1�.F.c 2_4TEL. NO.
LAVATORY
CONTRACTOR4f...✓?
�t�•I` //�'��y 'r-/r.� •2-�-�'
SINK ADDRESS, l rJ r ���//! ffl,Gf'Off4G<.. pi'1'wV
DISHWASHER . CITY b^'✓3y Lc�C.•(. TEL. NO.,[•,.L` p ',0 j[-'()
CONTRACTORS , _. STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY El
CLOTHES WASHER DISTRICT NO. GROUP WNE P��ROCESSEO/.BY
WATER HEATER ij /
GAS-SYSTEM .��-(7 t �.. INDUSTRIAL
WASTE APPROVAL '
INSPECTION RECORD
1
APPROVALS
cb $1.00 PER ITEM
OR FIXTURE �$ " /..�^ DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 2100 ROUGH PLUMBING
TOTAL FEE �,�� (,'+(� GASPIPING "
I HEREBY ACKNOWLEDGE THAT 1'HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY HOT WATER HEATER -
WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES -
P HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST ,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED '
DESCRIBED RESIDENTIAL PROPERTY. - I --
f
SIGNATURE •n�r/G�/.•'%"�f �� ifw�•yCFf�/f fYI iTL�A FINAL '
OF PERMITTEP..
®. i"G.�JALIDATION ROEiERTA:WOOD:
SUPERVISING MECHANICAL ENG'R'
CK.). M.0. CASH ' . .
334 ti ,R' A ^'
t . tt ,r
76A667-CE817-8-58 '
APPLICATION FOR PLUMBING PERMIT
co
1
DEPARTMENT OF COUNTY ENGINEER 97—
BUILDING AND SAFETY DMSION BUILDING 0 l S� J /
OHN A. LAMBIE, CouatF Enggineer C SATT D. GRIFFIN. Sup t o[Builr g LOCALITYFOR APPLICANT TO FILL IN cARESTSS :NUMBER FIXTURE OR ITEM 7jOWNER
WATER CLOSET MA6BATH TOB ADDRESS �SHOWER CITY , TEL. ?qJLAVATORYCONTRACTOR _ _ JSINK ADDRESS ,`,DISHWASHER Ci7 �'CONTRACTORS ATE ❑LAUNDRY TOB REGISTRATION NO. `NNF�TTY 0
CLOTHES WASHER DISTRICT NO. GROUP ZyNE/ PfiOCESCr%%'�"
WATER HEATER oiler .lT
GAS BV84'@4- INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD q
R
APPROVALS
OD PFIXTURE S ` DATE INSPECTOR'S SIGNATURE
UNDER ER ITEM SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE Q a GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT .4 tJ
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER ry1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 7/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
E
SIGNATURFINAL Y
SIGNATURE
RE
ROBERT A.WOOD.
®r �—{VALIDATION/J SUPERVISING MECHANICAL ENG'R
i CH. St.0. CASH
I I,00 3 13 4 JUL R g 5 A �j 3 .0 0
/er'% c'd/d'�4/�"f"1'1✓