HomeMy Public PortalAbout9850 LEMON AVE_Plumbing__ 7BA667 APPLICATION FOR PLUMBING PERMIT
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DBS-'I7 f0-55
DIVISION OF BUILDING AND SAFETY �-
Deportment of County Engineer
County of Los Angeles BUILD'
U1LDI NG
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY ?
FOR APPLICANT TO FILL INI NEAREST
(( ,/ CROSS ST.
OWNERfijR, �, A y ! DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
MAIL
ADDRESS Is
CITY TEL.NO INDUSTRIAL WASTE APPROVAL
PLUMBER - /� p/�l INSPECTION RECORD
ADDRESS D l/� oc
CITY C yI k TEL. NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE �,�•o�,- 1, -�V� ///N f , jam{„/+"` C..�p4'�/
WATER CLOSET (TOILET) @ $100 $ A7RJ[//b0 L? Q � [°�N'1-2?�
BATH TUB @ $1 00 A0 V a !►/����'tfd�� /�`EAe
SHOWER @ $1 00 O � !P 'Y �j
LAVATORY (WASH BASIN) @ $1 00 d �- �'� ti [1 f'/fC ,kL ��i`1
KITCHEN SINK @ $100
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ slog
WATER HEATER @ $100
GAS SYSTEM @ $100
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING �
GAS PIPING
TOTAL FEE
ee''
GAS VENT �
1 HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APP (CATION HOT WATER HEATER Sf.E iY���
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY f /'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING j
PLUMBING PLUMBING FIXTURES "9I ,rr . ,
rIfA
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TESTLICENSED
CALIIFORNIASOREQTHIATDI BAMLOS
THE ANGELES
LEGAL OWNERCOUNTY
AND f"OF THEAABOVE' UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. - -
SIGNATURE r�7
OF PERMITTEE KI 0 FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG 'INSPECTOR
CK m 0. CASH _
L 1 9 8 8, SEP 4 3 9.0 0
DBS-17 APPLICATION FOR PLUMBIMG-PERMIT
DBS 'DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
'JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER - DISTRICT NO GROUP ZONE I READY FOR INSPECTION
MAIL C / L�/
ADDRESS (Q :7
INDUSTRIAL
CITY / TEL. NO. WASTE APPROVAL
00
PLUMBER INSPECTION RECORD
ADDRESSd��JIZ..�
CITY nn TEL NO
N
LICESE NO. /3�C/
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $100
BATH TUB @ $1.00 _ M /
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $100 ! / -7.2tV y,qN A
`KITCHEN SINK @ $1.00 -
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00 � ! D -r /f14-P )�/'e
CLOTHES WASHER @ $1 00 — / a a
WATER HEATER @ $1 00 / , e f 'f
GAS SYSTEM- @ $100 — t-��15/� 9I�}'S-hP�j%9. .
77)
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
/ GAS PIPING -
TOTAL FEE 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I 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 RES IDENTI- �,UOP�ERRTTYy�j�//,�/�pyI
SIGNATURE
OF PERM TTEE `� �� I q
FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG INSPECTOR
CASH
)JT0 3 2 1'5 FE8 2(0 3 2.0 0 to
76A667 (C.E-817) - 1/75
APPLICATION��PLUNG PERMIT
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
ADDRESS 7 4-0
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ,
FOR APPLICANT TO FILL IN (PRINT OR TYPE NEAREST / !'
CROSS ST. _ 'Ze-,ee— 40
NUMBER FIXTURE OR ITEM @ FEE OWNER
WATER CLOSET 200 7 mac/
MAIL
BATH TUB 200 ADDRESS
SHOWER 2 00 CITY TEL. NO.
LAVATORY 200 CONTRACTOR
SINK 2.00 ADDRESS
DISHWASHER 2 00 L CITY TEL: NO
CLOTHES WASHER - 200V
(� STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECE TOR 200
DISTRICT NO.GROUP NE PR CESS D BY
LAWN SPRINKLER SYSTEM
200 � (i � `1
WATER HEATER 200 INDUSTRIAL
WASTE APPROVAL c�
GAS SYSTEM OUTLETS 2 00Q INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30 O
I--�
v
W
O.
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE �1
APPROVALS DATE INSPECTOR S SIGNATURE
Plan ch applicant UNDER SLAB WORK
Name �'J ROUGH PLUMBING �.�•7C
Address GAS PIPING 4
City / Tel. NO. GAS VENT
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 I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LCALI
AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
IA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO THE ABOVE DESCRIBED RESIDENTIAL PROPERT FINAL �ZOURERMITTEE ` `
PERMIT VALIDATIONCK. M.O. CASH
PLAN CHECK VALIDATION CK. .0. CASH
6 2 5 APR 30 5 0 1 6.5 U ���