HomeMy Public PortalAbout9615 LIVE OAK AVE_Plumbing__ DBS-17 APPLICATION FOR PLUMBING PERMIT _ .1
oB5-I"DIVISION OF BUILDING AND SAFETY -PERMIT-
DIVISION OF
of County Engineer
County of Los Angeles BUILDING {tygQ 961 E Lige Dak
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS +a�**��ii'• 7 �t -_ _
CASSATT D,GRIFFIN, SUPT OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST Temple City Boulevard
OWNER Raymond G. Fortner DISTRICT NO GROUP 14E I READY FOR INSPECTION
ADDRESS 9519 E. Las Tunas
A Dr.", o^//
CITY em 1e 1t TEL. NO AT--63125 INDUSTRIAL
WASTE APPROVAL
PLUMBER Maler Plumbing Co. , INSPECTION RECORD
ADDRESS 310 E. Huntington Dr. .,
CITY A C'ad-a �s TEL. NO. HI~78146
N
LICESE NO. 77010
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) @ $1 00 $1 /00
1 BATH TUB @ $1 00 1 00
SHOWER @ $1.00
1 LAVATORY (WASH BASIN) , @ $1 00 1 00
KITCHEN SINK @ $1.00 1 00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1 00
1 CLOTHES WASHER @ $100
1 WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK d.,.
ROUGH PLUMBING (.
PERMIT $ 1 00
' GAS PIPING
TOTAL FEE Sf 0O
GAS VENT
1 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 REQUIREDBY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT ff AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY /
SIGNATURE
OF PERMIT,E !! A FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG INSPECTOR
CASH
fACO464 .0N SEP 10 5.A 8.00. M
701667-CE9617 10-67
APPLICATION OR PLU RING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS -' V V
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY Temple City '
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST - --
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST. _
OWNER Areana
1 WATER CLOSET 1 SO D
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO.
2 LAVATORY 1.50 d CONTRACTOR ,, s Goldin
r a
c4 Tne-
SINK 1.50 ADDRESS n i Ti,- nqlr Air;-
DISHWASHER 1 50 cITYArcadia TEL. NO-C 4461280
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT Np' GROUP ZONE P E
LAWN SPRINKLER SYSTEM 2.00 Q vY o
V
INDUSTRIAL
WATER HEATER 1.50 WASTE APPROVAL 0
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U
OUTLETS OVER 30
5 PER SYSTEM CL
N
_ Z
Plan check fee 257. of above See reverse.
PLUMBING PERMIT ISSUING FEE $ 662 00 O
TOTAL FEE APPROVALS DATE INPITCTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK Ila -
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
LANABY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
G
EBY CERTIFY THAT I PR ERLY ISTERED AND/OR UTILITY CO NOTIFIEDD AS REQUIRED BY OS ANGE ES N AND TATE OF
NIA OR THAT I THE LEGAL O ER F, D NTEND TO
N,THE ABOVE SC ED RESID TIA R R FINAL X170
URE , JACK R. ALLEN, SU ERVISIN CHANICAL ENG'R
RMITTEE
PERMIT VALIDATIO cK M o CASH
PLAN CHECK V LIDATIO CK M o CASH
6 2397 G0124 - 5 D_ 8.00
76 A 667—,CE 817,8/68 j>
APPLICATION FOR PLUMB NG PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS - K
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR NEAREST
TYPE) CROSS ST. • I/
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1,50 CITY TEL. NO.
LAVATORY 1 50 CONTRACTOR 0c"
SINK 1.50 ADDRESS <I
DISHWASHER 150 CrrY �luot-C_ 61 TEL. NO.�„
CLOTHES WASHER 1.50 STATE .2 r 15 7!/ CLASS C
IC
LICENSE NO J
SWIMMING POOL RECEPTOR 1.50 DISTRICT N /GRPUP E R S B >-
LAWN SPRINKLER SYSTEM 2.00 � �t v
WATER HEATER 1 50 Q INDUSTRIAL �-C-.-
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD U
W
OUTLETS OVER 3G N
5 PER SYSTEM
� Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No 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 GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROP LY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANG S COU Y AND STATE OF
CALIFORNIA OR THAT I AMTHE LEG OWNE OF,AND INTEND TO
RESIDE IN, THE ABOVE DEGC IBED IDENTIA ROPERT FINAL
SIGNATURE ^ JACK R. ALLEN, SUPERVISIN ANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION c M 2 QliT 1 7 5 0 3—5 0�
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