HomeMy Public PortalAbout9164 LONGDEN AVE_Plumbing__ �1 �—
76A887-CE#817 10-e7 M p 44- �r l y L/
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY r�
/t /s
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 Q /
BATHTUB 1.50
MAIL
ADDRESS Ila 48/?
SHOWER 1.50 CITY TEL. 7A4 a
LAVATORY 1.50 CONTRACTOR ,9
SINK 1.50 ADDRESS 7��
DISHWASHER 1.50 CITY TEL.•NO. `
CLOTHES WASHER 1.50 STA. LIC
LICENSE NO. CLASS e ��
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZONE P �CEBBED BY
LAWN SPRINKLER SYSTEM 2.00 �� / `C-r,�. C
V
WATER HEATER 1.50 INDUSTRIAL
O
GAS SYSTEM OUTLETS 1.50 LIM INSPECTION RECORD
W
OUTLETS OVER .30 �
5 PER SYSTEM y
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE 3 3-0 APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name , 10 ROUGH PLUMBING
Address GAS PIPING
GAS VENT
Citye�j j Tel. No. 1
HOT WATER HEATER
1 HEREBY ACOkOWLEDGF TH14e 1 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. -
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL.OWNER OF.AND INTEND TO
R.ESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL P OPEWrY. FINAL Irl
SIGNATURE JACK R. ALLEN, SUP RVISING ECHANICAL EN•G'R.
OF PERMITTEE
PERMIT VALEDATION CK. M.C. CASH.
PLAN CHE ALIDATION C61' M.O. CASH
-13 i L a. s � �. 0 3.5.0
D.B.S.-17'25M SETS 18-45 APPLICATION FOR PERMIT
DEPARTMENT Y . BUILDING AND SAFETY �����'��
COUNTY OF LOS ANGELES
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIC . NO. GROUP ZONE I PERMITWO..
S�
ROUGH FIXTURES _I COMPLETE J 4e v` a
HEATER CESSPOOL SEPTIC TANK RECEIVED BY. READY FOR DATE ISSUED
/ FIRST INSPECTION f
GAS MISCESEES WENINNE LLANEOUS• L
�( JOB
APPLICANT FILL IN HEAVILY OUTLINEnD+ PORTION ONLY'
E NAME M- Ce NOTTINGHAM M CO i ADDRESS
W s� *T
g ADDRESS 123 No. cloverly A VA LOCALITY / E ' i :�rL !� .•' a
NEAREST
J CITY TEMPLE
M: � • L. l CROSS ST.
COUNTY �� (•
CERT.No. EXPIRES. NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL z MAIL
3 ADDRESS LYY't-k
NORTH O.
CITY TEL.No.
IAM
THE LEGAL POSSESSOR OF THE. ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUNBflt
1.AN THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
owmmt '
CORRECTIONS
SOUTH a
DESCRIPTION OF WORK
ATH TUB -FURNACE �
HOWER DISHWASHER
VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
QLOOR SINK RAND TRAP
LWA
P SINK QLOOR DRAIN
H TRAY URINAL APPROVALS
ER CLOSET - DRINKING FOUNTAIN DATE' Ilisp6CTOR•s NABE
ER NEATER *+ENTAL LAVATORY ROUGH PLUMBING I I
ER GAS SODA FOUNTAIN I I
OU_TL GAS PIPING
SAS VENT I
BIBS CESSPOOL
L NUMBER OF FIXTURES SEPTIC TANK
POOLSEPTIC TANK fSEWER
UTILITY CO.NOTIFIED 'II
TOTAL FEE
FINAL /� A 9*
FINAL
76A667-CE#617 2-66
•APPLICATION FOR -PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS �I fo d'x p .
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
.CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE ,�• Y /1 Az.
OWNER &
WATER CLOSET 11.25 MAIL
1� BATH TUB I.Z5 `� ADDRESS
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS elPw 44f
DISHWASHER 1.25 CITY TEL.NO. 6 941 d
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P S B
WATER HEATER
GAS SYSTEM OUTLETS 1.50 (7 WDUSTRIP AL
a
OUTLETS OVER 5 PER SYSTEM .30 CD
INSPECTION RECORD v
�f�"` W
�!i �Je9/_'f— y
V � Z
APPROVALS DATE INSPECT 'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING -�
TOTAL FEELZI GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE O COMPLY _ A.A
WITH
PLUMBING. COUNTY' ORDINANCES AND STATE LAWS REGULATING
MOT WAFER HEATER 151 ,i/ f
1 HEREBY CERTIFY THAT d AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
• r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 'AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBEDRESIDENTIA ROPERTY. UTILITY '0.NOTIFIE
SIGNATURE
OF PERMITTEE
FINAL /�`' �i
/_ LMMATION JACK R.ALLEN
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R.
5.1 `5 -F-1 OCT 6 5 D 725,- q