HomeMy Public PortalAbout9832 LONGDEN AVE_Plumbing__ -76AG6.7-C E#6.17 10-57
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APPLICATI®N FOR PLUMBINd P,EFZMIT
COUNTY OF LOS ANGELES.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION . RUu:Dnac.
JOHN A. LAMBIE. COUNTY'ENGINEER ADDRESS
COLEMAN W...JENKINS. SUPT. OF BUILDING `LOCALITY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) NEAREST ,
CROSS ST. Rowland
NUMBER FIXTURE OR ITEM .EACH •FEE
WATER CLOSET 1.50 OWNER �� Smyth
MAIL
BATHTUB 1.50 ADDRESS 9830 E. Longden Ave. 9 -
SHOWER 1.5.0 cITY Temple, City imi. No. 287-2019 ' :
LAVATORY 1..50 CONTRACTOR Wo,T Be- GTah&m
SINK 1:50 ADDRESS 912?. J:ta3 TL1Y133-Driire
DISHWASHER 1.50 Cm Tem�le ci TEL:NO. 286- 2
CLOTHES.WASHER 1.50 STATE LIC /a
LICENSE NO: 10 :CLASS C-3
SWIMMING POOL RECEPTOR" 1.50
=DISTRlCTO. GROUPZONE PROCESSED BY
LAWNSPRINKLER SYSTEM 8.00 1 F. .�
WATER'HEATER'prep 9x.50 1 O INDUSTRIAL
_WASTE.APPROVAL
CD
GAS SYSTEM OUTLETS 1.50 i, INSPECTION CORD, V
OUTLETS OVER •30 tee-_ /�. ,(' y
5 PER SYSTEM CP�yf�7
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',
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 GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND'fOR_•: UTILITY CO.NOTIFIED
LICENSED AS- REQUIRED SY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN.THE LEGAL OWNER OF AND INTEND TO .
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL. -
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG"R.- _
OF.PERMITTEE
PERMIIT VA.L DATION. CASH
PLAN CIIIIECK VAMDATIION CK. M.O. CASH
; �. �. ;, a.3-.6-e;.%lo 5 :D 3.5-0Q.-FIV
7GAGG7c (CE41713)-9/75 - -
APPLICATION P'®R PLUME31NG PERMM
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BUILDING AND SAFETY DI SION
FOR APPLICANT TO FILL IN (PRINT OR TYPE.) BUILDING -
NUMBER FIXTURE OR ITEM @ FEE
ADDRESS' C
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
SHOWER OWNERAIL
y
LAVATORY ADDRESS
SINK CITI TEL:NO l
j Jo.
DISHWASHER CONTRACTOR TrI_U
CLOTHES WASHER
ADDRESSL`o
SWIMMING POOL RECEPTOR -
TEL.
LAWN SPRINKLER SYSTEMLIC L/
CITY 6� I -7 c' �(,� NO.i q�I-')CrI a
WATER HEATER STATE CENSE.NO. (� C CLASS
DIST T NO. GROUP E CESSED'BY v
�
GAS SYSTEM OUTLETS O"
'OUTLETS OVER ,e d pO
5 PER SYSTEM INDUSTRIAL.
WASTE APPROVAL a
"' , INSPECTION RECORD Z
}
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 90
Plan check applicant.
Name APPROVALS DATE INSPECTOR'S 51GNATURE
UNDER,SLAB WORK
Address ROUGH PLUMBING
City Tel. No. GAS PI'PI.NG
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.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR. PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATU RE ""C/ C
OF PERMITTEE � "'CCC��I FINAL -
PLAN CHECK VALIDATION CK. M.Q. CASH PERMIT VALIDATION K M.0 CASH
..
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OBS-17 12.64 APPLICATION FOR PLUMBING - PERMIT
OBS-17 - '
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County Of LOS Angeles
NGI .BUILDING 3.� /A p� �i
WM.'J.FOX. COUNTY ENGINEER ' 'ADDRESS Ff /
CASSATT D.GRIFFIN,SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEARS T- (� '
ROSS ST.
OWNER v I J DISTRICT NO. GROUP.. ZONE READY FOR INSPECTION,
MAIL �
ADDRESS
INDUSTRIAL
CITY i TEL.NO. WASTE APPROVAL
PLUMBER V 1 , • 11 � Y�. 1 Crh INSPECTION RECORD
ADDRESS L416 .-,S70 p
R 'd5 1/JFJ-b
CITYTEL. NO 1 '.Z,2-964
c . �e : :
LICEN ENO. r
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB,
SHOWER +•
LAVATORY (WASH BASIN) �`
I KITCHEN SINK
DISHWA3HER
$ LAUNDRY TUB"OR TRAY
CLOTHES WASHER
TOTAL NO. .�] @ o.eo APPROVALS
��- DATE INSPECTOR'S SIGNATURE
GAS SYSTEM UTLETS @ I.00 UNDER SLAB WORK ��rr
WATER HEATER 1.00 ROUGH PLUMBING
PERMIT $ I 1 00
GAS PIPING �—
TOTAL FEE a GAS VENT • , O !
_ I �d HEREBY ACKNOWLEDGE THAT 1•HAVE READ THIS APPL CATION 'HOT WATEWATERHEATER V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. ,1 � o w�9 e
HEREBY CERTIFY THAT. 1 AM PROPERLY REGISTERED AND/OR :GAS TEST J ,XFf�/�
LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE. OF UTILITY CO.NOTIFIED A' °
CALIFORNIA OR THAT 1.AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P OPERTY.
SIGNATURE w
OF PERMITTEE •' :•FINAL' ® ` ,.1
}
WILLIAM'J.FOX.CO N Y ENGINEER VALIDATION '
_. q�o� 3 8-0E; SEP 1• 3 7.00. O
BY �•-
DEPUTY
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