HomeMy Public PortalAbout9412 LOWER AZUSA RD_Plumbing__ 76 A 667 - CE 817 7-69
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APPLICATION FOR-PLUMBING PERMIT
_
O%-ANGELES
DEPART FCO TY ENGINEER
BUILDING AND :SAFETY DIVISION fNEAREST
LDING
JOHN A. LAMBIE, COUNTY ENGINEER DRESS
COLEMAN W. JEIVKINS. SUPT. OF BUILDINGCALITY
FOR APPLICANT TO FILL IN PR.NT OR TYPE) OSS 8T.
NUMBER FIXTURE OR ITEM EACH FEE �
OWNERf .
WATER CLOSET 1.50
BATH TUB. '• 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 -CONTRhCTOR :'
SINK 1.50 ADDRES
DISHWASHER 1.50 C2T1' e,-,L.� TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. d j 3 CLASS G•ry
SWIMMING POOL RECEPTOR 1.50 DISTRICT N GROU ZO E P O S BY
LAWN SPRINKLER SYSTEM 2.00 ( Q�
,WATER HEATER 1.50 FCL-
INDUSTRIA.
WASTE APPROVAL Q
GAS SYSTEM T/OUTLETS 1..50 INSPECTION RECORD 8
OUTLETS OVER 30
5 PER SYSTEM
O
Lu
Z.
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 2 100
TOTAL FEE J
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 HEREBYI ACKNOWLEDGE THAT 1 HAVE READ TATS APPLICATION
AND STATE THAT THE ABOVE .I8 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED. AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO _
RESIDE IN.THE ABOVE DES IBED RESIDENTIAL.P ERTY. FINAL 30
SIGNATURE .TACK R. ALLEN, SUPER I 1 HANICAL EN'G'R..
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CI•IECK V IDATION CK. M.O. CASH
6'3 5 '918 AUG
DEPARTBELI T OF COUNTY ENGINEER U B I N
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER N ADDRESS L .a_m,iM
OR APPLI NT TO FILL IN LOCALITY V_�40 t-V%^.,
BUILDING CROSS ST. G i
EAREST
ADDRESS
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY j _ C'�
NEAREST J
CROSS ST. 4= CEIVED BY Ready Tor Inspect on DATE ISSUED
OWNER aado-4,
11IAIL INDUSTRIAL V
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER J.Z 12 r
ADORES /9
CITY TEL.NO. v Ag�'l AZV C;�49 (-_o— All,",
T `�
❑STATE 9-46.1 A-0 P--- -A-0 00.10 Fes//lJA"
LICE E0. �i COUNTY _ .l
PERMIT FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE �~
WATER CLOSET(TOILET) 0 0.80 $ o
BATH TUB @ 0.80 .,
SHOWER @ 0.80 (/74Ar T'°�
LAVATORY(WASH BASIN) @ 0.80 gf f A_( ®04D-
KITCHENSINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK @ 0.80
FLOORSINK @ 0.80 01.97 fg,_^J 1-9-7 no/l,,
FLOOR DRAIN 0 0.80
DISHWASHER 0.80 _ All
DRINKING FOUNTAIN 0.80
URINAL @ 0.80
GAS SYSTEM..... _.....OUTLETS @ I.00 / ""
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
/w
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING Z 2 Cr�G;ilc..G
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ TH S APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CE THAT I AM PROPERLY REGISTERED
AND'OR LICENS 8 REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF AL1 ORNIA OR THAT 1 AM THHE AL OWN-
ER OF THE ABO E ESCR D E TIAL P TY. UTILITY CO.NOTIFIED �J
i vv
SIGNATURE v
OF PERMITTEE. _ ...-•-•-• - - •• --.•-. •---•--..._�.._..�.... FINAL S�
76AS67 DBS 17 S
=887--CE817-8-58
APPLICATION FOR PLUMBING PERMIT 1
,. COUNTY OF LOS ANGELES
DEPARTMINr OF COUNTY ENGINM
BUILMNG AND SAFETY DMSION RU=lNG c f�
rOFIDi A. LAMBIE. Couaty es ADDRESS 1,�9 e Z USS
GATT A GRII'FII�T,Snp t Rnilding i
LOCALITY
FOR APPLICANT TO FILL IN NEAREST.
• NUMBER FIXTURE OR ITEM CROSS ST.. � �
OWNER
WATER SET
-RATS TUB DADS MESS / (C)te-)
SHOWER CTTY TEL.NO.
LAVATORY CONTRACTOR 7r® tf— O.
SINK ADDRESS 2
DISSWASHER r ���TEL.NO. — /7
CONTRA TOR'S STATE
LAIINDRY TUB REGISTRATION NO. 3 00 �� COUNTY
CLOTSRS WASEER DISTRICT GRr ZQNF. OCESSED Y
WATER HEATER �. F/'J�
GA84OHN nEOUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
AMOVALS
1. 0 $°I PER mmI.
1 �v DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE d GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING•. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST a —
LICENSED AS-REQUIRED BY LOS ANGELES. CO Y AND STATE OF .
CALIFORNIA AT 1 AM THE L C OF T E ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESID TIAL PROP RTY
SIGNATURE
OF PERMI FINAL '1 F -
ROBERT A.WOOD.
®p SUPERVISING MECHANICAL ENG'R
(SrATION
o. CASH
G 3 7 6 A OCT ?2 5 A 7.0 0