HomeMy Public PortalAbout4965 MCCLINTOCK AVE_Plumbing__ 76 A 667-CE 817 468 <y.!-� rL�y L✓L
APPLICATION
FOR PLUMBI4 PERMI;�
"tet COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION ., BUILDIN 496 i '-c C l into ck
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY 1 ample City
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
LIC
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNER Doss, .11. h o
BATH TUB 1.50 ADDRESS MAIL Same as above
SHOWER 1.50 CITY Same TEL.NO. 444-3345
LAVATORY 1.50 CONTRACToRSouthern Installation Co.
SINK 1.50 ADDRESS 0 ',7aprn " 1
s DISHWASHER 1.50 CITY Hollywood, Cal Al.NO. 4613848
CLOTHES WASHER 1.50 STATE
NO. 249212 CLASS C'-55
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO GRrOu ZO EP O BY
LAWN SPRINKLER SYSTEM 2.00 h i �J ,� u
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30 4 W
1 ,rater condi tion r 1 150
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 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 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 I 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
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATU r ,� JACK [t. ALLEN, SUPERVISIN HANICAL ENG'R.
OF PE ITT_ '-
PERMIT VALIDATIO CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
I r 4 5 D
,���•
c �t�-rr,.�
PLUMBING
EDEPARTNHINT OF COUNTY`ENGDMER
�1
.r DIVISION- OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS'ANGELES BUILDING yf
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS ql66J"+°
R APPLICANT TO FILL IN: NEARELOCALIST
o
BUILDING i_ A''`")/}� ' NEAREST
CROSS ST.
ADDRESS •
_ DISTRICT NOVGROUP ONE P RMIT N0.
• LOCALITY ta./.�'rr�f 9.a Sd...e 'ed ..+f 1 -
CROSS ST. RE IVIED BY"" Ready for Inspection DATE ItSSUED
OWNER
MAIL- INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY . - ``TEL.No. INSPECTION RECORD
PLUMBER t �e�►p+P�aG
ADDRESS �, �e"4',s►� . ,dt�..}�"'"
CITY f'".G/ � TEL.NO. C., 6F' 11/gyp D p�
❑STATE
LICENSE N0.' CS��UNTY. J
PERMIT•FEES i
HUMBER TYPE OF FIXTURE OR ITEM FEE V,
WATER CLOSET(TOILET) 0 0.80 S �a
BATH TUB @ 0.80 d
SHOWER @ 0.80
LAVATORY"(WASH BASIN) @ 0.80 8
KITCHEN SINK 0)! 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK �. 0.80
FL'OORSI.NK - @ 0'.80 .
FLOOR DRAIN 0.80 ,
DISHWASHER �,0.80
DRINKING FOUNTAIN 0.80
URINAL @ 0.80
GAS SYSTEM.... _.-OUTLETS @ 1.00
"WATER HEATER 1.00
.MISCELLANEOUS
APPROVALS
DATE (INSPECTOR'S SIGNATURE
UNDER SLAB WORK ',1iro �yr� 1,0
PERMIT $ 1 00 'ROUGH PLUMBING.
TOTAL FEE 16GAS PIPING � 0
_l '.�y�
-' •� *7I HEREBY ACKNOWLEDGE THAT.1 HAVE READ THIS APPLI- GAS VENT + I�'1r`i �lfC G.,,/fc�:✓.1i�
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER A A
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES C—):?- ,!
1 'HEREBY CERTIFY THAT I AM PROPERLY REGISTERED J
AND/OR LICENSED AS REQUIRED BY LOS ANGELES .COUNTY GAS TEST c-41.-";5"
;• ,w''
-AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER.OF'THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 'UTILITY CO.NOTIFIED
SIGNATURE , s„ �,k
OF PERMITTEE... =.. .. / r r
FINALx'71. S '✓ ff��r+•�Cds�wl
78A667 DBS 17 1/53
76AG67 (CE-817) - 1/7S.
: .s APPLICATION F�RFPLUi4BING .PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ,
BUILDING.
MAKE CHECKS PAYABLE TO..
ADDRESS' J` hr,
HARVEY T. BRANDT, COUNTY ENGINEER .
- LOCALITY � @/
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST _
CROSS ST. -
NUMBER FIXTURE OR ITEM @ FEE:
WATER CLOSET 2.00
OWNER �+�� �
/ MAIL �/9•/ G.S/� De
BATH TUB 2.00 ADDRESS. /T' ff99.
SHOWER 2.00 CITY !� ' TEL. NO.
LAVATORY 2.00 2 a ojo CONTRACTOR -
SINK 2.00 ADDRESS
DISHWASHER 2.00 CITY TEL. NO.
CLOTHES WASHER2.00 STATE LIC
LICENSENO. CILASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ZONE CESSED BY
LAWN SPRINKLER SYSTEM 2,06 a�U Q
✓% 7
/ WATER HEATER ' 2.00 INDUSTRIAL•
WASTE APPROVAL per,
GAS SYSTEM OUTLETS' 2.00INSPECTION RECORD C.2
OUTLETS OVER ,30'
5 PER SYSTEM _
W
On
- - rA
Plan check fee Sae Reverse
PLUMBING PERMIT ISSUING FEE. $
TOTAL FEE 2'Z.
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING r"s' `�•
City Tel Ao. GAS'VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING•FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAW'S REGULATING '
PLUMBING.' GAS TEST -
I XEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILI,TY,C'O.NOTIFIED
LICENSED At. REDUMED BY LOS ANGELES COUNTY AND STATE OF - ,
CALIFORNIA OR THAT I'ANI THE LEGAL OWNER OF,
adb iRYEWb TO pg
RESIDE IN THE ABOVE DESRIBE RESIDE N IAL PA ERTY• FINAL YC_•X7.1r f�iy'0-f_
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION cK. M,O: WH
PLAN-CHECK VALIDATION _,CK. M.O. qfSH '
0 6 1.IrQn 5 •D r ' 2 2.50 ®s