HomeMy Public PortalAbout5356 MCCULLOCH AVE_Plumbing__ (2) YOXGW n U-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
i. Nottingham em.p -5-- -7 I IA-1
.PLUMBERRECEIVED BY READY FOR DATE ISSUED
AVE;5933 0.1. MOVEREY rl FIRST INSPECTION
ADDRESS TEMPLE CITY, CALIF. ."ks l�•�
CITY TEL. NO.
COUNTY LOCAkITY
LICENSE NO. EXPIRES
NE�REST
PERMIT FEES CROSS ST. f
_ ��
NUMBER TYPE CR FIXTURE OR ITEM FEE + OWNER //` ✓ �"ryi ,
MAIL
WATER CLOSET (TOILET) 'O.50' $ ADDRESS .
BATH TUB @ O.50 CITY TEL: NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 1S CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.90 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPE Ti DESC5 D ABOVE.
GAS SYSTEM OUTLETS @ O:50 //
S ACIRF,OF i r �,a A
WATER HEATER @ 0.50 oPE EE A f /L`. �` + L5+
SLOP.SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.50 r�
FLOOR DRAIN @ 0.50 1
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL: @ 0.50 J
HOUSE'SEWER @ 0.50 z
MISCELLANEOUS U�
Q'
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS: PIPING
GAS VENT
CESSPOOL @. .1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 0 SEWER.
PERMIT . 1.00 GAS TEST _
I $
0 CD UTILITY CO. NOTIFIED
TOTAL FEE
FINAL
7&,%667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
AC017N'ITY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESBUIS LDING ��
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY �rn SOL
=FORPPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. ICE
4.WATER CLOSET 1,75 OWNER L S
MAIL
D ^;7 4
BATH TUB 1.75 ADDRESS �] '
SHOWER 1,75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR on
SINK 1.75 ADDRESS w 11000,
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE PROCESSFFD BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL p
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CO.1)
OUTLETS OVER 30
5 PER SYSTEM
- O
F-
C�
W
a
h
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 31 00
TOTAL FEE a
APPROVALS DAT INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING AIV F.
City Tel. NO. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIE
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE L"F�AL OWNER OF, AN INTEND TO
RESIDE IN THE ABOVE DES EDSIDENTIAL PROPE
FINAL
SIGNATURE
OF PERMITTEE _
PERMIT VALIDATION CK. M CASH
PLAN CHECK VALIDATION CK. M.O. CASH -
LAC,, 0 3 3 973 APR 2 5 D 4.7 Jc" CV
76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
'COUNTY OF LOS ANGELES - "fl
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FBUILDING j'gSS HARVEY T. BRANDT, COUNTY ENGINEER ITYFOR APPLICANT TO FILL IN (PRINT OR TYPE) TST.
NUMBER FIXTURE OR ITEM Q FEE
WATER CLOSET 1,75 OWNER
MAIL J�
BATH TUB 1.75 ADORES
SHOWER 1,75 CITY. -TEL. N e�
LAVATORY 1.75 CONTRACTO �l
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY T J
1 CLOTHES WASHER 1..75 75 STATE LIC
SWIMMING POOL RE EPTOR 1.75 LICENSE NO. CLA
DISTRICT NO. GROUP NE OCESSED BY
LAWN SPRINKLER SYSTEM 1.75 \
c o
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL o�o
GAS SYSTEM OUTLETS 1.75. INSPECTION RECORD G7
OUTLETS OVER
5 PER SYSTEM .30 O
W
On
N
�S
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TATE OF
CALIFORNIA OR THA A TH OWNER OF, AN �J TEND TO
RESIDE IN THE AS 1 ESID AL PROPE
FINAL ✓
SIGNATU
OF P MIT E
PERMIT VA IDATCK. TM
CASH
PLAN CHECK VALIDATION CK. M.O. CASH ,
. 0, 5 1 373 APR 1 D � 4.7 5 A