HomeMy Public PortalAbout5356 MCCULLOCH AVE_Plumbing__ meff t7 s'EO 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.
M. C. Noitingham Co. of Temple City
PLUMBER RECEIVED BY READY FOR DATE ISSUED
5933 Ph ekeYEREV AME; FIRST INSPECTION q
ADDRESS TEMPLE CIN, CALIF, ` c�ee/_
'CITY TEL. NO. �ftwVl �adl v
c .
COUNTY LOCAIATY
LICENSE NO. EXPIRES
N REST oat
PERMIT FEES CROSS sr.
OWNER
NUMBER TYPE OR FIXTURE OR.ITEM FEE MAIL M
WATER CLOSET (TOILET) (� 0.50 ffi ADDRESS - e^rA4
BATH TUB @ 0.50 OITY TEL. NO.
SHOWER @ o.so I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ o.SO STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT' I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE.RESIDENTIAL PROPERTY DESCL I D.ABOVE.
GAS SYSTEM OUTLETS @ 0.50_ _� e/ ? `�
SI �FJ`RE,OF
WATER HEATER @ 0.50 E EE�' 4 L'
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK. @ 0.50 /�
FLOOR DRAIN @ 0.50 1
DISHWASHER @ o.So
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.501 ,(
HOUSESEWER @ 0.50 z
MISCELLANEOUS U�
Q.'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING.
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . I 1.00 GAS TEST
TOTAL FEE
d UTILITY CO. NOTIFIED.
FINAL
7KA667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
+tJOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FCROS'D-SISSST.
777
HARVEY T. BRANDT, COUNTY ENGINEER
FOR APPLICANT TO FILL IN (PRINT OR TYPE)
NUMBER FIXTURE OR ITEM @ FEE + / p
WATER CLOSET 1,75 OWNER jq
jr I
MAIL 4
BATH TUB 1,75 ADDRESS
SHOWER 1.75 CITY TEL. NO. �•��
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
LAWN SPRINKLER SYSTEM 1.75
DISTRICT NO. GROUP ZONE FROCESSkD BY
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL p�
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 p
F—
C.�
W
a
H
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DAT INS PE CTO R'9 sIGNATU RE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT if
1 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIE
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THEE LD D OWNER OF, AN INTEND TO
RESIDE IN THE ABOVE DES ED IDENTIAL PROPE
i FINAL
SIGNATU RE
OF PERMITTEE _
PERMIT VALIDATION CK. M CASH
PLAN CHECK VALIDATION CK. M.O. CASH
p ,,) 0 3 3 973 APR 2 5 D 4.7 5 N
- 76A667 (CE-817)-4/72 COeZ f G 70
APPLICATION FOR PLUMBING PERMIT
cCOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: 7ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE)NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1,75 �
BATH TUB 1,75 ADDRES e !
SHOWER 1,75 CITY • TEL. N
LAVATORY 1.75 CONTRACT 714;
SINK 1.75 ADDRESS , a/�
DISHWASHER 1.75 CITY T
1 CLOTHES WASHER1.75 75 STATE / LIC /V /
LICENSE NO. (( CLAS$
SWIMMING POOL RE EPTOR 1.75
DISTRICT NO. GROUP7__,Eicz\
CESSED BY
LAWN SPRINKLER SYSTEM 1.75 �^ (�
WATER HEATER 1.75 IN
WASTE APPROVAL pp
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD Ri
OUTLETS OVER
5 PER SYSTEM .30 0O
C7
W
a
H
Z
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
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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REIIUIRED BY LOS ANGELES COUNTYAND LATE OF
CALIFORNIA OR THA A T OWNER OF, AN JTEND TO
RESIDE IN THE AB I ESID AL PROPEYW. FINAL ✓
SIGNATU
OF P MIT
PERMIT VA IDAT cK. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
,{�, 0 5 1 373 APR 11 0 ' 4.7 5 A Q