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HomeMy Public PortalAbout5532 MCCULLOCH AVE_Sewer__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING G/ • WILLIAM J. FOX, COUNTY ENGINEER ,;ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST CROSS S . C7�RC r ADDRESS S S J � �� (�f/��� _ • DISTRICT NO. v GROUP ZONE #ERM17 NO. LOCALITY NEAREST • �jf� CROSS ST. ,[,mow/ „ei d ECEIVEO BY Ready for Inspection DATE ISSUED OWNER e l�l�/I �,' `L -7,n/—�Lf MAILL INDUSTRIAL ADDRESS S�s^� WASTE APPROV L CITY ,-,�i7_4:® TEL.No. INSPECTION RECORD �r7 fel PLUMBER / ,i��/^) � //,,�.�_� - 1-6 -'�4�1!^9 � � �ADDRESS Gf A , � , CITY /(fid ii/ s/ I//,/1 TEL.NO. �7 (� ATE LICENSE NO. 3 �� d C7 COUNTY J PERMIT FEES z VUMBER TYPE OF FIXTURE OR ITEM FEE O WATER CLOSET(TOILET) @ 0.80 S Y® D: BATH TUB @ 0.80 O SHOWER df 0.80 LAVATORY(WASH BASIN) df 0.80 KITCHEN SINK 0 0.80 f!' LAUNDRY TUB OR TRAY 0 0.80v O SLOP SINK 0.80 FLOOR SINK 0.80 FLOOR DRAIN @ 0.80 DISHWASHER '0.80 DRINKING FOUNTAIN 0.80 URINAL 0.80 GAS SYSTEM...-t...-OUTLETS 0 1.00 WATER HEATER df 1.00 / O MISCELLANEOUS APPROVALS DATE INSPECTOR'S INSPECTOR'S S!RNATURE UNDER SLAB WORK v& A [ipti GLvo�' PERMIT $ 1 00 ROUGH PLUMBING •d ° TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THI APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATERlet TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST OFTTHE ABOVELIFORNIA DES RISED RESIDENTI�TPROPERTY OWN- ERUTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE..._....._.._... _ .. .. .. .._......_......_.... d r �.. FINAL r� , ^?r.i•.++_f 70A087 DRS 17 711w667 (CE-ef7i - 2/75 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING y1 MAKE CHECKS PAYABLE TO: ADDRESS. HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE.OR ITEM ® FEE CROSS ST4/ iV WATER CLOSET - 2.00 OWN MAIL ' BATH TUB 2.00 ADDRESS ' ' . SHOWER 00 ^ CITY �, TEL. Nd.! LAVATORY 00 CONTRACTOR ,f SINK 00 ADDRESS DISHWASHER 2.00 CITY ` TEL.. NN. ' .CLOTHES WASHER 2.00 STATE LI LICENSE NrS OCL S SWIMMING POOL RECEPTOR 2.00 UP ZONE CEBBED BY LAWN SPRINKLER SYSTEM 2.00WATER HEATER 2.00 VALGAS SYSTEM OUTLETS 2.00INSPECTFON RECORD CD OUTLETS OVER `5 PER SYSTEM .30 CI... i� . W CL N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ ` TOTAL FEE APPROVALS I DATE INSPECTOR'S'SIGNATURE Plan.check applicant _ . UNDER SLAB WORK -Name ROUGH PLUMBING Address f` GAS PIPING Ci 41 Tei.. No GAS VENT r ' HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ -THIS APPLICA IO AND STATE THAT THE ABOVE/15 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. NOTIFIED LICENSEDAS REDUIRED BY LOS ANGELES COUNTY AND STATE.OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, !NO 13TEHD TO ' l RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY- FINAL SI,GNATU RE OF PERMITTEE PERMIT VALIDATION cK M;o: eases PLAN-CHECK VALIDATION CK. M.O. CASH 2'4 91"mT-21 5. 0 1 _3.50 AM 'EMIT ON Of BU -aiWG ANDFE'r ' SEINER-SEWAGE D Department of County Engine r County of Lo-. Argekes �REs� WM.J. FOX.COUivt^Y" 4ItNGINEER _ CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILLIN NEAREST C RAS S_ST_. FLEGAL _ � CR2PTIONLOT NO. �I � ,� � /s ! 04YNERCK 'TRACT MAIL ADDRES&_.)'.J 's f. NO.OF BLD S. "7 F.. g : .tri-%�£%' NOW ON LOT l LOT `:'• _ !` TEL. NO r*, NGS J• y +' ,� �= DISTRICT NO. '� GROUP- MAP BK PG ` ACTOR `.-f- - s CONNECTION DATA TEL. Na °�1 ,�. '-° STATION DEPTH 01--STATE^ MANHOLE REFERENCE REGISTRATION N©. Ci COUNTY UPPER_ - LOWR TYPE OF CONNECTION — LENGTH FROM -_ -- NO. i DESCRIPTION OF WORK FEE Y. CURB P.L. M.L.TO P.L. HOUSE SEWER CONNECTING TO - PU3LIC SlWER $ a. �I FOUSE SEWER CONNECTING TO �i PRIVATE DISPOSAL SYSTEM LLCONNECT ADDITIONAL BLDG. OR F Co. IMP,NO. JOB. NO. — — i2RK TO NOLO SEEM=_, _ 1.00 - A ER OR R PA!R EXISTING _ t _OR Di POSAL S 'TE.M_ 'RUNK PERMIT NO. ROAD PERMIT NO. y D'SCONS.C.T AND ABANDON SEWER _ — ( ,F_ — ',TATE ENCROACHMENT - A- 7 CRU -OSA.L SYSTEM 100 ! PERMIT N0. -'-- 1.1C TAF t SEEP;iCE PIT OR i -----. - P i T,3 A',D R D R:1,i N F I E..D 2.00 I ND'JSTRIAL C POOL DRYP<r L "— - ',PASTE APPROVAL 5. _IAL CONN IONS ONLY 2.00 _ CHARGES -- - — --- --i _� L.ON.NECTION CHARGE FEE OWNFJI'a PE11_14IT------s I— 1 I oO AUTHORIZATION TOTAL FEE � � "" �-' RE{hieURSEMENT FEE IH -t- THIS I,RTE CONTRACTED WITH THE HEREIN NAMED ON- TRACTO- TO CONNECT IHE ABOVE DESCRIBED EXISTING DWELLING APPRO I+s7 'JAT'c INSPC.CTO€2'SS GP]:ATiiRe. TO THE PUBLIC SEWER -"--------_—.�..- NEW HOUSE.SEWER I SIGNED THIS DAY%OF 19 --. -- - ---._ ___---�—.-- �. .ONIvECT.ADDIT I.ON A.L OWNER OR � e 0E .�°" 3UILDING OR WORK 4YNE�iS ACN ' ..- , - ty_ �' -1---'` — --J`---- SEPTIC TANK, SEEP,PIT(S) ADDRESS -^ - -' ^-''t'\ _AND/OR DRAINFIELD 1 HtR.EBY ACKNOWLEDGE T14AT I HAVE READ THIS APPLICATION "ESSPOOL CJ D'RYWELL[I AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY y WITH ALL COUNTY 9RDINANCES AND STATE LAWS REGULATING .._-ALTER, REPAIR.,SEWER OR PLUMBING AND SEWERS. DISPOSAL SYSTEM ! HEREBY CERTiFY THAT I AM PROPERLY REGISTERED AND/OR �-�OISCO'>EWAGE E DIS PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE __�,EANDON HOUSE SEWER DESCRIBED RESIDENTIALIPROFERT ,: FACKFILL SEPTIC TANKS .�. E - iEET _P.PIS) D CESSPOOLS0 P S 1 G r r,T U R E OF PERM;TTEt` 'y WILLIAM J. FOX, COUNTY ENGINEER VALIDATION BY BY DEPUTY DEPUTY BY BY DEPUTY h - DEPUTY