HomeMy Public PortalAbout9840 MILOANN ST_Plumbing__ 76A667 08817 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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-; COUNTY OF LOS ANGELES
~ ii WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO.
FOR APPLICANT TO FILL IN/� r /l-/ DAT 189 D
3 3 9 L e
PLUMBER Belvedere PlumbingVO REO IVEli 8Y READY FOR U
FIRST INSPECTION n � ,
ADDRESS 136 Soo Palm Ave.
ILDING c
CITY Alhambra TEL.No ADDRESS 9$ Miloann
COUNTY
6-30-52 Alhambra
Temple City
LICENSE N0. EXPIRES
N EAREST
PERMIT FEES CROSS ST. p
NUMBER TYPE OF FIXTURE OR ITEM FEE DWNER R. Kloepper
MAIL
1 WATER CLOSET(TOILET) 0 0.50 $ 50 ADDRESS
1 BATH TUB @ 0.50 rinCITY TEL No.
9H13WER @ 0.50 0 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 0 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM-THE -LEGAL OWNER
OUTLETS 0.50 OF THE RESIDE TIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM
SIGNATURE OF�
WATER HEATER @ O.5D PERMITTE 1S_erB
SLOP SINK 41 O.SO INSPECTION RECORD
R
FLOOSINK 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50 ���y���� E'�"""�• ,�/' R�
DRINKING FOUNTAIN 0.50 75-c-57 5,47A4& lX✓ � G"�-�'
URINAL 0.50 JQ
HOUSE SEWER 0.50 4 G4-3 �'�p•csy" ��. Z
MISCELLANEOUS G✓AGO ��� m
1 Dis osal 0 .vow I'MLAC , VIC^'V o
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APPROVALS
DATFj. INBPECTOR18 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRA114 ( ) PIT ( ) 1.13131 1 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NDTIFIED g
TOTAL FEE S 000
FINAL
404
76AS67-(CE-817) - 1/75 ,
APPLICATION F PLUMBIN PERMIT ' .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 9 AAD
w Ail
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY"
FOR APPLIC4NT'TO FILL IN (PRINT OR TYPE) NEAREST
Cf�OSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 2.00 '
OWNER
MAIL i+
BATH TUB '2.00 ADDRESS
SHOWER 2.00 CITY TEL. NO.
LAVATORY 2:00 C O NTRAC T.O
SINK 2.00 ADDRESS
ryj
DISHWASHER - 2.00 CITY vu TEL. NO.
CLOTHES WASHER 2.00 STATE v LIC
LICENSE NO. J CLASS
SWIMMING POOL RECEPTOR 2:00
DISTRICT NO.GROUP ONE P CESSED B
LAWN SPRINKLER SYSTEM - 2;60 !.�O g 1
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL p�
GAS SYSTEM OUTLETS 2.00 3 6 U INSPECTION RECORD v
OUTLETS OVER �
5 PER SYSTEM •30 lr
Cn
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant - UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS'PIPING
Ci.t.�— Tel. No. _ GAS'VENT
HOT WATER HEATER
I HRkEffYK OWLEDB H T HAVE READ :THIS APPLICATION
. AND STATE THAT THE ABOVE CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES '
WITH ALL COUNTY ORDINANCES AND STATE LAW'S REGULATING GAS TEST `
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS RECJU1RED BY LOS ANGELES COUNTY AND '&TATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF A'NDrfRT@ND TO
RESIDE IN THE ABOVE ESCRIBEDNT T4'. FINAL
SIGNATU RE
OF PERMITTEE ,
PERMIT VALIDATION cK. M.o: CASH
PLAN-CHECK VALIDATION CK. M.O. CASH
3 171.E jN 8 .5 ®' 65 0 49
76Ay 817) - 1/75
APPLICATION FOR PLUMBING PERMIT
COUNTY OF.LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING G'
MAKE CHECKS PAYABLE TO: gl
ADDRESS ,
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST !
S
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. t
WATER CLOSET
2.00 OWNER
MAIL ..
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY T L. NO.
LAVATORY 2.00 CONTRACTOR
SINK " 2.00 ADDRESS
DISHWASHER 2.00 CITY TEL. NO.
CLOTHES WASHER 2.00 STATE LIC
SWIMMING POOL RECEPTOR 2.00 LICENSE NO. CLASS
DISTRICT NO.GROUP P/Z$NE�DU9OCp5SED BY
LAWN SPRINKLER SYSTEM 2.00 S /
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 Cd
OD
F-
- U
W
a
Z
Plan check fee See Reverse Q
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
` APPROVALS DATE INB PE CTOR'S SIGNATURE
/
Plan check applicant roe S UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATHOT WATER HEATERION ,
AND STATE THAT THEABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST `
PLUMBING,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REIYUIRE. BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AHD fhl%tfb TO
RESIDE IN THE ABOVEESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATU RE �~
OF PERMITEE 1
PER V LIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
2 5 .0 16.5
o