HomeMy Public PortalAbout9911 MILOANN ST_Plumbing__ 76446.7-CE 817 4-64 / /r'L ( �1 l /7y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION F.ADDRESS
DING
JOHN A.LAMBIE. COUNTY ENGINEERWILLIAM A.JENSEN,SUPT OF BUILDING ALIFOR APPLICANT TO FILL IN ASES i.
NUMBER FWURE OR ITEM EACH FEE OWNER
WATER CLOSET 51.25
BATH TUB 1.25 ea
ADDRESS
s
SHOWER 1.25 CI _ TEL. NO
LAVATORY 1.25 CONTRACTOR
SINE 1.25 ADDRES
?DISHWASHER 1.25 CITY`�� A TEL. .
LAUNDRY TUB 1.25 CONTAAC R'S STATE p
EGISTRATION NO. COUNTY
CLOTHES WASHER 1.25 DISTRICT NO GR ZO E .. PR SS BY
WATER HEATER 1.50 V'
GAS SYSTEM—OUTLETS- 1.50 INDUSTRIAL n.
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
F-
U
W
D.
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING ro
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LIGATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER v
PLUMBING. —A
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT E LEGAL OWN! OP.A D INTEND TO GAS TEST
RESIDE IN,THE AB D C D RES.. TI ROP Y. UTILITY CO.NOTIFIED
SIGNATURE I'
OF PERMITT FINAL
t
VALIDATION ROBERT A.WOOD
CK. M.0. CASH SUPERVISING MECHANICAL.ENG'R
U1Lo 9 8 6 3 E MAR 2 4 5 D 4.50-
a
�es.fi ms-r?,o-ss APPLICATION FOR PLUMBING PERMIT 1
'-•DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING ,pp
LOCALITY H 2 (,i T
FOR APPLICANT TO FILL INNEAREST f
CROSS ST. 406 �R�GV� a .
OWNER DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION
MAIL �f✓
ADDRESS
INDUSTRIAL.
CITY LP le e( TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS /� c, "'m j
CITY •B C'eTEL.NO.
LICENSE NO. �C 0 S 7 ��� t
/ (11
NUMBER I TYPE OF FIXTURE OR ITEM FEE ���f,i h 1�'
WATER CLOSET (TOILET) @ $1.00 $ d
BATH TUB @ $1.00 PJ
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 Q
KITCHEN SINK @ $1.00 a� '
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 G
CLOTHES WASHER @ $1100 11
WATER HEATER @ $1.00 p
GAS
SYS-CEM @ $1.00 jd
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK r
PERMIT $ 1, 00 ROUGH PLUMBING ill 4. YI 7:'t•lrr,s.--
GAS PIPING Z I �c
TOTAL FEE �r9 Of� 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'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY. REGISTERED AND/OR GAS TEST 1 o Le.
LICENSED AS REOUIRED BY LO AN ELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM HE EG WNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PER Ttf.
SIGNATURE
OF PERMITTEE FINAL dl to
IOHN A.LAMBIE.COUNTY ENGINEERVALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
C . m.0. CASH
o26a� SEP17 3 10.0'0 In
I G_ -It- - ;� _"�� -
76A667_- CE817 5/70 / f r
v / vv
APPLICA ION FOR PLUMBING -PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY-DIVISION BUILDING r/
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS. L
COLEMAN W. JENKINS. SUPT.,OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PRINT OR TYPE NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEMA H FEE
OWNER
WATER CLOSET
110
MAIL
BATH TUB 1. 0 ADDRESS
SHOWER 1. 0 CI n TEL. NO. 0-0
14
LAVATORY /d I.,o CONTRACTOR
SINK 1. o ADDRESS r
DISHWASHER t2. O
CITY TEL,pp,
CLOTHES WASHER STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR/ DISTRICT NO. GI�QUP NE CMSSC"Y
LAWN SPRINKLER SYSTEM WATER HEATER ! INDUSTRIAL
WASTE APPROVAL
GAS'SYSTEM OUTLETS 1150 INSPECTION RECOjV
OUTLETS OVER
5 PER SYSTEM x•3077 ef I
au
N
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE•8 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant
UNDER SLAB WORK.
Name ROUGH PLUMBING
Address GAS PIPING r
Cit GAS VENT /
Y 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 1 AM PRO LY REGISTERED AND/GR UTILITY-CO.NOTIFIED ff,/
LICENSED AS REQUIRED BY LOS AN COUNTY AND STATE OF - i
CALIFORNIA OR THAT 1 AN THE LE L O NER.OR AND INTEND TO rr
RESIDE IN,THE ABOVE DESCRIBED SIDE IAL PROPERTY. FINAL qj�
SIGNATURE
OF PERMITTEE JACK R. ALLEN SUPERVISING M CHWNI CA G'R.
PERMIT VALIDATION CK M.O. CASH
PLAN CHECf VALIDATION CK. .O. CASH
.��, 1 4 5 673 JU14 4 5 D 4.7 5
. � .
78A667A(C6jlf78('-4/7Z
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING E i
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
LOCALITY
WATER CLOSET
BATH TUBNEAREST r
7 Vqq CROSS ST.
SHOWER d QOWNER r
LAVATORY MAIL
ADDRESS
SINKJ
CITY TEL.NO. b
DISHWASHER CONTRACTO
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO. �
LAWN SPRINKLER SYSTEMSTATE �J
WATER HEATER LICENSE.NO. +�� CLASS /
GAS SYSTEM OUTLETS DISTRICT NO. GROUP P CE BY
OUTLETS OVER J O
5 PER SYSTEM INDUSTRIAL ca
WASTE,APPROVAL ID:
INSPECTION RECORD c
W
� d
y
Plan check fee
PLUMBING PERMIT ISSUING FEE$ O d
TOTAL FEE P .. f1 d
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING - -
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL -
PROPERTY. 1A1,AAi20,,,
UTILITY CO.-NOTIFIED
SIGNATURE -
OF PERMITTEE FINAL
UXN A C IBIOMOMPENSAT0O H PERMIT VALIDATION CK. M.O. CASH
POLICYHOLDER: 0-:3:19APR 2.0 52 9 .0.0 Aft
POLICY i1 HMRFP- Q�'