HomeMy Public PortalAbout10209 NADINE ST_Plumbing__ 76 A 667—CE 917 4.68 W
APPLICATION FOR PLUMBI G PER
COUNTY OF LOS ANGELES 1
DEPARTMENT OF COUNTY ENGIIVEER
BUILDE AND SAFETY DIVISIONa /97
JOHN A LAMBIE COUNTY ENGINEER
7.
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY . �..
FOR APPLICANT TO FILL IN PR NT Olt TYPE NEAREST
CROW S?
NUMBER FIXTURE OR ITEM EACH FEE OAR
WATER CLOSET 1 50 100v
HAIL
BATH TUB 1 50 ADDRESS
SHOWER 150 CITY TEL 110
LAVATORY 150 CONTRACTOR G
SINK 1 50 ADDRESS 4lf 1
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO ? CLASS
SWIMMING POOL RECEPTOR 1 50 1111
D STRICT No CARO ZO E P BY
LAWN SPRINKLER SYSTEM 200 ^
WATER HEATER 1 50 wU�� OVAL 8
/ GAS SYSTEM UTLETS 1 50 INSPECTION RECORD 0
OUTLETS OVER 30
5 PER SYSTEM
t3.
Vl
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE S 2,00
TOTAL FEE O
APPROVALS DATE INSPECTOR 8 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City 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 ST TE LAWS REGULATING GAS TEST
PLUMBING
I HERESY CERTIFY THAT 1 AM PRO LY GISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS AN S TY AN STATE OF
CALIFORNIA OR THAT 1 AM THE LE OW OP INTEND TO
RESIDE IN THE ABOVE DE IB BIDS P Y FINAL
SIGNATURE JACK R ALLEN SUPERVISIN HANICAL ENG R
OF PERMITTE
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION M ASN
a i ir-o 6 7 7% X26 5 D 5,00- Q
j
75AS57 n B-40® APPLICATION FOR PERMIT
DEPARTAUiT OF BUILDING AND SAFETY OF LOS ANGE
COUNp L UM B I N G 1
TY LES .
WILLIAM J. FOX. CHIEF ENGINEER
FOR:APPLICANT TO FILL INDISTRICT NO. GROUP Z NE PERMIT O. f
PLUMBS I_
�:t}t RECEIVi Y RADY FO DATE ISSUE
( FIRST INSPECTION
BUILDING.
C TY J L% .,:.`} TEL. NO. AD REBS
COUNTY LOCALITY C ' ;' "i t
LICENSE RES
NEAREST
PF.RMU FEF$ CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATERCLOSET (TOILET) O.Sols ADDRESS
BATH TUB 0.50 CITY TEL. NO.
SHOWER 0.50 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 a 0.5o STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY . OR I AM THE LEGAL OWNER
OF THE RESIDENTITPFUR DESCRII ABOVE.
GAS SYSTEM OUTLETS G O. O. SIGNATURE OR
WATER HEATER @ 0.50 PERMITTER
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN @ Q-5.0 -
URINAL O.PQ j
HOUSE SEWER @ 0.50 z
MISCELLANEOUS
EC
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 . 1,00 GAS TEST
TOTAL FEE
UTILITY CO. NOTIFIED
S ��
?j' FINAL iL
TOASST 117 8-49 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
L U
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT�pl GRO P I ZONE PERMIT NO
2z? �
PLUMBER Nj 1 �. KB 4f M C �/ RECEIVEDI&A D R ATE ISSUED
if/ FIRST INSPECTION
ADDRESS Yd t/� � O "`
/,�3 BUILDING
CITY 0 O TEL NO ADDRESS
1ICEN 9 AIS EXPIRES LOCALITY
NEAREST
PEIMT FEES CROSS ST
J
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER a1
MAIL WATER C ET TOILET 050 ADDRESS `
BATH TUB 050 CITY TEL. NO !tel 40 W a
ROWER O SO I HERNWACKNOWI-116GIC THAT I HAVE READ THIS
LAVATORY WASH BASIN 050 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 080 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 050 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENT PROPERTY DZZMIL6f
GAS SYSTE OUTLETS 050 SIGNATURE OF
WATER HEATER 050 PERMITTER
SLOP SINK a Oso INSPECTION RECORD
FLOOR SINK db 050
FLOOR DRAIN 050
DISHWASHER 050
DRINKING FOUNTAIN 050
URINAL 050
HOUSESEWER 050 Z
MISCELLANEOUS
0
APPROVALS
DATE INSPECTOR S MAUR
ROUGH PLUMBING A
A
GAS PIPING i
GAS VENT
CESSPOOL too CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® tool SEWER
PERMIT I too GAS TEST A it,
0 --j UTILITY CO NOTIFIED
TOTAL FEE
IS
0 v
FINAL /�