HomeMy Public PortalAbout9928 NADINE ST_Plumbing__ 76A667 (CE-817)- 5/73
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APPLICATION FOR, PLUMBING, PERMIT ,
COUNTY OF LOS ANGELES'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
LDING
MAKE CHECKS PAYABLE TO: DRESS %
HARVEY T. BRANDT, COUNTY ENGINEER ALITY
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FOR APPLICANT TO FILL IN (PRINT OR TYPE) SS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNER
MAIL
BATH TUB 1.75 ADDRESS �sS��'l a '
SHOWER 1.75 CITY TEL. NO. �6�
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS iL 7i �Lc`cL
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. Z� Z.7?� CLASS,G�2�
' - DISTRICT NO. GRWP ZONE PRO ESSED BY
LAWN SPRINKLER SYSTEM 1,75 �J
WATER HEATER 1.75 INDUSTAPPROVAL d
WASTE AP
GAS SYSTEM OUTLETS 1.75 7 INSPECTION RECORD CCD
OUTLETS OVER 90
5 PER SYSTEM
CD
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W
CL
' N
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 31 00'
TOTAL FEE
APPROVALS ' DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Nagle ROUGH PLUMBING
Address GAS PIPING
City Tel. N0. 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 PLUMBING FIXTURES _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST s•`�� F
I 'HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY•CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE L R OF, AND INTEND TO -
RESIDE IN THE ABOVE DESCRI EN AL PROPERTY. FINAL
45A Z�
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH.
PLAN CHECK VALIDA ON CK. M.O. CASH.
.1 '8 4 AMAY 28 .5 0 ! 4.7 5 A98
..4 VGAGW n B-DO It APPLICATION FOR PERbUT
DEPARTbdENT OF BUILDING AND SAFETY PLUMBING .
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DI3TRIC'fO. GROUP ZONE PERMIT NO.
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEI ED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS $300 EAST VALLEY BLVD. �1 ��11 to
CITY ROSEMEAD TEL. NO. AT. 2.2719 BUILDING L�
ADDRES8 J
COUNTY 3M 6-30•,s'/ LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERM FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) a 0.50 s -Z� ADDRESS 72 1
BATH TUB 0 O.80 .Sa CI TEL.5HAVE
�SHOWER a O.So 1HEREBY ACKNOWLEDGE THAEAD THIS
LAVATORY WASH BA81N) 0.80 . APPLICATION AND STATQ THAT THE RECT ANDAGREE TO COMPLY WITH ALL COUNCQS AND
KITCHEN SINK CQ? 0.50 SQ STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL QWNER
OF THE RESIDENTI OPERTY DESCRIBED ABOVE./
GAS SYSTEM OUTLETS a 0.80 _V SIGNATURE O
WATER HEATER @ 0.50 .� PERM ITTEF z�if� y
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK @ 0.80
FLOOR DRAIN Q 0.50
DISHWASHER (9! 0.80
DRINKING FOUNTAIN ® 0.50
URINAL ® 0.50 JJ
HOUSESEWER @ 0.50 Z
MISCELLANEOUS
O
APPROVALS
DATE` INS CTOR•B NAME
ROUGH PLUMBING �
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT i.Do GAS TEST �J
UTILITY CO. NOTIFIED
TOTAL FEE a
FINAL
76 A 687.-GE 817 4.88
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-APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ss
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER a
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
ei
FOR APPLICANT TO FILL IN PR NT OR TYPE) CENEAREST
T. C R�45 4.4-4 NUMBER FIXTURE OR ITEM EACH FEE OAR P
WATER CLOSET 1.50 O//++ �n,
BATH TUB 1.50 DRESS y2 3 � IQ �U 1 5 ,!
SHOWER 1.5o CITY e— (f.,7:,/ TEL. NO./�rS4.�__62
LAVATORY 1.50L!
CONTRACTOR
SINK 1.50 sqo
ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP
XN
E OCESB
LAWN SPRINKLER SYSTEM 2.00 D V
i
WATER HEATER- 1.50 INDUSTRULLWASTE APPROVAL Z
J GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER. 30
5 PER SYSTEM
Vf
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE'
Plan check applicant UNDER SLAB WORK
Name JO J u.�r ROUGH PLUMBING 1 1z
Address .Z SNE GAS PIPING
GAS VENT
Citr7 Tel. No. .SSl�6 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.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO.NOTIFIED JI
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RE810[ IN,THE ABOVE RIB[D R[SIDENTIA Pis,RTY. FINAL
SIGNATURE JACK R. ALLEH, SUP RVISING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. AS
PLAN CHECK VALIDATION CK. M.O. CASH
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