HomeMy Public PortalAbout6213 OAK AVE_Plumbing__ 76 A 667—CE 817 8/68
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUP'T. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PR NT ORTYPE) NEOSES ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 MAIL �7
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY L. NO.
LAVATORY• 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO. a�
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLAS
SWIMMING POOL RECEPTOR 1:50
DISTRICT NO. GROUP ZONE CESSED BY
LAWN SPRINKLER SYSTEM 2.00 J+ 19 1 "0--> CD
WATER HEATER 1.50 INDUSTRIAL Z
WASTE APPROVAL 2
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD v
OUTLETS OVER 30
5 PER SYSTEM
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name. ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT TME A % IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY OR NA�C:: AND STATE LAWS REGULATING GAS TEST 7
PLUMBING.
1 HEREBY CERTIFY THA PROPERLYREGISTERED ND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED B S ANGELES COON ND ATE
CALIFORNIA OR I A LEGAL OWNER OF.A D TEND O
RESIDE IN.TH BOVE DEB IB ESIDENTIA PRO PE FINAL 0
I Aix
SIGNATURE JACK R. ALLEN, SUPERVISI CH ANICAL ENG'R.
OF PERMIT
PERMIT VALIDATIO G M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
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APPLICATION FOR �PLUMBIMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION IDES
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS,SUPT OF BUILDING, LOCALITY T C
FOR APPLICANT TO FILL IN NEARESTCROSS
NUMBER FIXTUREOR ITEM EACH FEE e g I
OWNER r/F`
WATER CLOSET 51.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO. .�
LAVATORY i 'CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY .Q,, TEL.NC..<4
CONTRACTOR'S STATE.
LAUNDRY TUB 1.25 REGISTRATION NO. Z,J. J ,'8 COUNTY ❑
CLOTHES WASHER • 1.25 DISTRICT NO. ZONE PROCESSED BY
WATER HEATER 1.50 �p
GAS SYSTEM OUTLETS 1.50 INDUSTRLAL �'
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 0
C1
O
V
W
h
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00. UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE ,3 SO GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE..THAT THE ABOVE IS CORRECT AND AGREE TO .COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. -
1 HEREBY CERTIFY THAT 1 AM PROPERLY .REGISTERED AN /OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY., UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
ALIDATION ROBERT A.WOOD.
cK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LA1.0 415 9 3SEP 7 5 D 3.-5 0,- v
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'6A667-CE817-8-57
APPLICATION FOR PLUMBING PERMIT
4 �
COUNTY OF LOS ANGELES t
)EPARTMENT OF'COVNTY ENGINEER BUILDING
r BUILDING AND SAFETY DIVISION ` ADDRESS14
/
OHN A. LAMBIE. COUNTY ENGINEER
_
:�ASSATT D. G'R.IFFIN, SUPT OF BUILDING LOCALITY - j
FOR APPLICANT TO FILL IN NEAREST �b ��
NUMBER '• FIXTURE OR ITEM CROSS ST. j
OWNER i L�
WATER CLOSET MAIL !
BATHTUB ADDRESS
SHOWER CITY j TEL.NO.
-LAVATORY CONTRACTOR �J t/>; 40,sy119,
' SINK ' ADDRESS
DISHVA$HER CITY TEL.NO.J V y 6v
LAUNDRY TUB CONTRACTOR'SSTATE
REGISTRATION NO. COUNTY ❑
�! CLOTHES WASHER.
DISTRICT GROUP ZONE READY FOR INSPECTION
WATER HEATER � � f/
1
GAS SYSTEM INDUSTRIAL "!
p WASTE APPROVAL '
INSPECTION RECORD
a '
E
APPROVALS
@ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
�y OR FIXTURE„ $ / UNDER SLAB WORK
i PERMIT 5 OQ ROUGH PLUMBING
GAS PIPING
TOTAL FEE oa GAS VENT
;•• 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT;THE ABOVEAS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. t s•+:' �.
I INEREBY CERTIFY THAT 1-:AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR•THAT THE LEGAL OWN OF THE ABOVE UTILITY CO..NOTIFIED I
DESCRIBED RESIDE'N. L PRO ERTY. `
SIGNATURE `
-PFPERMITTEif FINAL
ROBERT A. WOOD,
VALIDATION SUPERVISING MECHANICAL ENG'R t
i ' N.O. -CASH
DEPARTAMM OF COUTM =anfEM PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT�APPLICATION
COUNTY OF LOS "GfELEB BUILDING 1 'J
WILLIAM J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILLJN,
LOCALITY
BUILDINGNEAREST
ADDRESS ` y, CROSS ST. �.
,�s DISTR15 NO. lS•ROUP ZONE PERMIT NO.
LOCALITY A�.�.f�- .�s,� L� `�
NEAREST 7
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED
/ a.e
OWNER s9 a s' r ®��
MAIL INDUSTRIAL
ADDRESS WASTE APPROVA
CITY p EL.NO. ...
INSPECTION RECORD
PLUMBER
ADDRESS
CITY TEL. V
State Cont actor's
License No. 14 41 4o'oe AE Class J
L.A.Coon ty Contractor's Q
Bogy
ee stratlon No. Z
PERMIT FEES o
NUMBER TYPE OF FIXTURE OR ITEM FEE
O
WATER CLOSET(TOILET) @ 0.80 ;
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM......._...-OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 p0 ROUGH PLUMBING *t FIRBL z-
TOTAL FEE O GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
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
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVEDESCRIBEDMIAL:P�ROPTV. UTILITY 00.NOTIFIED
SIGNATUREOF PERMITTEE A �✓�!'
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FINAL Z I-Sr' Lat
T6A667 DBS 17 6/64