HomeMy Public PortalAbout9428 OLEMA ST_Plumbing__ 7WO-CE817 6-60
.APPLICATION F0RR' I'LU,,MBfNG.:P' IT.,
COUNTY OF LOS ANGELES -
DEPARTMENT 'OF COUNTY ENGIIVEER `..
BUILDING AND SAFETY DIVISION Ruibm-- ry
JOHN A.'LAMBIE..COUNTY ENGINEER. ADDRESS". =l ?� a
WILL
A.JENSEN, Si)P'T of BuILOIN6 LOCALITY �� °=
FOR APPLICANT TO FII.L'IN
NEAREST .
-CROSS ST. a
'NUMBER ' FIXTURE OR ITEM
OWNER
BlLTH.TUB, - : ADD �•.
SHOWER...
��• -
CITY `�. ,' TEL NO. /i T(p'—
LAVATOSY- C,CNTRACT.•OR'
sRRB ADDRESS
DISHWASHER CITY. T .,No.
CONTRACTOR'S STATS' '"
LAUNDRY'= REGISTRATION NO.' I T S-3 3 COUNTY
CLOTHES WASHER' : ;i DISTRICT NO: •., GROUP06-
UpUSTRIAL;
P SSED BY ,,
WATER HEATER
GAS SYSTEM . '
WASTE APPROVAL i
d' f 'INSPECTIO/N;RECORD% :a ,q •' .'
Q?� 6100'PER ITEd!OR FDMURE-,'
"APPROVALS •DATE' NSPECTOR'S SIGNATURE;
RERMIT: $, 2 .00' UNDER SLAB WORK
ROUGH PLUMBING /. I �Y ��✓'✓'1
` T01'A'L-FEE fid;
GAS PIPING:
I HEREBY,ACKNOWLEDGE'THAT.1'.NAVE READ THIS APPLICATION'
AND STATE.iHAT THE ABOVE.-IS CORRECT AND.AGREE TO,COMPLY GAS VENT -
WITH'ALL. COUNTY. ORDINANCES AND STATE LAWS. REGULATING yOT:'WAT EFt HEATER
PLUMBING: _
I HEREBY:CERTIFY-THA7.'1. •AM.-PROPERLY'REGISTERED AND/OR P,LUMBING'FIXTURES•
LICENSED AS REQUIRED BY LOS ANGELES COUNTY,AND STATE OF GAS TEST'. +f
CALIFORNIA 'OR-THAT 1 AM THE_LE OWNER'OF 'THE ,ABOVE'
DESCRIBED HESIDENTI 'PROP I \ UTILITY CO.NOTIFIED /:n
SIGNATURE': ! :•' yI� IT
OF PERMITTE F.INAL ''j ! ! �J�rj��/ +•
Dr AI:IDATION- ROBERT'A' .'W,OOD`.
um
S/►sB,: SUPERHISINC3;MECHANICAL ENCi'1i
4-:e . C' 5 D.
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76AeC.7 00817 II-50 APPLICATION FOR PERMIT
DEPARTMENT OF WELDING AND SAFETY w
COUNTY OF LOS ANGELES PLUMBING
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT
OR APPLICANT TO FILL IN (5, 7yy z
PLUMBER e e r°� �� gaffECEIVEDBY READY FOR DATE ISSUED
/ RfyFIRST INSPECTION
ADDRESS I ✓%it 1:::7.'J 1°✓'Y— //Ca�;CdA e
iulLDIMM
CITY TEL, o.
ADDRESS
COUNTY Ad9196 EXPIREB.�^ /,�e r`; LOCALITY !�
LICENSE NO. a .+y
PERMIT FEES v CRpee 9.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER _sI'
MAIL
WATER CLOSET(TOILET) 0.50 # ADDRESS
BATHTUB @ 0.50 CITY TEL. No.
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 18 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 0.50 ANGELES COUN17 LICENSE. OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OFA,
WATER HEATER @ 0.50 PERMITTE
` SLOP SINK 0 0.50 AISPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN 0 0.50
DISHWASHER Q 0.90
DRINKING FOUKTAIN 0 0.50
URINAL 0.50 J
Q
HOUSE SEWER O.SO Z
MISCELLANEOUS 5
IY
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING 7 /i1S/!-lv
GAS PIPING
OAS VENT
CESSPOOL ;pp CESSPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) 7.00 SEWER
PERMIT I 1.1313GAS TEST
UTILITY CO.NOTIFIED i
TOTAL FEE _
FINAL