HomeMy Public PortalAbout9434 OLEMA ST_Plumbing__ 76A667-CEe17 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
B.}TII.DIIVC�AND�SAFETY DIVISION SUMI)ING 3 ��
OHN.A. MBI COUNTY ENGINEER
ADDRESS.
WILLIAM A.JENSEN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET (� d�
BATS TUB DRESS
SHOWER
CITY'�IdA TEL.N9421'
LAVATORY CONTHACTO
sm ADDRESS ��!
DISHWASHERCITY TECONTRACTOWS +L� .NO.����
ATE [I
LAUNDRY TUB REGRATION NO. �p�-J COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE TCESSE Y
WATER HEATER d
GASYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
V
r/ o
F
m
• �a
G $1.60 PER ITEM
OR I'DITURE $ / APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ E 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING '� -�C� (FPI 11s—
GAS PIPING .
I HEREBY ACKNOWLEDGE THAT i HAVE. READ THIS APPLICATION GASVENT
AND STATE THAT THE ABOVE IS..CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND -STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND%R PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOSANGELES COU AND 8TAT OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEG D OF B.
DESCRIBED RESIDENTIAL PROPER UTILITY CO:NOTIFIED
SIGNATURE /1
OF PERMITTEVEr'
FINAL Q
ALMATION ROBERT A.WOOD,
OK, M.0. emu SUPERVISING,MECHANICAL ENG'R
LICO2 9 2 52 JUItJ 2 8 5 D 3.0 0 ' `�
76A667.CE§817 4-64 J
APPLICA ION. FORUMBING PERMIT
COUNTY OF LOS.ANGELES
DEPARTMENT OF COUNTY ENGINEER.
B IHN A:ING AND SAFETY DIVISION BUILDING
JOLAMBIE. COUNTY ENGINEER ADDRESS Yom,
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY ,
FOR APPLICANT TO FILL IN CEASES ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET ;1.25 y
BATH TUR 1.25 MAIL
ESS d O
SHOWER 1.25 CITY �! TEL.N� . J
LAVATORY 1.25 CONTRAC
TU
SING 1,25 ADDRESS
DISHWASHER 1.25 CITY TEL.
` NO e•
RESRA STATE
TUB 1.25 REGISTRATIONONNO. `By COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. G�OtltrPR E Y.
WATER HEATER 1.50D
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL per„
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD' U
m
. 0
W
d
N
.. APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH.PLUMBING
TOTAL FEE �� GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT ✓ _ �Y�'
AND STATE.THAT THE ABOVE 18 '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 AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOSANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM HE LF OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DES BED SIDENTI 'L PRppwRTyUTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
- FINAL o•J` � `...�N�y'1.Y��
VALIDATIO ROBERT A.WOOD
CK. M.0.' CASH SUPERVISING.MECHAN.ICAL`ENG'R
L,00.5 0 9 0.0 OCT 21 5 D 3.5 ON q.
d 76'A66L(CE-817)- 5/73
APPLICATION FOR P MBING PLMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FADDRESS 9434 Olema
HARVEY T. BRANDT, COUNTY ENGINEER
ITY Temple itFOR APPLICANT TO FILL IN (PRINT OR TYPE) ST
ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,78 OWNER Don Bettsin er Munroe
MAIL 12 Yorkshire Dr.
BATH TUB 1,75 , ADDRESS
SHOWER 1.75 CITY Arcadia TEL. N0. 7_7766
LAVATORY 1.75 �3) CONTRACTOR oven Br03• Plumb Inc.
SINK 1.75 ADDRESS 1-965 AT. 14R]Aydin Axe.
DISHWASHER 1.75 CITY El Monte TEL. NO.
4�•3�78'.
CLOTHES WASHER 1.78 STATE
LICENSE NO. 231 71x7.STATE doss 036.,20
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP N� CPR CESSED. Y
LAWN SPRINKLER SYSTEM 1.75 f' � J
WATER HEATER 1.75 INDUSTRIAL y
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 `J INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 p
1—
v
- w
a
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE .gam
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER -i/UF#K"'
rir
Name ROUGH PLUMBING � :'- ,
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I 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
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED '
LICENSED AS REO'UIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT t M THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVEE CRI RESIDENTIAL OPERTY. Q�3�� yas
FINAL s
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION CCK-_")O. CASH
PLAN CHECK VALIDA ION CK. M.O. CASH L�
2_a.4rJUL 3 5 1 3:5 0 ,&9b
TOA687 17 9=46 _ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY � � ,
COUNTY OF LOS ANGELES
WILLIAM J.. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
PLUMB RECEIVED BY READY FOR DATE ISSUED
.FIRST INSPECTION
ADDRE944 Ws G81'YEM--`
• BUILDING e�
CITY ATlantic 2-4654 ADDRESS e�
LICENSE No. ®�� IXPIRES A tj COUNTY LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF.FIXTURE OR ITEM FEE OWNER
r
MAIL
WATER CLOSET (TOILET). @ 0.50 S .S—C3 ADDRESS
BATH TUB 0.50 ,CITY TEL. WO.
g SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS:
d� LAVATORY (WASH BASIN) 0.50 �V ATE THAT THE ABOVE 16 CORRECT AND
APPLICATION
COMPLY TWITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @. O.SO ry ( CERTIFY THAT. 1- POSSESS THE ABOVE VALID -LOS
LAUNDRY'TUB•ORTRAY @ 0.50.. J v ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPE DES IBED ABOVE.
GAS SYSTEMsZOUTLETB @ O.So ��• SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ o.ao INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN .. @ O.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 A
HOUSE SEWER @ 0.50 _ z
MISCELLANEOUS U�
'a
APPROVALS
DATE INSPECTOR'S NAME.
ROUGH PLUMBING
GAS .PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN. ( ) PIT ( ) @' 1.60 SEWER / {�
PERMIT : oo GAS TEST r/wri L+
UTILITY CO. NOTIFIED + i?` /�a•hl
TOTAL FEE I I% 0. !. v 11/w -
�+ FINAL
'6%067 17 8-50 15 APPLICATION FOA PERMIT-
DEPARTMENT OF'BUILDING AND SAFETY
COUNTY OF LOS ANGELES -PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
OR APPLICANT O FILL IN' DISTRICT NO. GROUP ZONE PERMIT NO.
1. .41-- I ao Ad
PLUMBER r A�prl !� RECEIVED BY READY FOR DATE ISSUED
.FIRST INSPECTION
ADDRESS �'7
BUILDING
CITY �• TEL. NO. ADDRESS
COUNTY 9
LICENSE NO. EXPIRES LOCALI 9
NEAREST In
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 1.>l
MAIL. I.
WATER CLOSET (TOILET) 0.50. >$ ADDRESS
BATH TUB O.so CITY a TEL. NO.
SHOWER Qa 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Cts 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL. COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK .. Ccs O.50 I CERTIFY THAT I POS 3 THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LI NSE. R I AM TH LEGAL OWNER
OF THE RESIDENTIAL ROPE Y DES RIB • ABOVE..
GAS SYSTEM OUTLETS 0.50 SIGNATURE OF
WATER HEATER Q 0.50 PERMITTER
SLOP SINK o.so INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.So
DISHWASHER @ 0.501
DRINKING FOUNTAIN 0 0.50
URINAL Q. O.so ;.J
HOUSE SEWER @ 0.50 a
Z_
MISCELLANEOUS 13
1 O
APPROVALS
DATE IN9PEGR'OR•8 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT +�
CESSPOOL. I.00. Q' CESSPOOL
SEPTIC TANK: SEPTIC TANK r�'' I6 lS�/ 1-," l
DRAIN ( ) PIT ( ) @ 1..00 I SEWER
PERMIT I.00 GAS TEST/
UTILITY CO. NOTIFIED
TOTAL f E.'E S /� J
pZls(/ FINAL �l