HomeMy Public PortalAbout10319 OLIVE ST_Plumbing__ 76 A667-C E#817 10-67
APPLICATION FOR ZLUMB17G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W.W. JENKINS. SUPT. OF BUILDING LOCALITY T pL
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS ,
SHOWER 1.50 CITY TEL. NO.y
LAVATORY 1.50 CONTRACTOR J /fJ G
SINK 1.50 ADDRESS �3�Q f
DISHWASHER 1.50 CITY I Q- TEL.NO,.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. �a/2 CLASS �i s
SWIMMING POOL RECEPTOR 1.50 DISTRICT NOe GROUT''i ZONE PROCE on r
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 1.50 INDUSTRIAL
E APPROVAL
O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V
OUTLETS OVER
W
5 PER SYSTEM 30 y
` Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE S
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
1 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 GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO yy
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL 7-S .07
�c�•
SIGNATURE IA.CK R. ALLEN, SUPERVISIN HANIC LEN G'R.
OF PERMI
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
5 ;:� 67% SEEF 5 5 D 3.50~
78A887-CE#817 4-67
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APPLICATION FOR PLUMBING PERIVII;� 1
z`;—&6Tr OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10119 F P_
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
Temple City
FOR APPLICANT TO FILL INNEAREST Arden
- cROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
2 WATER CLOSET
�p.�•� owNEY Bernie Clairmont
OLQ.'
1 BATH TUR " j DA DRESS 553 North Chalburn
1 sxowER cITY West Covina TEL. No. 337-8463
2 ILAVATORY CONTRACTOR Owen Bros. Plumbing, Inc.
1 SINK ADDRESS 4265 North Baldwin Avenue
DISHWASHER 1.25 CITY E1 Monte TEL. NO- 443-0078
STATE LIC
LAUNDRY TUR 1.25 LICENSE NO. 231741 CLASS C36
1 CLOTHES WASHER DISTRICT NO GROU13 AP14 E P ES BY
Ile
1 WATER HEALER 1.50 a
1 GAS SYSTEM_OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL CCD
OUTLETS OVER 5 PER SYSTEM 90 _ INSPECTION RECORD C
IaJ
Cn
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT —2 00 UNDER SLAB WORK
ROUGH PLUMBING `
TOTAL FEE rA
GAS PIPING
O�
.1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT '
AND STATE THAT THE ABOVE 19 CORRECT'AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER I
PLUMBING.
1 HEREBY CERTIFYI THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF GAS TEST (�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE AB :01SED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL O 7
ALIDATION JACK R:ALLEN
cK. M:o. CASH SUPERVISING MECHANICAL ENO-R.
3.3 9.3 SCR a. 5 D -18 2.5-w.