HomeMy Public PortalAbout10413 1/2 OLIVE ST_Plumbing__ 7GA667C ICE 617-A)-11/76
APPLICATION FOR PLUMBkNG PERMIT
COUNTY OS ANGELES
DEPARTMENT F COUNTY ENGINE
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL.N
DISHWASHER CONT ORS
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY $L.NO.
LAWN SPRINKLER SYSTEM STATE LIC.WATER HEATER LICENSE NO. el*7CLASS
GAS SYST UTLETS 3 DISTRICT NO. G UPNE OCESS�Q BY
OUT VER 1/!/� ?.
5 ST INDUSTRIAL ii.
WASTE APPROVAL C
INSPECTION RECORD V
OC
0
d.
fA
Plan check fee Z
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLE E THAT I H E READ IS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS COR
R AND AGREE COMP t HALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGU ING PLUMB(
I HEREBY CE FY AT PROPERL R I ERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS N OUNTY AND ST F CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER 0 INTER RESIDE E BOVE DESCRIBED RESIDENTIAL
PROPERTY. Lp
UTILITY CO.NOTIFIED
SIGNATU
., e
OF PE t FINAL t*
P CHECK VALIDATION— da 1+--- CK---M-0---- CASH' JPERMIT VALIDATION CK. M.O. CASH
�. ®s
781667
CE 817 8-56 APPLICATION FORPLUMBING PERMIT :1
13U=NG AND SAFETY DMSION
Department of County Engineer:
County of Los Angeles BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER. ADDRESS
CASSATT D..GRIFFIN,SUPT OF BUILDING 1
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER �i! D[STRI NO: GROUP l..A E I READY FOR INseEcTION
MAIL tt—
ADDRESS
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER %� !t� - INSPECT,-I/OIN RECORD y9iti1
ADDRESS 6CoS zbgf1xa C J:1�1 !/�/rs✓
CITY AZA76 .1Jt TEL.NO
LICENSENO. /6 .2-:L1 (/
a—.?
/ 01
B
NUMBER TYPE OF FIXTURE.OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ D
BATH TUB @ $1.00 ®"O
SHOWER @ $1:00 j Q
LAVATORY (WASHBASIN) @ $1.00 eOO e
KITCHEN SINK @ $1.00 Q
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $I.O'O OO
WATER HEATER @ $1::00 0
GAS SYSTEM @ $1:00 Q O
APPROVALS
DATE INSPECTOR'S'SIGNATURE'
UNDER SLAB WORK / /
TOTAL FEE
PERMIT $ 1 00 ROUGH PLUMBING 7� /��>iP� -1/i/ I/L�`/
GAS PIPING
GAS VENT
HEREBY STATE THAT THEEABOABOVE 8 T APPLICATION I HAVE READ THIS
CORRECT AND AGREETO
ANDCOMPLY HOT WAITER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM. PROPERLY REGISTERED AND/OR GAS TESTLICENSED •
CALIFORNIAOR THATDI BANLOS LOWNER LEGAL NER OF THEANGELES COUNTY ANDATE ABOYE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL FROPER39r.
SIGNATURE
OF PERMITTEE FINAL
ROBERT A.WOOD.
JOHN A,LAMBIE,COUNTY ENGINEER VALIAnTION�gtI� SUPERVISINGPER�V�IISING MECHANICAL ENG'R
`yD . 0 Q