Loading...
HomeMy Public PortalAbout10623 OLIVE ST_Plumbing__ 76 A 667—CE 817 8/68 APPLICATION FOR PLUMB_ -LNG.. PERMIT . COUNTY OF LOS 'ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY - FOR APPLICANT TO FILL IN PR NT OR TYPE) CROSS ST. NUMBER. FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 BATH TUB 1.50 L-hA DRESS . Zr j SHOWER 1.50 C TEL.NO. LA VAT ORY 1.50 CONTRALTO SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL.NO `j 1lj CLOTHES WASHER 1.50 STATE LIC LICENSE NO. © CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP E R . ESSED BY LAWN SPRINKLER SYSTEM 2.00 0 / v WATER HEATER I.50 INDUSTRIAL WASTE.APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD W OUT ETS OVER 1 9L 5 PER SYSTEM TEM 30 � �Jd., m f Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 11 APPROVA"LS 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 1 HAVE READ. THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY RESIST ED AND/OR UTILITY CO.NOTIFIED CALIFORNIA OR THAT LICENSED AS EII AM THE LEGAL LOWN ES COUNT D INTEND 0 STATE 00 �/ _ v f8 O RESIDE IN.THEABOVE D RIBE D REBID T L RTY. FINAL SIGNATURE JACK R.ALLEN, SUPERVISING MECHANICAL ENG-R. OF PERMITTIF PERMIT VALIDATION K M.O. CASH PLAN CHECK VALIDATION CK. M.0. SH IC3.50 76 A 667 - CE 817 7-69 C� APPLICAVO FOR PLUMBI G PER ♦ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING Ve JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY + FOR APPLICANT TO FILL IN(PR NT OR TYPE) CROSS T. NUMBER FIXTURE OR ITEM EACH FEE OWNER ogA- WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY 73ny,6 TEL.NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS LS D DISHWASHER 1.50 CITY SIO. aA CLOTHES WASHER 1.50 STATE LIC LICENSE NO.26a.2-91 CLASS jy_ SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROUP ZONE P O S BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM U2 EPIanheck fee 25% of above. See reverse. UMBING 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 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION PLUMBING FIXTURES AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 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 Po CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO ALA THEA DESCRIBED RESIDENTIAL P O ERT NAL SIGNATURE JACK R. ALLEN, SUPERVISING )ANICAL ENG'R. OF PERMI PERMIT VALIDATION CK. O. CASH PLAN CHECK V DATION CK. M.O. CASH .5 4.QZZE M15 5 D 3.5 ON V