HomeMy Public PortalAbout9521 OLIVE ST_Plumbing__ 76A667-CEil617 9/63j C r
APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /+
BUILDING AANNB SAFETY COUNTY E MSEON •ER ADDRESS r
WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FML IN NEARSCROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
AIL
BATH TUB 1.25 ADD
SHOWER 1.25 CITY TEL. NO. -6
LAVATORY 1.25 CONTRACT
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRI T NO. GROUP ESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
D:
O
F-
U
W
D.
Z
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
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
IHEREBY CERTIFY 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 OWNS F.AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED R SID NT ROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATI ROBERT A.WOOD
CK. M.O. f CASH SUPERVISING MECHANICAL ENG'R
JACO 5 6 1 2 NOV 5 5 0 3.50-
76ABV-CE817 12159 011 Job 338
APPLICATION FOR PLUM NG PERMIT �
COUNTY OF LOS ANGELES
DEPARTBMT OF COUNTY .ENGINEER
BiTILDII�iG AN� SAFETYMSION BUILDING JOHN A. LAM IE. COUNTY NGINEER ADDRESS 9521 Olive
WILLIAM A.JENSEN,SUPT OF BUILDING Loy Tem le Clt CO.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER Ra ortner
WATER CLOSET IL
1 RATS TUB ADDRESS
CITY TEL.NO.
1 SHOWER
3 LAVATORY
CONTRACTOR Belvedere Plumbin Co.
1 sRvs ADDRESS 11900 E. Garvey Ave.
1 DISHWASHER CITY El Monte TEL. NO. CU 31691
ATE INg
LAUNDRY TUB REGISTRATION NO. 179568 COUNTY ❑
1 CLOTIM WASIM DISTRICT NO GR/O P ONE DB
1 WATER HEATER Q*• /
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
IINSPECTI.ON RECORD „
j!
046 '1tr sll i� +'�. Fir/p v
O
C AM
Q 51.00 PER ITEM a ...
1.3O8 FIXTURE $ I 13.00 AP Vj4LS DATE INSPE OR'S SI TURK
PERMIT $ 2 00 UNDER V ORK
ROUGH PLUMBING 1&I
TOTAL FEE
,5 00 GAS PIPING d
1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LDIESCRIBID
COUNTY ORDINANCES AND STATE LAWS REGULATING .HOT WATER HEATER
.
Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
A OR 7 T I AM THE LEGAL NEB OF THE ABOVE
REST i PROPERTY. UTILITY CO.NOTIFIEDRE Ai.
Azzi
�e ALIDATION ROBERT A.WOOD.
OK. M.0. CASH SUPERVISING MECHANICAL ENG'R
LAC0 7 tj 5 523 OCT 2:10 5 D 1 5.G 0