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Home My Public Portal About9563 OLIVE ST_Plumbing__ APPLICATION FOR PLUMBING PERMIT 1 ' COUNTY OF LOS ANGELES DF.PARTNENT OF COUNTY ENGINEER BUILDING SAFETY DIVISION .1A.LMy $A�DDs> s 15 O L IM CASSRTT DGRIFFIN,county own LOCALITY FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM CROSS ST. s�o vr> �� L. �.4" WATER CLOSET OWNER A& AR-1 SULLUMID. _ BATH TOR ADDRESS p L- S80WE8 CITY LL NO. LAVATORY CONTRACTOR Sig ADDRESS DISHWASHER CITY ' LAUNDRY TOB CONTRACTOR'S STATE 13 REGISTRATION NO. COUNTY CLOTHES WASHER I ZISTI NO. GROUP ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS $1.00 PER ITEM ® .� DATE INSPECTOR'S SIGNATURE .10 08 FD;TORE $ I UNDER.SLAS WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I. HAVE READ THIS ADPL ATION ' GAS VENT AND STATE THAT THE ABOVE !S CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST' LICENSED AS REQUIRED BY LOS AN LES COUNTY AND STATE OF _ - •CALIFORNIA OR THAT I AM TH E L OWNER OF THE BQVE UTILITY CO.NOTIFIED DESCRIBED RESIDENA�LERT SOFPERME �f� FINAL .�/ L- ROBERTA.WOOD.�,►' , ®P VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.0. CASH UCO 6 .0 1 3,0 OCT 2-3 5 A 3.0 0 D.'B:S:17 25M BEEP s-49 APPLICATION FOR PERMIT PEPARTMXT. OF BUILDING AND SAFETY - COUNTY. OF LOS ANGELES P`UMBINo Wm.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRI o. ou rao P o. ROUGH FIXTURES COMPLETE HEATER CESSPOOLI—I SEPTIC TANK RzApVED BY READY FOR TE ISSUED _ FIRST INSPECTION GAS• MISCELLANEOUS `� /� � •� APPLLIACAtNT FILL IN HEAVILY OUMINLD'PORTION ONLY T E NAM •E I�D.G �-i7 ADJOBDRESS I & — ' X ADDRESS �'SC�� , f�ar4 LOCALITY 7NEAREST b. C - CITY TE4..NO. a/'�/®� CROSS ST. COUNTY q CERT.NO. - _ �- EXPIRES X`h 7 @W1 . NAME LOCATION OF SEPTIC ANK, OR CESSPOOL W Z MAIL O ADDRESS NORTH ' CITY. l TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES CO NTY CEERTTUFICATE OF QUALIFICATION. PLUMBER I..AM THE LEGAL.OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER . CORRECTIONS a �. r...,v 20, to .a �? ,a► F. SOUTH .J DESCRIPTION OF WORK z BATH TUB FURNACE E9 IY ROWER —DISHWASHER O AVATORV REFRIGERATOR _KITCHEN SINK• WATER SOFTENER FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET -. DRINKING FOUNTAIN DATE IN9P6CTOR'8 NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMMIN6J. METER. GAS OAS PIPINGd -��I/ 7 I r V J•' ODA FOUNTAIN ' OUTL i GAS VENT 1 CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER S UTILITY CO.NOTIFIED I v /� l/ •h 6- T OTAL - TOTAL FEE FINAL 0.8.911V 29M SETS 1148 - iJiVA'SION..FOR, PERF " DEPARTN� Sf -OF BUILDING•AND SAFETY APP d COUNTY OF LOS ANGELES P WM.J. FOX.CHIEF ENGINEER LUMBING . NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERR NO. ROUGH FIXTURES COMPLETE () ��r R g ED gY READY FOR DATE ISSUED HEATER CESSPOOL I�SEPTIC TANK FIRST INSPECTION AS M18CELLANEOU Z APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JO a: �� ADDRESS Id ADDRESS LOCALITYNEAREST R IL CITY T 0— ROSS ST. COUNTY ��ee / CERT.NO. EXPIRES C NAME (O, L1 ) �.o�t-✓�/Y p LOCATION OF SEPTIC TANS,OR CESSPOOL 3 ADDRESS 8�FiC�j d// 6 NORTH O � (J CITY ' (�fiii�! TEL..NO. 1 AM THE LF, AL POS 860 OF THE ABOVE LOS ANdELM COUN CERTIFICATE IF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED 3 � ABOVE. I AWNER r� CORRECTIONS as _ � • -.�G SOUTH J DESCRIPTION OF WORK z QATH TUB, FURNACE L7 (Y SHOWER DISHWASHER O AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER .FLOOR SINK SAND TRAP SLOP SINK - FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE_ INSPECTOR'S NAME WATER HEATER• DENTAL LAVATORY I I • ROUGH PLUMBING METE. ounR. AAS SODA FOUNTAIN GAS PIPING I i Gas VENT I ' cEssPooL I { y' - C TOTAL NUMBEROFFIXTURES SEPTIC TANK CESSPOOLEPTIC TANK SEWER I + S UTILITY CO..NOTIFIED TOTAL FEE '®' RINAL 76A687-C E#817 10-67 APPLICATION FOR PLUMBING_ PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS_ 2958 Fees COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY ATCafiat ARE FOR APPLICANT TO FILL IN(PR NT OR TYPE) CROSS :U AC NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OwNA1 Tom Brockmiller. MAIL BATH TUB 1.50 ADDRESS Same SHOWER 1.50 CITY Same TEL. NO. "6-7018 LAVATORY 1.50 CONTRACTOR Pacific SINN: 1.50 ADDRESS 10920 IC. Grand Ave DISHWASHER 1.50 CITY Tmple Ct ly TEL. NO. Il42r-701D CLOTHES WASHER 1.50 STATE LIC LICENSE NO. M1898 CLASS 2 SWIMMING POOL RECEPTOR 1.50 DISTRICT. GROUP ONE P79,,77-77n' S BY LAWN SPRINKLER SYSTEM 2.00 (;ten 7 ` ' O v Z WATER HEATER 1.50 1050 INDUSTRIALWASTE APPROVAL r GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD v OUTLETS OVER W 5 PER SYSTEM .30 �' d, W Plan check fee 25°%0 of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE 0 APPROVALS DATE INSPECTOR'S SIGNATURE. Plan check applicant UNDER SLAB WORK Mame ROUGH PLUMBING Address GAS PIPING City, Tel. No. GAS VENT HOT WATER HEATER W ' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. iHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 'd-o?Ln W- CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO + ! 6 RESIDE IN.THE ABOVE DEBCRIBFO RESIDENTIAL PROPERTY. FINAL SIGNATURE ' OF PERMITTE JACK R. ALLEN, SU PER V.I INC ANICAL ENG-R. r PERMIT VALIDATION CK. • .O. CASH PLAN CHECK VALIDATION CK. M.O. CASH L4 7 7 0%1103 HAT 2,.2 5 A 3.50- v '6A ,Bs-17,o.se APPLICATION FOR .PLUMBING PERMIT ,� +DIVISION OF BUILDING AND SAFETY Department of County Engineer' County Of Los Angeles BUILDING 0563 Olive sto JOHN A.L.AMBIE, COUNTY ENGINEER ADDRESS 8 CASSATT D,GRIFFIN,SUPT OF BUILDING • LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST �J CROSS ST. CZ 4 L./` OWNER William Jo Eoklund DISTRICT NO. GROUP ZONE READY FOR INSPECTION AMAIL DDRESS 9563• Oliv®--Std; CITY Temple CitY TEL.NO. INDUSTRIAL WASTE APPROVAL _PLUMBER Anthony B-r.os ., inc.,e INSPECTION RECORD ADDRESS 5871 Firestone Blvd. CITY SO Gate TEL.NO. "'36371 �< LICENSE NO. 117013 Sc.w,53 NUMBER TYPE OF FIXTURE OR ITEM• FEE WATER CLOSET (TOILET) @ $1.00 t� t�''„•�� L� r�.n_� BATH TUB @ $1.00 SHOWER @ $1.00' = -�- LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 CTAS SYSTXM @ S.1.00 Fresh water piping-to swim pool 1 , . 0 APPROVALS DATE INSPECTORS S16NATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LA REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY R IS ERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE'OF CALIFORNIA OR THAT I AM THELEGAL ER F THE ROVE UTILITY CO.NOTIFIED DESCRIBED RESIDENZLROPERT,? . SIGNATURE OF PERMITTEE FINAL OHN A.LAMBIE.COUNTY ENGINEE LIDATIO ROBERT A.WOOD.CHIEF PLBG. INSPECTOR cK. M.0. CASH 4 7 9 4V;- FEB 5 3 2..0 0 �'