HomeMy Public PortalAbout9635 OLIVE ST_Plumbing__ H
;Bsi710.55 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSAT_T D.GRIFFIN,SUPT OF BUILDING
LOCALITY
-FOR APPLICANT TO FILL IN NEAREST
CROSS ST.- c.
OWNERS rDISTRICT NO. GROUP O READY FOR INSPECTION
ADDRESS J / - .IMAIL �2'O,;
��e � INDUSTRIAL
CITY �I�rq� TEL.NO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS ; ,rFr_z� `r.�I
CITY TEL.NO'. �_1 A r!2 S `T-c. i .R""P' T-,
a (i
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM �FEE IL �
WATER CLOSET (TOILET) @ $1:00
BATH TUB @ $1..00
SHOWER @ '$1.00
LAVATORY (WASH BASIN) @ $1.00 DO
KITCHEN SINK @ -$1.00 l &D
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY, @ $1.00.
CLOTHES WASHER @'$1.00 (9
WATER HEATER @ $1.00
GAS SYSTEM @. $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBI Cz, -
GAS'PIPING - �1
TOTAL FEELE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. .-�--�r
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GASTEST n#Fvl
LICENSED• AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THA AM' THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED REBID AL ROPERT r� /
SIGNATURE
OF PERM ITT FINAL
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK: M.0. CASH
L�6. 9 2 C., 3 9.Q o
APR cJ �'
76AS67 (CE-817)-8-71
APPLICAT16N FOR PLUMBING PERMIT
7
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7BUILDINGFOR APPLICANT TO FILL IN (PRINT OR TYPE) r G ,
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER MAIL
Aj
MAIL '
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY .y TEL. NO. —a
LAVATORY 1.75 CONTRACTOR C
SINK 1.75 ADDRESS
G9 �d
DISHWASHER 1.75 7S
CITY-72-1-27,1_26TEL. NO.Sf _70 70
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. pZ� CLASS
DIST ICT W. GROUP ZONE �ROCE&L
LAWN SPRINKLER SYSTEM 1.75 7
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL 0
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER .30 a
5 PER SYSTEM 0
V
lu
A.
FA
z
m
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 71
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
IHEREBY 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.
I 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
RESIDE IN THE ABOVE DES CRIESIDENTIAL P PERTY, FINAL
SIGNATURE C
OF PERMITTEE
PERMIT VALIDATION CK. M.O. .CASH
PLAN CHECK VALIDATION CK. M.0. Cp3
1
CE 76AG67 APPLICATIO-N FOR PLUMBING PERMIT
B17 B-SAH MING AND SAFETY DMSION :1•
Department of. County Engineer 2
County of Lob Angeles ADDRESS �J�(n
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY'
FOR APPLICANT TO FILL IN 'ter
/�i� CROSS T...-
EAD
ER /f f/1ig7'rG-s— f��Z DISTRICT NO. I GROUP 1ZONE READY Foe INSrEalax
MAILESSiJ � I dt)9A I
�J���-- INDUSTRIAL
CITY yL` !tel.[ .TEL.NO WASTE APPROVAL
PLUMBER l� INSPECTION RECORD
ADDRESS "(!�
CITY TE17 NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) Q. $1.00 $
BATH TUB Q $1.00
SHOWER Q $1.00
LAVATORY(WASH BASIN) Q $1.00
KITCHEN SINK Q -$1.00
DISHWASHER Q $1.00
LAUNDRY TUB OR TRAY Q $1.00
CLOTHES WASHER Q $1.00
WATER HEATER Q $1.00
GAS SYSTEM Q $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ I 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBMG. pLUMBING,FIXTUREB
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO..NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE )1 ' "/+
OF PERMITTEE _/+[Z{` L -� FINAL `S i G cE1"
ROBERT A.WOOD,
JOHN A.LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL.ENG'R
eE. a�:, -3-00_ old 41M MJG21 3 3 0.