HomeMy Public PortalAbout9732 OLIVE ST_Plumbing__ 76 A 6.67—CE 817 8/68
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APPLICATION FOR PLUMBIN PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 9Z
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUP'T.'OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST.
OWNER
WATER CLOSET 1.50 KAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CTPY �/f♦ TEL.NO.
CLOTHES WASHER 1.50 STATE . LIC
LICENSE NO.,.?/iv® CLASS G Z D
SWfMh1ING POOL RECEPTOR 1.50 IIIIIIIIffi
DISTRICT NO. GROUP I ZONE PROCESSED RY
LAWN SPRINKLER SYSTEM 2.00 d
LO � . lie. o
WATER HEATER -1.50' INDUSTRIAL v
WASTE APPROVAL Z
GAS SYSTEM OUTLETS 1.50 q INSPECTION RECORD0
�! n
OUTLETS PER SYSTEM Lu IG
S 30 I C> ' � T' .5�" � y
' � Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING 2 ".0"'a"j
GAS VENT
City Tel. No. HOT WATER HEATER
LBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
G.ESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT I AM THE LEGAL OWNER OF,AND INTIkNO TO
N,THE ABOVE DE RIBED RESIDENTIAL PROPERTY. FINAL � fURE JACK R. ALLEN,'SUPER VISI M HANICAL EN G'R.
RMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
75A667-CE#817 5/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS BUILDING �- r .P
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. .
NUMBER FIXTURE OR-ITEM EACH FEE -
OWNER .CJ I o
WATER CLOSET $1.25 MAIL -
BATH TUB 1.25 ADDRESS
L .SHOWER 1.23 J CITY
LAVATORY 1.25 CONTRACTOR C ;p/-�r
1' SINK 1.25 Z . ADDRESS ' T v%s'
DISHWASHER 1.25 GIYY :A D 6- TEL.NO.,e�e . 713 or
LAUNDRY TUB 1.25 CONTRACTOR'S / A STATS
REGISTRATION NO. COUNTY•
• CLOTHES WASHER 1.25 DISTRICT O. GROUP ZONE P 88ED BY
WATER HEATER 1:50 }
a
GAS SYSTEM-OUTLETS- 1.50 INDUSTRIAL
APPROVAL O
OUTLETS OVER 5 PER SYSTEM .90 u
INSPECTION RECORD
.y•'P '� 7J9T1i[✓ ' J �! ti7! lit
a
¢ -,zq
fir -
✓ APP�OrYAL'S GATE+ INSPECTOjt'S SIG pf-PRE
PERMIT $ 2-1 00 UNDER�Sr-K'B WORK A - G.-
PERMIT
PLUMBING I
TOTAL FEE 7 e .i
GAS PIPING p
I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION. GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY _ A p
WITH ALL COUNTY ORDINANCES AND•STATE -LAWS IIEGUL'ATING
PLUMBING. HOT WATER HEATER .1 + {. '
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR- PLUMBING FIXTURES K
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF vnL�' `w•;,`�...iR.��..r2 'd�
CALIFORNIA OR THAT t AM THE LEGAL OWNER OF,AND, INTENGAS-TESTD TO �,/A {'-
RESIDE IN.THE ABOVE D RIBED RESIDENTIAL PPROPERTY
UTILITY CO.NOTIFIED' ,-
-
SIGNATURE
OF PERMITTEE
DATION ROBERT A.WOOD
M.O. CASH SUPERVISING MECHANICAL ENG':R
''" = Lo 4 8 5 JAN 15 5 A .