HomeMy Public PortalAbout9831 OLIVE ST_Plumbing__ 7GA667X JCEF al 719) -4 77
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"'PLICATION�1PFOR PLUMBING iNG PERIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING
NUMBERFIXTURE OR ITEM ® FEE ADDRESS ��l �•� S 0
WATER CLOSET LOCALITY
e � _
BATH TUB NEAREST
CROSS ST.
SHOWER W
&E "
LAVATORY MAIL
ADDRESS (CD L
1
SINK CITY l .NO.
DISHWASHER oll CONTRACTOR '
XA
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY ��/� TEL.NO. ��j)f
STATE _ i
WATER HEATER LICENSE NO. CLASS .S
GAS SYSTEM OUTLETS DISJRICT NO. UP ZONE PROC D BY '
OUTLETS OVER &1 C
5•PER SYSTEM INDUSTRIAL
I WASTE APPROVAL p
Ptpn, INSPECTION RECORD c
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTALFEE t
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel.No. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT D THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORREC,AN.
ANDA E TO COMP WITH
ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUM
LU G. HOT WATER HEATER
I HEREBY CERTIFY THAT I M PROPERLY RE STERED ND/OR LICENSED AS PLUMBING FIXTURES p
REQUIRED BY LOS ANGELES CO NTY AND STAT F CALIFO IA OR THAT I AM THE GAS TEST r
LEGAL OWNER OF.AND INTEN T RESIDE HE BOVE ESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE 41
OF PERNIITTEE FINAL g.Z 7 gtJ
PLAN CHECK VALIDATION .0. CASHP. IT V.,LIDA ° c
8 2 2:V- �e � L- .. .�Q
W G/✓ �, OO cl q
76ASW -t•7 U-110 U APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �p
COUNTY OF LOS ANGELES P L U B R N G I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GR%UPI ZONE ®E��ITNO.
PLUMBER / RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION /
ADDRESSBIJILDING
ADDRESS
CITY J�l� TEL. NO.-
COUNTY LOCALITY /
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
(77
NUMBER / TYPE OF FIXTURE OR ITEM FEE OWNER (/ (7
MAIL
WATER CLOSET (TOILET) Q O.So S ADDRESS
BATH TUB Q 0.50 CITY TEL. NO.
SHOWER @ 0.50I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
'KITCHEN SINK 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS Q 0.50 /]y
SIGNATURE OF
WATER HEATER ® 0.50 PERMITTE
SLOP SINK 0 0.50 &SPECTION BEC D
FLOOR SINK @ 0.50
FLOOR DRAIN Q 0.50
DISHWASHER (B? 0.50
Q a✓ 6,,,n�f+L'c SCS - c,�r •L. er'�
DRINKING FOUNTAIN @r 0.50
URINAL 0.50 J
HOUSESEWER ® 0.50I Q
Z
MISCELLANEOUS (�
� i r
A71.�" .APPROVALS
I •
l DATE 1 SPECTOR'S NAME
ROUGH PLUMBING 1 el
GAS PIPING I �V('
GAS VENT IV
II I•
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT • 1.00 GAS TEST /
UTILITY CO. NOTIFIED A.i
TOTAL FEE I:$` �I�¢��f
v `•]V FINAL