HomeMy Public PortalAbout9857 OLIVE ST_Plumbing__ ese ; g APPLICATION FOR PLUMBIN IT .1
DMSION OF BUILDING AND SAFETY _
Deportment of County Engineer
County of Los Angeles Bu1LOtNG^nC E, Olive ►fit
JOHN A.LAMBIE. COUNTY'ENGINEER ADDRESS v�
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY Tem le City
��I
FOR APPLICANT TO FILL IN I NEAREST. Golden Wast Ave
OWNER Merton Landoll DIST T NO. GROUPE READY FOR INSPECTION
MAILADDRESS 9861 E •Olive St
INDUSTRIAL
CITY T em le CitY TEL.NO., WA TE APPROVAL
PLUMBER Statewide Plumbing Co . INSPECTION RECORD
ADDRESS Monte
Valleyd • � t 5Z t m .g
CITY 21 Monte TEL.NO. F 0-3717 a 29D`12-Sf� w l
LICENSE NO. -160930 0-36
NUMBER TYPE OF FIXTURE OR ITEM FEE
l WATER CLOSET (TOILET) @ $1.00 $ y1 .00
1 HATH TUB @ $1.00 l: 00 T
tQ J.. .. .®.
SHOWER @ $1.00
1 LAVATORY (WASH BASIN) @ $1.00
l KITCHEN SINK @ $1.00
DISHWASHER @- $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM Q $1.00
s
APPROVALS
DAT INS CTOR'S SIGNATURE
UNDER SLAB WORK 1.0 (p
PERMIT $ 1 '00 ROUGH PLUMBING 1.WY _
GAS PIPING q)R b
TOTAL FEE. 0 GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE..READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST bl N
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ♦t U
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P9P
SIGNATURE
OF PERMITTEE FINAL
'OHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CS B.O. CASH
'O 4 7 3L%no SEF2-1 3 •8.0 0
76A667-CE#617 10-67 r. f
egwl
APPLICATION FOR PLUMBING PERMIT .
COUNTY OF LOS ANGELES yvrt
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY'ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCA
FOR.APPLICANT TO FILL IN PR OR TYPE) NEAREST
CROSS ST:.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.5.0 ADDRESSfeta +
SHOWER 1.5'0 CITY TEL. NO
jE_S
LAVATORY 1.50 CONTRAC OSINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NOt �CLOTHES WASHER 1.50 STATE LICLICENSE O. �i CLASSSWIMMING POOL RECEPTOR 1.50DISTRICT NO. GROUP ffZ1 E PROC
LAWN SPRINKLER SYSTEM 2.00 Q� v
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
O
GAS SYSTEM OUTLETS 1.50 INSPECTIO CORD C~7
OUTLETS OVER
5 PER SYSTEM 30
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE 570
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City' Tel. No.
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION
AND STATE THAT THE.ABOV,E IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICE48ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 ATHE LEGAL OWNER OF,AND INTEND TO
RESIDE IIN.THE ABOVE DE_ RIB RESIDENTIAL PROP RTY.. FINAL
SIGNATURE J/�i JACK R. ALLEN, SU.P RVISING'MEC MECHANICAL EN'
OF PERMITTEE d'•v
PERMIT VALIDATION C K. M.O. c SH
PLAN,CHIECK VALIDATION CK. M.O. CASH
r. 2.3- 6'Q; ,JM 31 5 3.5(