HomeMy Public PortalAbout5027 PAL MAL AVE_Plumbing__ L1 I
76A667 (CE-817)-8-71 �_ - .
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APPLICATION FOR PLUMBING PERMIT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION BUILDING
IADDRESS ) L
ZA-
LOCALITY f �
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. D`�G ✓ -C S
NUMBER FIXTURE OR ITEM @ FEE OWNER ,r '
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS [,
SHOWER 1.75 CITY ETEL. NOLL
17
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY �� TEL.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1475 LICENSE NO. CLASS
DISTRI NQ./' GR Zp C D
LAWN SPRINKLER SYSTEM 1.75 (JfY
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
1.75 O
GAS SYSTEM OUTLETSINSPECJ�ON RECORD
u
OUTLETS OVER
5 PER SYSTEM '30 1 0
taA
z
P!an check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE .
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY L05 ANGELES COUNTY A STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ND INTEND TO
RESIDE IN THE ABOVE DESC D RESID, TIAL PR PE TY. FINAL
SIGNATURE L
OF PERMITTEE
PERMIT VALIDATIO OCKM.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
L.&O 5 7 9 9- MAY 2 1 D 4.7 5 N v
76 A 667—CE 817 8/68
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION ADDRESS 1,
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST ,
CROSS ST.
NUMBER,; FIXTURE OR ITEM EACH FEE
OWNER JF
WATER CLOSET 1.50
BATH TUB 1.50 bAlDAD
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACT
SINK 1.50 ADDRESS
DISHWASHER 1.50 CTPY .c TEL. NO.
CLOTHES WASHER 1.50 STATE "- 4/1
�� LIC
LICENSE NO. d CLASS
SW{MATING POOL RECEPTOR 1.50 DISTRICT NO. J,ROUP Z E PRO SED BY
LAWN SPRINKLER SYSTEM -72.00 6.0 I—/— / � �� V
.WATER HEATER 1.50 INDUSTRIAL OZ
WASTE APPROVAL
GAS SYSTEM OUTLETS f INSPECTION RECO D W
OUTLETS OVER
o-
5 PER SYSTEM 30 1-71 a ge!!? y
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 00
TOTAL FEE
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
1 HEREBY. ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AW THE LEGAL OWNER OF.AND INTIEND TO �•I
RESIDE IN.THE ABO7qRIBEO RESIDENT L PROPERTY. FINAL �4
SIGNATURE JACK R. ALLEN, SUPERVI IN CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION I
cK m e CASH
PLAN CHECK VALIDATION CK. M.0. CASH
( T 2657 j 5 D x-.75Cq
D.B. 17 25M BETE iZ-43
DEPARTMENT OF BUILDING AND SAFETY
APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES PLUMBING 1.
WM.J.FOX.CHIEF ENGINEER
NATURE OF INSTALLATIO DISTRICT NO. GROUP I ZONE PERMIT o.
ROUGH FIXTURES COMPLETE •' / �/ �
HEATER CESSPOOL I—I SEPTIC TANK RJIOVIVED BY READY FOR DATE ISINED
FIRST INSPECTION
GAS- MISCELLANEOUS �.y��•` / // l•6
APPLICANT FILLf I,N{�HEAVILY OUTLINED PpORTION�9/ONLY
JOB
K NAMB0. [tls.'i�)' f .' v�`r./" ADDRESSA�f� % �.y-� /!!•,9eL� �° �-�
ADDRESS Ape 9, kJt,Gery ;1t•", LOCALITY
2
d CITY �(�{•i[ ,�_.7:.±L V TEL.No.—I`)%.1 9 CROSS ST. f
COUNTY `
CERT.NO. r �?17 EXPIRES NAME
LOCATION
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
NORTH O ADDRESS
_ .CITY-- TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
,4
PLYMBER,01-
i AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
�q ABOVE.
Y -
3 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _z
L BATH TUB FURNACE
ROWER DISHWASHER �
�I-AVATORY REFRIGERATOR'
KITCHEN SINK WATER SOFTENER
FLOOR SINK BAND TRAP'
SLOP SINK FLOOR.DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INN�8P��ECTo 'B.NAMB
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I 111719-7 I /�
ETEo y SAS 6ODA FOUNTAIN
OUT. GAS PIPING I '1+/LAor4I /l -/.r.77 .
/
GAS VENT.
CESSPOOL I
® TOTAL NUMBER OF FIXTURES SEPTIC TANK I. I
CESSPOO*- SEPTICTANK SEWER
TOTAL FEE ,� sJ UTILITY co.NOTIFIED
FINAL / u.r
UJL?Lw1T :bm e3sza 5-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �L�M����
WM.J. FOX,CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIcr NO.F GROUP ZONE PERMIT fO.
ROUGH FIXTURES COMPLETE 96?
{
HEATER 'CESSPOOL I-I SEPTIC TANK READY FOR
E VED BY ATE ISSUED
FIRST INSPECTION /� xi.
GAS- MISCELLANEOUS .. ff��
gAPPLICANT FILL./IN HEAVILY OUTLINED PORTION ONLY
7L _clTY
NAME 1'4o2 &1,�fiLfk75jt7 fie ��j/N ADDRESS "� i .
eq of- v
NEAREST
ADDR688 / w..i C !7 e'! T2 .1_).UOCALITY }pys �rp ,/� " �r {s[ m00% �%/�•PO TEL.No. CROSS ST.
COUNTY "
CERT.No. EXPIRES WK 'NAME ,,✓9:
LOCATION OF SEPTIC TANS,OR CESSPOOL z MAIL
NORTH O ADDRESS
CITY o TEL.No.
1 AM_ THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF. UALIFICATIO
- PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK _a
Z
ATH TUB FURNACE p
ROWER DISHWASHER Q
AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK AND TRAP'
SLOP SINK FLOOR DRAIN -
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER GAS SODA FOUNTAIN
OUn GAS PIPING
GAS VENT
CESSPOOL I I
TOTAL NUMBEROFFIXTURES SEPTIC TANK
�'ESSPOOLSEPTICTANK SEWER
S Ate/
TOTAL FEE
UTILITY CO.NOTIFIED
FINAL � �'
D.B.B.17 2SM SETS 2-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM.J. FOX.CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION �G16TRICT NO. GROUP
ao PERMIT
ROUGH FIXTURES COMPLETE
HEATER :�lCESSPOOL I�SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
A8 M 18CELLANEOU J FIRST INSPECTION "j` F :
APPLICANT FILL IN HEAVILY/OUTLINED PORTION ONLY
JOB E N_AME c /_ ® �Me�• ADDRESS \ t s
W
ADDRESS 0 LOCALITY . Yom. 1 L C C.
J NEAREST
LL CITY TEL.No. CROSS ST. kt4t�
COUNTY
CERT:No. EXPIRES NAME _
LOCATION OF SEPTIC TANS, OR CESS#0OL Z MAIL C
NORTH C ADDREBB V?_
�J
CITY \ 1°f% It CA\ TEL.No. Q A
I AM THE LEGAL P088ESS0 OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE'LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. �y
l W P ��9.rf'•��.R .�fia_
OWNER
SEEMS
CORRECTIONS
r
SOUTH
- J
DESCRIPTION OF WORK a
_Z
UAT1 -'UB FURNACE ii
R'
-SHOWER DlBHWASIIER p,
LAVATORY REFRIGERATOR
KITCHEN-SINK. WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
4®WA8H TRAY URINAL APPROVALS
WATER.CLOSET DRINKING FOUNTAIN DATE INSPECTOR'8 NAME
WATER HEATER RENTAL LAVATORY ROUGH PLUMBING I
METER-----GAS - SODA FOUNTAIN GAB PIPING I I
OUTL
GAS VENT
-CESSPOOL I
Z- TOTAL NUMBER OF FIXTURES 57,, SEPTIC TANK I. I
CESSPOOI SEPTIC TANK SEWER I !1
UTILITY CO.NOTIFIED I /
TOTAL FEE / i( ,.� / �
RIVAL