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HomeMy Public PortalAbout5027 PAL MAL AVE_Plumbing__ L1 I 76A667 (CE-817)-8-71 �_ - . 11��j" 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