HomeMy Public PortalAbout6212 PRIMROSE AVE_Plumbing__ jt
887A 1
GE 877(REV.8/78) .' /
es
APPLICATION FOLU M B IN IT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /�
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 6Q/2 P 1
te
WATER CLOSET CALIT CO G
AREST
BATH TUB OSS ST.
SHOWER J;aAWD
WNER r fooVkAIL
LAVATORY DRESS a !2 /V 7 P/c.Lsa�R i7 !Q U�
SINK CIT �I� G TEL.NO.ZS Yt(3`f
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM STATELIC.
WATER HEATER 'LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER - UNDER SLAB WORK.
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 6
GAS VENT
@3
HOT WATER HEATER
PLUMBING FIXTURES I
GAS TEST ut
GJ It
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ o
TOTAL FEE FINAL.
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel.No. ;7 9 6,0 A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND.STATE 9O o 0 0 0 5
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION n o o
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS L
2200
REQUIRED BYL05.ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE rC� n _
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL D A O 2 0 ,L,U
PROPERTY.
SIGNATURE "` 1.27-79
OF PERM ITTEE
RO SSED BY
J.
INDUSTRIAL
WASTE APPROVAL
F6 A667-CE#617 5-61
r
LI.CATION FOR PLUMBING PERM'/
COUNTY OF LOS RNOum �/
DEPARTMENT OF COUNTY ENGII1iEt
BUILDING AND SAFETY DIVISION IJIWING 161
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS.
WILLIAM A.JENSEN, Sup'T of HUII.DING
LOCAL TY
FOR APPLICANT TO Iall.L IN C ST. law— I
NUMBER FIXTURE OR ITEM OWNJM o
WATER CLOSZT MA>z
DATE TOB ADDRESS
CITY TEL NO.
SHOWER
LAVATORY CONTRACTOR r
sm ADDRESS 7 !v2
DISHWASHER CITY �' 6 eZ -�
BrATE
LRUNDRY TOB ESIZZMATCONZRATIION NO. COUNTT
CLOTHES WASBER i'DISTRICT NQ, GROUP NE PR ED BY
WATER BEATER jl� d
npDIISTBIAL
GAS SYSTEM w"m APPROVAL ! �. V
. / / nl=CUgwRECORD_. ,,.m O
_
e /1.00 PER ITEM
OR FIRTORE $ I APPROVALS DATE INSPECTOR'S SIGNATURd
PERMIT IF 1 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS-PIPING
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ.THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL G°OUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING.. HOT WATER HEATER
-
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED At REQUIRED BY LOS,ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWN OF THE ABOVE
DESCRIBED RESIDENTIAL PROP RTY. UTILITY CO..NOTIFIED
SIGNATURE w..l�rrl
OF PERMITTEE FINAL Iq U
RETORTION ROBERT A.jA/O.00D
,t:14 M.o, &ASH SUPERVISING MECHANICAL ENG'R
t,QQ750Q! APR 9 5 D 3.00
76A667 OBS 17 11-SO APPLICATION FOR PERMIT _
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ' G ,L
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRrICT . GROUP I ZONER O.
PLUMBER p.jal U S / RECEIVED���BY READY FOR DATE ISSUED
FIRST I�NBO�ON
ADDRESS
UILD
NG
CITY rJ f TEL NO. a `-13 VI ADDREISS �s �,�+1 w �f A II RA,rr� d &�1(
COON � ' A LOCALITY ! j v®Si( 10A r I
LICENSE NO. a EXPIRES +
PERMIT FEES !
NEAREST. ,+ IN A) to, e� iv 6 (�
NUMBERTYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) a 0.50 0 p AD RE98
BATHTUB @ 0.50 CITY fg'M'PL &'
�v ,`p VTEL. No. /A- y 4!
SHOWER 0.50 1 HEREBY ACKNOWLEDGE
THAT I HAVE READ THIS
J LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL P OPERTY DESCRIBED AS E.
GAS SYSTEM OUTLETS @ 0.50 r�'' 4
SIGNATURE OF ji i
WATER HEATER @ 0.50 PERMITTEEr -
SLOP SINK @ 0.50 INSPECTIOWhECORD
FLOOR SINK 0.50
FLOOR DRAIN O.SO
DISHWASHER 0:50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 Z
O
MISCELLANEOUS
O
APPROVALS
DATE _ INSPEOTOR-B NAME
ROUGH PLUMBING
v+
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
O UTILITY CO.NOTIFIED
TOTAL FEE Fs
FINAL
7OI887 17 S-EO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
® 737 -3&
PLUMBER WINTERBOTTOM BROS., RECEIVED BY READY FOR DATEISSUED
FIRST INSPECTION
ADDRESS 1112 WESTMINSTER AVE. �
WITS , BUILDING
CITY TEL. NO. ADDRESSCOUNTY
LICENSE NO. i l 15 EXPIRES 6,30®ti I LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
ADDRESS 36.12 E.
WATER CLOSET (TOILET) '0.50 S LIVE OAK AVE.
BATH TUB @ 0.50 CITY ARCM]IA, CAL I F• TEL. NO.
SHOWER @ 0.50 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.
1 CERTIFY T AT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANG COU Y LI SE. R 1 AM E LEGAL OWNER
OF TIA OP Y.D EE/� V
GAS SYSTEM OUTLETS O.50 g R OF
WATER HEATER Q 0.50 PERMITTE
SLOP SINK @ O.So .SPECTION.RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN 0.50.
DISHWASHER ® 0.50I
DRINKING FOUNTAIN 0.50 f y �p /
URINAL @ 0.50 / /�; ( I L-V /,!
' J
HOUSE SEWER @ 0.50
Z
MISCELLANEOUS (�
IC
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING 1. I4`I.pir,\
GAS .PIPING //
GAS VENT ,ISI,
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
I' DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMITGAS TEST
1.Oo
UTILITY CO. NOTIFIED / (w
TOTAL FEE I '$ 5. 0
FINAL