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HomeMy Public PortalAbout6273 PRIMROSE AVE_Plumbing__ 76168 CE 817 8-58 -SAPPLICATION FOR PLUMBING PERMIT 4 BUILDING AND SAFETY DIVISION Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST I CROSS ST. OWNERf DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL r ADDRESS J CITYINDUSTRIAL TEL. NO. WASTE APPROVAL PLUMBER DON'S PUYAMBING SERVICk - INSPECTION RECORD ADDRESS CITY TEL. NO. LICENSE NO. <. NUMBER ' TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHE §LNK @ $I.00 DISHW ER' @ $1.00 ' LAUNDRY TUB bR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ l 00 ROUGH PLUMBING TOTAL FEE GAS PIPING GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRI13ED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE FINAL ROBERT A.WOOD, JOHN A. LAMBIE, Co4NTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R CS. M.0. CASH CE�F 66,,� APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN.SUPT of BUILDING FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER - DISTRICT NO. GROUP ZONE REA DY FOR INSPECTION MAIL t ADDRESS �� INDUSTRIAL CITY TEL. NO, WASTE APPROVAL PLUMBER DON'S PkUMBING SERVICt INSPECTION RECORD ADDRESS 840 So. Bc:Idwin Avenue CITY Arcadia, Calif.TEL. 1.1�! 70882 LICENSE NO. - NUMBER TYPE OF FIXTtTRE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ }1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ I :1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE . 'iy �'T1 GAS VENT I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I- AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE- OF PERMITTEE • ` FINAL v ROBERT A.WOOD, JOHN A. LAMBIE. CotJNTY ENGINEER // '"VALIDATION SUPERVISING MECHANICAL ENG'R ,CK. M.0. CASH j •1 7emw a s-so 15 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING, 1 WILLIAM J. FOX, CHIEF ENGINEER_ FOR APPLICANT TO FILL IN DISTRICTNO. GROUP I ZONE PERMIT NO. WIN I BV OM BROS., INC. RECEIVED BY READY FOR DATE ISSUED PLUMBER E IS 1► �� FIRST INSPECTION ADDRESS ALHAMRRA CAl-IFORN11A ` BUILDING , CITY TEL. NO. ADDRESS ;,c,i:6243 -PR IPAROSE Aw.. COUNTY LOCALITY LICENSE NO. tits EXPIRES (iA+'9R.I NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER p ' MAIL WATER CLOSET (TOILET) (i 0.SO S I C ADDRESS 3612 E- 1111C OAKE Alii • BATH TUB ® 0.50I CITY RB�I)lA_ (!�� _ TEL. NO. SHOWER 0 0.50 51 HEREBY ACKNOWLEDGE THAT 1 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 1 POSSESSTHE THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LI SE, OR I AM E LEGAL OWNER OFT TIA OP Y D D A OV GAS S•YSTEM.,7-_OUTLETS ® O.50 SI SOF WATER HEATER Q 0.50) inPERMITTE 00, SLOP SINK ( o.so I NSPECTION RECORD FLOOR SINK Q 0.50 FLOOR DRAIN 0 0.50 I 7 7 0; SL- DISHWASHER ® 0.501 _ i' DRINKING FOUNTAIN W 0.50 r` y� p+ URINAL @ 0.50 I --1 IBJ Nbyl A Diol/ .- -1,C) Q HOUSESEWER ® 0.50I ' Z MISCELLANEOUS (� (r O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING a I`.�I l*if.1 :d - GAS PIPING --- I GAS VENT CESSPOOL ® 1.00I CESSPOOL SEPTIC TANK: SEPTIC'TANK DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT . •1.00 GAS.TEST UTILITY CO. NOTIFIED TOTAL FEE I $ rJ' I �(4'r(. ' FINAL