HomeMy Public PortalAbout4835 ROBINHOOD AVE_Plumbing__ 78A887A
CE 817(REV.8%78)
as
APPLICATION FOR PL.UMBING.PERMIT
COUNTY•OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING.
ADDRESS
NUMBER . FIXTURE OR ITEM ® FEE
LOCALITY
WATER CLOSET
NEAREST
BATH TUB CROSS ST:
SHOWER OWNER: 1
MAIL
LAVATORY ADDRESS.
.SINK CRY TEL::
DISHWASHER CONTRACTOR
L
CLOTH E5 WASHER ADDR
SWIMMING POOL RECEPTOR IF
C.I.T TEL
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE N.O. CLASS A
GAS SYSTEM OUTLETS. APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING_
GAS•PIPING
GAS VENT u
HOT WATER HEATER
PLUMBINGFIXTURES ,y s
GAS TEST
Plan check fee UTILITY CO.NOTIFIED ... . r g
PLUMBING PERMIT ISSUING FEE'$ `7 .:I
TOTAL FEE FINAL j
Plan check applicant
PLAN CHECK VALIDATION
Name
. Co • alp -how
Address C" L-. Gv O .J 3
City Tel.No.
'1 HEREBY ACKNOWLEDGE THAT 1 HAVE:READ THIS APPLICATION AND,STATE
THATT.HE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED.AND/OR LICENSED AS '
REQUIRED BY LOS ANGELES COUNTY.AND STATE OF CALIFORNIA OR THAT'I AM THE L 1 9
LEGAL OF,AND.INTEND TO RESIDE IN:THE ABOVE DESCRIBED RESIDENTIAL v 1
3 A
PROPERTY. # o 0 o o o 5
SN
IGPER
. Q o 300
OF PERM(
DISTRICT NO. PRO ED.BY' 0 0 0 Q(}v
. og
INDUSTRIAL U 8. 1 7-79
WASTE'APPROVAL
s
76A887 APPLICATION FOR`•P"LUMBING PERMIT . 1
CE 817 B-SB
s BUILDING AND SAFETY DMSION
Department of County Engineer
County of Los Angeles' BUILDING 4835 Robinhotid
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY TeJnple Citi
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNERE
J. Anderson DIST RIc NO. 0 U ONEJ RE9.N.11.,.T.011
MAIL
ADDRESS
INDUSTRIAL.
CITY TEL.NO. WASTE APPROVAL
: PLUMBER Belvedere Plumbing Co. J-/ 3 INSPECTION RECORD
ADDRESS ' 11900 Eo GarveyAv.. /
CITY El Monte 1. TEL.NO.GI 89836 ,..... .
LICENSE NO. 54932 ''�
1 NUMBER TYPE OF FIXTURE OR ITEM FEE ,,7 yv�,�• "�,,,
2 WATER CLOSET (TOILET) @ $1:00 $20 O
BATH TUB @ $1.00 1•
1 SHOWER @ $1.00 1®
LAVATORY (WASHBASIN) @ $1.00 2. )0 / �✓ y ��J `���� �
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00 IBJ
LAUNDRY TUB OR TRAY @ $1.00 �,. v �.,to• Q��,r� /�(.✓'vvG'—�
CLOTHES WASHER @ $I.00
WATER HEATER @ $1.00
1 GAS SYSTEM @• $1.00 10 )0
dis oser.. 0 / " '/s��
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 7 00 ROUGH PLUMBING
12 o O GAS PIPING
TOTAL FEE -GAS VENT
1 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 FIXTURES fl :
PLUMBING.
) HEREBY CERTIFY THAT J AM PROPERLY REGISTERED AN GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES CO3vNTY AND STATE OF '
CALIFORNIA OR THAT '1 AM THE LEGAL OWNER 4011HP ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT[ ROPERTY.
SIGNATURE..
OF PERMITTEE - • FINAL
P
JOHN A.LAMBIE.COUNTY ENGINEER AI.IDATION SUPERVISING MECHANICAL ENG'R
L&-_'2 9-Z'2 S jM 19 5 R 12.00 M