HomeMy Public PortalAbout4912 ROBINHOOD AVE_Plumbing__ 76 A 667 - CE:A17 7-69 y �caL
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APPLICATION FOR':PL QMEING PERMIT U
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PR OR TYPE) CRRO ST.
NUMBER FIXTURE OR'ITEM EACH FEE
OWNER
WATER CLOSET 1.50 MAIL
TUB 1.50 AD RESS 12-
BATH �
SHOWER 1.50 CITY f TEL.NO. _,��,/Z "
LAVATORY 1,50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50• CITY TEL.NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
'SWIMMING POOL.RECEPTOR 1.50
JMD,
ICT N GRdUP Z P BY
LAWN SPRINKLER SYSTEM ' 2.00 Q
WATER HEATER 1'.50
WASTE W TE PPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER r5 PER SYSTEM .30I/�lr�
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S /2 00
TOTAL:FEE LV APPROVALS DATE INSPECTORS SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING I -f
GAS PIPING d. X49
Address I
GAS VENT
City, Tel, No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE, THAM 1 HAVE READ THIS APPLICATION PLUMBING FIXTURES
AND STATE THAT THE ABOYE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR UTILIT C .NOTIFI r '
LICENSED AS REQUIRED BY ANGELES ANO STATE OF
CALIFORNIA OR THAT 1 A T LEGAL ND INTEND TO
RESIDE IN.THE ABOVE ED RES= NT Y FIN,(L
SIGNATURE JACK R.ALLEN, SUPER tSt G MECHANICAL R.
OF PERMITTEE PERM T VALIDATION CK. M.O. CASH*
PLAN CHECK VALIDATION CK. M.O.- CASH
1 'r,,5 7:6 LCR JULI 0 5 D
7UW-=17 NO
} f,
APPIL ICAT909 FOR PLUMBJNG .PERMRT .
COUNTY OF LOS ANGELES
DEPARTBIENT OF COUNTY ENGIN M
BUII.DIIVG AND SAFETY DIVISION BUMMIG
JOHN A. LAMB.IE. COUNTY ENGINEER ADDRESS 4912 Rnhinhnnd"
WILLIAM A.JENSEN.SUPT of BUICDINa
rocALITY Temple ity, aliform.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. .
NUMBER FIXTURE OR'ITEM OWNER G10V1 ettl
WATER CLOSET v
ADDRESS
4912 Robinhood
BATH TUR
. . . - ..
CITY Temple Citymm..No.
SHOWER
LAVATORY CONTRACTOR Bryant,Heating Co-.
SmADDRESS 8730 Las Tunas Drive
Dzszrasz�ER CITY Sa4Rgjjbxiel AT 6-114
CONTRACTOR'S ATE E3
LAUNDRY'.TOB REGISTRATION NO., .. COUNTY
CLOS WASHERGRQu
DISTR .T N ZONE• P CESSED BY
WATER-'REATER !J
GAS SYST863 IIJD.USTRIAI.
WASTE APPROVAL
one ennox' to heat Qum . nvsPECn0N RECOIM:
0 -
APPROVALS,
APPROVALS. :DATE INSPECTOR'S.SIGNATURE
'
PERMIT $ 2 00 UNDER SLAB WORK
y
TOTAL FEE ROUGH PLUMBING f/� ,>'h '4n?�%;V
3 .0 GAS PIPING r /\
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION •
AND STATE THAT.THE ABOVE 18. CORRECT AND AGREE TO' COMPLY. GAS VENT WITH ALL COUNTY ORDINANCES- AND STAT& LAWS REGULATING
PLUMBING. NOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AN, PROPERLY REGISTERED. AND/OR .PLUMBING FIXTURES O `
INCENSED AS REQUIRED BY LOS'ANGELES COUNTY AND STATE.OR. CTAS TEST
CALIFORNIA..OR.THAT 1 AM THE.LEGAL OWNER OF THE ABOVE
DESCRIBED BESIDE,PWA PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERM.ITTE
• •. FINAL
9a OVALMATION ROBERT A!WOOD,
C6. ll.m am SUPERVISING MECHANICAL ENG'R
j 70752 MV 16 5 D 350'
�9A867 APPLICATION FOR PLUMBING PERMIT
>es.,7 toss
r DIVISION OF BUILDING AND SAFETY
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
CROSS ST. !Mi
OWNER DISTRICT NO. GROUP I ZONE READY FOR INSPECTION
MAIL �a
ADDRESS cJ /
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER - INSPECTION RECORD
CITY Ij TEL. NO.
J i
,l
LICENSE NO.. _ 50,( 23,f-
NUMBER %�
TYPE OR FIXTURE OR ITEM FEE f �AL--9Ao J�
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ .$1.00 Q ;
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 Q r
KITCHEN SINK @ .51.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00 Q
WATER HEATER @ $1.00 D d
GAS SYSTEM @ $1.00 O
APPROVALS
00 I+r DATE INSPECTORS SIGNATURE,,
UNDER SLAB WORK /- ;4 LA,
PERMIT $ 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT i
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER ter!/ d Jfr •�4✓='=' "�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES �•;r <+!2J^^z�
1 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 OPERTY.
SIGNATURE
OF PERMITTEE FINAL g J' / =6
OHN A.LAMB F,/COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CK. M.0. CASH
LAC0 0 7 0 2D; mAY 31 3 - 1 1 .0 0 111.