HomeMy Public PortalAbout4918 ROBINHOOD AVE_Plumbing__ 76AB67-CE817-8-57
� APPLICATION FOR PLUMBING PERMIT
dl NTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS K®.
IOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN., SUPT OF BUILDING, LOCALITY b .`
FOR APPLICANT TO FILL IN NEAREST'
CROSS ST.
NUMBER FIX'T'URE OR ITEM
OWNER �
WATER CLOSET MAILCD
BATH TUB ADDRESS
SHOWER CITY ': TEL.NO. "° 1
LAVATORY CONTRACTOR
SINK ADDRESS ' C`
DISHWASHER CIT45CIL I V Ze TEL.NO. :
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. i�7 COUNTY ❑
CLOTHES WASHER
DISTRICT-6&19:j/rllkoup I Z NE READY FOR INSPECTION
WATER HEATER 6 s�
GAS SYSTEM INDUSTRIAL
tt WASTE APPROVAL
1 d�\ L-%z e•r G - INSPECTION RECORD l
4 up
`
i
APPROVALS
$1.00 PER ITEM 9 J, LAB W
f r.F DATE INSPECTOR'S SIGNATURE]
I OR FIXTURE $ / d UNDE & ORK +� � �i,� �
J
PROUGH PLUMBING
PERMIT S I 00 C' 't `�' Y �J,. t: •I e,�
� GAS PIPING
TOTAL FEE 12 P'/ GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING.
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 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
' DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE OF PERM TTEE �� FINAL v GT Ay��
ROBERT A. WOOD.
VALIDATION SUPERVISING MECHANICAL ENG'R
®C M.0. CASH
I.AA�o 4 8 0.9OURSEP 15 5 A2.0 0
76 A 667_.CE S17 7-69 `
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS AN&LES
DEPARTMENT OF COUNTY ENGINEERn DAEss
BUILDING AND..SAFETY D�MION
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. Of BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PR NT O TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM E CH FEE
OWNER
WATER CLOSET INTO WE
MAIL
.BATH TUB 1.50 ADDRESS
SHOWER 1.10 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR Q
SINK i 1.50 ADDRESS
DISHWASHER 1.SU CUT TEL. NO.
CLOTHES WASHER 1.SP STATE LIC
LICENSE NO. CLASS
SWIMMING POOL.RECEPTOR .1..59 DISTRICT NO Grp I ZO
LAWN SPRINKLER SYSTEM; 2:00 .�
WATER HEATER, 1.5 INDUSTRIAL.
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.SQ INSPECTION RECORD
OUTLETS OVER •1
IZ
5 PER SYSTEM .301 O
I z
Plan check fee 25%of above. See reverse:
PLUMBING PERMIT ISSUING FEE''$ 1 2 00
TOTAL FEE
APPROVALS _ DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK _
Name. ROUGH PLUMBING
Address GAS PIPING
Cit ` GAS VENT . .
City Tel, HOT WATER HEATER
I HEREBY AC NO4&bGS HAVE READ'TBI VAPPLICATIO
AND STATE THAT THE ABOVE 1 RRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL •COUNTY ORDINANC AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY RE0I6TERED AND/OR UTILITY CO.NOTIFIED _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OW11ER OF.AN INTEND .
RESIDE IN.'T ig ABOVE DESCRIBED RESIDENTIA O FINAL
SIGNATURE
OF PERMI JACK R. ALLEN, SUPERVISING MECHANICAL VIqT
•'
PERMIT VALIDATION CK. M.O. ASH
PLAN CHECK VALIDATION CK. 1 M.O. CASH
.. 98s � APR23 5D 3.5 - a
f 71iAS67 AIPPLIcCATION FOR ■ I..UMBING ■ ERMI ■ .d.
cE 817 B-56 UIMMG AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATTD.GRIFFIN,SUPTOF BUILDING
F LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP z64z I READY FOR INSPECTION
MAIL S �
ADDRESS
INDUSTRIAL
CITY TE WA'TE.APPROVAL
PLUMBER
",INSPECTION RECORD
ADDRES G�•� i , /
CITY-zf TEL.NO 6 f 3 5er
l LICENSE NO. f Y�13J (j
NUMBER TYPE OF FIXTURE OR ITEM FEE
!2
WATER CLOSET (TOILET) @ $1.00 $.S
s BATH TUB @ $1.00
SHOWER @ $1.00 `0
LAVATORY (WASH BASIN) @ $1.00 6 d
KITCHEN SINK @ $1.00 49
DISHWASHER @ $1,00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYS'[EM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDE SL;48 WORK
PERMIT 8 1 .00 ROUGH PLUMBING 7"ry//
` I r GAS PIPING /�,'r9) 1�y ,/�
TOTAL FEE O r
GAS VENT
I Y 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 SEPLUMBING FIXTURE
PLUMBING. ry
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST !l• 7' ..y / ?"!O in
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM HE LEGAL OWNER THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P STY.
SIGNATURE r�
OF PERM ITT /�i���S�� tit7�urZy:r1t�t
If ROBERT A.WOOD.
JOHN A.LAMBIE. NTY ENGINEER VALIDATION SUPERVISING MECHANICALENG'R
CH- M.O. CASH
LACo9bo ju'12,5 3 11 .310 M