HomeMy Public PortalAbout9537 WEDGEWOOD ST_Plumbing__ 76^667 L¢d'-817) - 1/75 jfG r 1y v vi r 5
` APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING L#600
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY e_ft
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM U FEE OWNER ��p161%10 A�
WATER CLOSET
MAIL
BATH TUB A 2.0 ADDRESS Wd d..
SHOWER 2, p CITY C� TEL. NO.ept4 �
LAVATORY 2 p CONTRACTOR
SINK 0 ADDRESS
DISHWASHER
2). 0 CITY NAPTEL. N0.
CLOTHES WASHER 2& STATE LIC
SWIMMING POOL RECEPTOR 2 p LICENSE NO. CLASS
DISTRICT NO.GROUP ZONE ROC ED BY
LAWN SPRINKLER SYSTEM 00 �-� (�� L ��
WATER HEATER .00 3 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 00INSPECTION RECORD CD
OUTLETS OVER9
5 PER SYSTEM U .30Cn
/ ���1�1 ���� C✓� �
d
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name 12 C_, L P,, 0 ROUGH PLUMBING
Address — �(� 0' GAS PIPING
City G Tel. NO. GAS VENT
HOT WATER HEATER
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FITURF$
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST S
PLUMBING. r
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ,
LICENSED AS RE' IRED ABYSELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AL OWNER OR, AlTG INPEND TO
RESIDE IN THE ABOVE OESDENTIAL P*OPERTY. 'FINAL
SIGNATURE
OF PERMITTE
PERMIT VALID TION ' M,0; CASH
PLAN-CHECK VALIDATION CK. M.O. CASH
2�-9 o�rtne 2a =� �. 2 2.5 0 A98
UMBING
DEPARTMNT EOF COUNTY ENGINEER L
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ,ADDRESS
FO_R APPLI ANTJO FILL IN
LOCALITY
f/, NEAREST Ael
BUILDING ff �. ,V•• 4S 01-fr 1 CROSS ST.
ADDRESS rr d y- "M�� „Cr/ is
ter_11 dri
DISTRICT NO. GROUP yZ' E PERMIT N0.
/�11
LOCALITY ="3'.i:,.t 1 J jr
NEAREST f 1
CROSS ST, f �. ¢E7.IVEO BY Rondy for loapeotion DATE ISSUED
OWNERMAIL
_ 1 INDUSTRIAL
Ci ADDRESS ` ' ��1,� WASTE APPROVAL
9 r1 n . ++1��-. 4 f
CITY 1r1 TEL.NO ��I I i; �Hv INSPECTION RECORD
PLUMBER
ADDRESS ® P tid �i9�i , r w i•IJ�"
CITY /� � TEL.N0
r W'STATEE
LICENSE N0. ��, L� L'--� /J ��� n COUNTY
J
PERMIT FEES a
_z
4UMBER TYPE OF FIXTURE OR ITEM FEE L7
WATER CLOSET(TOILET) 0.80 3
O
BATH TUB 0.80
SHOWER 0.80
LAVATORY(WASH BASIN) a 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY Q 0.80
SLOPSINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN a 0.80
DISHWASHER @ '0.80
DRINKING FOUNTAIN @ 0.80
URINAL 0.80
GAS SYSTEM......._..._OUTLETS @ 1.00
WATER HEATER @ 1.00 bO
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I _AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIREDQY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA V.IN AT 1 AM THE LEGAL OWN-
ER OF THE ABOVE C fBEET �EDE�l L PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE.
FINAL
76A667 DBS 17 r ,„