HomeMy Public PortalAbout9148 WOOLLEY ST_Plumbing__ 76.rw667 -'�E S17 7-69 ov
APPLICATION FOR., PLUMBING PERMI � -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAM'BIE, COUNTY ENGINEER ADDRESS v ��
COLEMAN.W. JENKIN.S. SUPT. OF BUILDING LOCALrry
l
FOR APPLICANT TO FILL.IN(PR NT OR TYPE) NRARE$T
CROSS ST
NUMBER FIXTURE OR ITEM EACH 'FEE
OWNER
WATER CLOSET 1.50
MAIL /
BATH TUB 1.50 ADDAE r � !.
SHOWER 1.50 CI TEL. N
LAVATORY1.50 CbifRACTOR
SINK 1.50 ADDRESS O LL
DISHWASHER 1.50 CITY TEL.NOO `•7JJ; ��/'
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. y2 CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. G(tO ,ZONE PRO BY
LAWN SPRINKLER SYSTEM 2.00
a
WATER HEATER 1.50 S21INDUSTRWASTEApLPROVAL Q
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 8
OUTLETS OVER
•5 PER SYSTEM .30 Z.
0
to
Plan check fee 25%.of above. See.reverse.
.PLUMBING PERMIT ISSUING FEE 8
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant
UNDER-SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING ,
GAS VENT
City. Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE.THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH AL1, COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. -
1 HEREBY CERTIFY THAT-1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL OWNER OF,AND INTEND T
RESIDE IN,THE ABOVE D R RESIDENTIAL PROPERTY.• FINAL
4
SIGNATURE •JAC'K R. ALLEN,.SUPERVI INC MECHANICAL E
OF PERMITTEE
PERMIT VALIDATION CK. M.O.. ASH'•
PLAN CHECK VALIDATION CK.. M.O. CASH
I ►('�, 9 8 8 89 APR 2 6 - D 3.5 Ord
CE ey] E�Y.6I7e) ;/) ING
APPL1CATION FOR PLUMPERMIT
COUNTY OF LOS ANGELES ,BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING '
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 1t &—e
WATER CLOSET .LOCALITY e Le
NEAREST �o
BATH TUB CROSS-ST. GAl
SHOWER OWNER �
LAVATORY ADDRESS
SINK CITY EL.N0217 e
DISHWASHER CONTRACTOR
CLOTHES WASHER. ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATERLICENSE NO: CLASS.
GAS SYSTEM OUTLETS 3 Q APPROVALS DATE INSPECTOR'S SIGNATURE.
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM: ROUGH PLUMBING
GAS PIPING
GAS VEN99T
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST toPlancheckfeE UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ o
TOTAL FEE 40
FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
u
Address aaL' .-,P-.
City 27 Te.No. ` p
I HERE ACKNOWLEDGE THA I HAVE READ THIS APPLICATION.AND STATE 0 S S 2 O A
THAT THE ABOVE IS CORRECT. AG EE TO COMPLY W11TH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION �# O O O O O 5
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE2 O O 1 GO O
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. 0 0 0 1 0 0 O.p
SIGNATURE
OF PERMITTEE QAC i ✓fd.J�' - O R O 1 —8 0. •
DISTRICT NO. ROCESSED BY
INDUSTRIAL
WASTE APPROVAL
c
76A667 (CE-817)- 5/73 ��. •�
i
APPLICATION R PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDY; COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.:�/�C
NUMBER FIXTURE OR ITEM La FEE
WATER CLOSET 1. 5 OWNER
MAIL
BATH TUB 1 75 ADDRESS
SHOWER 175 75 CITY �� C TEL. NO4.
LAVATORY �.:jj 7 , 1 75 CONTRACTOR /h W
nr.: /F /
SINK ldf 1.75 1S ADDRESS
DISHWASHER ` 1.75 �S'� CITY TEL. NO.
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1175
• DISTRICT NO. GROUP I ZONE. ' OCESSED BY
LAWN SPRINKLER SYSTEM 1. 5
'6—' 000
1
WATER HEATER 1. 5 INDUSTRIAL
WASTE APPROVAL p_
GAS SYSTEM OUTLETS 1. INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 0
H
v
W
d
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3. 00
TOTAL FEE /�v",
1 APP,gbT' LS DATE IjIS RE Cy01t' [ATURE
Plan check applicant 13ti UNDER PbAB WORK
Name ROUGH PLUMBING
Address
GAS PIPING Q
City Tel. No. 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 PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY' REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS RECIUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I. AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF .PERMITTEE
PERMIT VALIDATION cK M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH 1 �
0 -9 5`V JUN 30 5 0 1 3.5 0 apt .