HomeMy Public PortalAbout5703 OAK AVE_Plumbing_5/16/1968_JBABBJ-C EMRIJ 10 -BJ / �, I'� Wry
APPLICATION FOR PLUMBING PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
-UNDER SLAB WORK ��(/`S/ Q�V
Name
_ ROUGH PLUMBING L`
BUILDING AND SAFETY DIVISION
BUILDING
- GAS VENT
JOHN A. LAMBIE, COUNTY ENGINEER
ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALITY7�W
PLUMBING FIXTURES
FCR APPLICANT TO FILL IN (PR, NT OR TYPE)
NEAREST
CROSS ST. /UL_ /J. I,"—
PLUMBING.I
NUMBER
FIXTURE OR ITEM EACH FE
UTILITY CO. NOTIFIED
SimAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I
WATER CLOSET 1,50 j.l>QMAIL
OWNER i�//G
SIGNATURE�/qA_
7
JACK R. ALLEN, SUPERVISIN CHANICAL ENG'R.
OF PERMITTEF ' - - ..
PERMIT VALIDATION CK. M.O. CASH
HATH TUB 1.50% SQ
ADDRESS
UlLo4
1 gG MAY 16 5 D 8.0 0-
i
SHOWER 1.50
CITY TEL. NO.
I
LAVATORY 1.50 �
S(��
CONTRACTOR
SINK 1.50
,�/-//,
ADDRESS v7�%I��G'-/,P(i%1J�
DISHWASHER 1.50
CITY�y1�J�� TEL. NO.
CLOTHES WASHER L50
STATE LIC
LICENSE NO. qp 4•�F %4( CLASS—' 3 4,
SWIMMING POOL RECEPTOR 1.50
I "' ill 'A.
_ °✓
NO. GRr ZONE/ I PR CESSE By
d
LAWN SPRINKLER SYSTEM 2.00
LI�.
O
WATER HEATER 1.50
' INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 j'�r ^^
V
- INSPECTION RECORD
v
OUTLETS OVER
5 PER SYSTEM •30
Plan check fee. 25% of above. See reverse. -
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE6 O
'
f I APPROVALS ATjE IPSIJCCTCUll ATURE
Plan Check applicant
-UNDER SLAB WORK ��(/`S/ Q�V
Name
_ ROUGH PLUMBING L`
Address
GAS PIPING
- GAS VENT
City Tel. No.
- HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD THIS APPLICATION
AND STATE THAT THE ABOVE IS LAND AGREE COMPLY
PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
AND S
GAS TEST
PLUMBING.I
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ATE OR
UTILITY CO. NOTIFIED
SimAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIALICEN
CALIFORNE THATM THE GAL OWNER OF, ANO 1 N'O TO
flES1OE IN, THE ABOVESIOENTIALROPERTY
-
FINAL
SIGNATURE�/qA_
7
JACK R. ALLEN, SUPERVISIN CHANICAL ENG'R.
OF PERMITTEF ' - - ..
PERMIT VALIDATION CK. M.O. CASH
PLAN CHE?� /AALIDATION CK. M.O. CASH
UlLo4
1 gG MAY 16 5 D 8.0 0-
Ordinance No. 2269, the Plumbing Code, requires a plan
check fee to be paid at the time of submitting plans end
specifications equal to one-fourth (1/4) the required
plumbing permit fee, based on the aggregate quantities
required for the complete project for:
a) Building or premises containing over 180 drain-
age fixture units.
b) Building or premises with a potable water supply
4" or larger.
c) Building or premises with fuel gas piping 4" or
larger or containing medium or high pressure
fuel gas.
When plan check fee is required, fill in spaces below.
NUMBER FIXTURE OR ITEM
rIURITXTU Re
TOTAL I
WATER CLOSET
6
BATH TDB
2
SHOWER
2
LAVATORY
1
SINK
2
DISHWASHER
2
CLOTHES WASHER
2
GAS SERVICE SIZE
MEDIUM PRESSURE
HIGH PRESSURE
WATER SERVICE
DOMESTIC WATER SIZE
TOTAL FIXTURE UNITS
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