HomeMy Public PortalAbout5725 OAK AVE_Plumbing_7/10/1975_78A897 lCE-8171-4/72 ``,
APPLICATION FOR5LUMB�JG PERMIT
COUNTY OF LOS ANGELES ' fl
DEPARTMENT OF COUNTY ENGINEER J/
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 5725 Oak A-Ve
HARVEY T. BRANT, COUNTY ENGINEER
LOCALITY .�^yfTemp/le City /
FOR APPLICANT TO FILL IN IPRIN"T OR TYPE) NEAREST
I CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 I OWNER W. Olsen
BATH TUB 1.75 MAIL ADDRESS 5725 Oak _
SHOWER 1.75 CITY Temple Citv TEL. NO -285-5974
LAVATORY 1,75 CONTRACTOR Brvant Heating & Air Cond. In �.
SINK 1.75 ADDRESS 1350 E. Las Tunas Drive
DISHWASHER 1.75 CITY San Gabriel TEL. NO. 286-1141
CLOTHES WASHER 1.75 STATE LIC -
LICENSE NO. 221751 CLASS C20
SWIMMING POOL RECEPTOR 1.75 1
DISTRICT NO. GROUP �T���'NE
`py Ffl�%C SS BY
LAWN SPRINKLER SYSTEM 1.75 I — Ux
WATER HEATER 1.75 INDUSTRIAL
LL/Y
WASTE APPROVAL
1 GAS SYSTEM OUTLETS 1.75 1 75 INSPECTION RECORD
OUTLETS OVER 30
5 PER SYSTEM
Plan check fee
See Reverse
PLUMBING PERMIT ISSUING
FEE S 3 00
!
TOTAL FEE 4 75
APPROVALS
DATE INSPECTOR'S SIGNATUREI
Plan check applicant
UNDER SLAB WORK
Name
ROUGH PLUMBING 1
Address
GAS PIPING
City
Tel. NO.
GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS
CORRECT AND AGREE TO COMPLY
PLUMBING FIXTURES �,
y
WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING
�.q?R
�•
PLUMBING.
GAS TEST
Il
HEREBY CERTIEC-1�AT PERLT REGISTEREDANO/OR
UTILITY CO. NOTIFIED
LILENHER AS REQUIRED BYESCOUNTYANO
I
CALIFORNIA
STATE OF
TO
OR TNAT IAf��RDD
RESIDE I THE ABOVE I RINW
rAMP
E PROPE D I INTEND
/sFINALSIGNATURE
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OF PERMITTE
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PERMIT VALIDATIONcK.
.0. CASH
PLAN CHECK VALIDATION
M.D. CASH
3 8
3�-'JUL 10
Ordinance No. 2269, the Plumbing Code, requires a plan check fee to be
paid at the time of submitting plans and specifications based on the fol-
lowing:
a) A single building containing more
than 180 drainage fixture units.
b) A portable water line serving one
or more buildings with an aggregate
demand of more than 180 water
fixture units or 100 GPM (excluding
buildings under item "a" and minor
accessory buildings).
25% of the Plumbing
PERMIT FEE required.
$20.00 & $1.00 for
each additional build-
ing over one.
c) A fuel gas, line serving one or more $20.00 & $1.00 for
buildings with an aggregate demand each additional build -
of 2,000,000 BTU's or more (exclud- ing over one.
ing buildings under item "a" and
minor accessory buildings).
d) A sewer collection system serving $10.00 & $1.00 for
more than one building with an ag- each additional build-
gregate load of more than 180 drain- ing over one.
age fixture units. (Excluding minor
accessory buildings).
C \.P U C