HomeMy Public PortalAbout5920 AGNES AVE_Plumbing__ 76A667 OBB 17 7 51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DI 3ROUP I ZONE PERMIT NO
PLUMB )Oq , W S 7" RECEIVED BY READY FOR DATE ISSUED
/, �V� / n FIRST INSPECTION
ADDRESS 7 / J / ✓/N ✓� I ) /1 `�'•��,tih'.v�.._ �/ C T�
BUILDING
CITY ` �1 TEL No r= +i3 ADDRESS .9 9 26 A /� X11 S /1
COUNTY LICENSE NO o EXPIRES LOCALITY/►/ T C N
PERMIT FEES CROSS ST 1®A, ,/ }4' /VA ,S (/j�✓0,
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 1 � Z A-14/4'"
MAIL d
WATER CLOSET(TOILET) Q O 50 III ADDRESS �4 A M L
BATH TUB MSG CITY 1 TEL. NO
SHOWER O SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 5O APPLICATION AND STATE THAT THE ABOVE 18 CORRECT e
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ;P
KITCHEN SINK O 5D AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAB SYSTEM OUTLETS @ 050 OF THE RESIDENTIAL PROPERTY DESCRIBED SOVE
SIGNATURE OF
WATER HEATER @ O 50 PER MITTE
BLOP SINK 6 050 INSPECTION RECORD
FLOOR SINK Q O 60
FLOOR DRAIN O 50
DISHWASHER O SO
DRINKING FOUNTAIN O 80
URINAL O 30 -I
Q
HOUSE SEWER 060 _Z
MISCELLAMEDUB _O
b"A
O
APPROVALS
f�DATE INSPECTOR 5 NAME
ROUGH PLUMBING '�ji-"� �L (WA.
GAS PIPING
OAS VENT
CESSPOOL 1 00 CESSPOOL
SEPTIC TANKe SEPTIC TANK
DRAIN ( ) PIT ( ) I OO SEWER
PERMIT 1 00 GAS TE13T
UTILITY CO NOTIFIED
TOTAL FEE $ / �Q
FINAL
f 6
DE)5 17 12 54APPLICATION FOR +`LUM dI NG-` PERMIT IT
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County of Los TYENAngeles BUILDING �Gj' �lQ
WM J FOX COUNTY ENGINEER ADDRESS // .G.
CASSATT D GRIFFIN SUP T OF BUILDING cc//�� f
LOCALITY_�, ,r
FOR APPLICANT TO FEL''IN NEAREST 1J
r'ROE'i5 ST
OWNER DISTRICT` NO GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS22
/�/ INDUSTRIAL
CI Y TEL NO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY _/) �/ TEL NO 11(—
LI ENSE NO .� -317-P-0 SNI
NUMBER TYPE OF FIXTURE OR ITEM FE�Ey�,
WATER CLOSET (TOILET)
BATH TUB
-1-tit �. 1 xrs IV6 t 31=�f'
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO ssti @ o Bo --� ao APPROVALS
DATE INSPECTOR S SIGNAIURE
GAS SYSTEM OUTLETS @ 100
UNDER SLAB WORK
WATER HEATER @ 1 00
ROUGH PLUMBING
PERMIT $ I 1 00 GAS PIPING
TOTAL FEE x 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE "
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION
— OTa�s z� Faa25 3 4.2'4
BY
DEP
UTY C�
r
I
DEPARTMENT OF COUNTY ENGINIM PLUMBING l
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J FOX, COUNTY ENGINEER ADDRESS. y/ �S
FOR APPLIC NT O FILL IN LOCALITY /
BUILDING NEAREST
ADDRE88 tom^ CROSS ST U Y1 S
LOCALITY 77 DIST NO GRO P ��NF/ PERMIT NO
NEAREST //�7�
CROSS ST Q VED BY Ready ter Inspection DATE ISSUED
OWNER , i
�� .�� 12--?el
MAIL INDUSTRIAL`
ADDRESS WASTE APPROVAL
CITY TEL NO �3 cc) INSPECTION RECORD
PLUMBER
AGGRESS
CITY TEL.NO U
State Contractor a r L 62k IQd R
License No Class
J
L A County Contractors Q
Registration No
Z
PERMIT FEES
NUMBER TYPE: OF FIXTURE OR ITEM FCC
WATER CLOSET(TOILET) @ 080 $ D L 1`Nf TrSTL-D \ O
BATH TUB @ 080 ALSO F AL R I
SHOWER @ 080 /
LAVATORY(WASH BASIN) @ 0 80
KITCHEN-SINK- @ 080
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 1 00
MISCELLANEOUS APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK 2 �Sr ! 11I/AIt�LC�
i
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LI 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 .�./ g
ANO/OR LICENSED FY HEREBY CERTIAS REQUIRED BY THAT I ANIPLOS ANGE ESROPERYGISTERECOUNTY GAS TEST L 3— 1/d/d N
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN --
ER OF THE ABOVE DESCRIBED RESIDENTIALePR.O�RT1 Y / UTILITY CO NOTIFIED
SIGNATURE /vr//�
Oi PERMITTEEJ�z
FINAL `}-
6AG67 DBS 17 6/54