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HomeMy Public PortalAbout5128 ARDEN DR_Plumbing__ D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBINGWM. J. FOX. CHIEF ENGINEER I NATURE OF INSTALLATION DISTRICT NO. GR/O`UP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE / 2- SEPTIC TANK RECF�IVFD BY READY FOR DATE ISSUED jHEATER CESSPOOL ,}. FIRSTIWSPECTION GAS MISCELLANEOUS %O 4 ` APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY a NAME B A G O R H A M JOB ' ADDRESS f ADE"SSPOOL SERVICE LOCALITY :3 NEAREST -1 CITY 2022 EMPERORTA.},��„ a CROSS ST. I I co CERTT. C. MPLE CITY. CAWS . S' K NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL ADDRESS ` y Clp— NORTH O CITY 7z "' TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATEO QUALIFICA ION. �lta__f PLUMB I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED} ABOVE. I>t > 8 OWNER CORRECTIONS SOUTH a DESCRIPTION OF WORK c� .. BATH TUB FURNACE � O SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAM[ WATER HEATER ---DENTAL LAVATORY ROUGH PLUMBING METER GAB SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL I / TOTAL NUMBER OF FIXTURES SEPTIC TANK I r CESSPOOL SEPTIC TANKSEWER ' � I _ UTILITY CO.NOTIFIED I TOTAL FEE I I© Gt FINAL D.B.S. 17 25M SETS 12.44 APPLICATION FOR PERMIT I DEPARTMENT OF BUILDING AND SAFETY L COUNTY OF LOS ANGELES PLUMBING 1 I Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURESCOMPLETE HEATER CESSPOOL H SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB !Y NAME ADDRESS ��""1'L ' w ' m ADDRESS LOCALITY F " NEAREST 'J CITY TEL.No. CROSS ST. IL COUNTY CERT.No. EXPIRES C I NAME �- W LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS 7 Z Z � 1 NORTH O CITY ,..�. TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWN&kOF THE PROPERT-(-+DESCRIBED ABOVE. Iq 3 � o i CORRECTIONS i i SOUTH a DESCRIPTION OF WORK — d z BATH TUB FURNACE Lj r-i aHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAM[ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING —METER—mL—GAS SODA FOUNTAIN GAS PIPING I i OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES _ SEPTIC TANK I I CESSPOOI gEPTIC TANK SEWER S UTILITY CO.NOTIFIED I TOTAL FEE 111 ) FINAL tr Y t 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS SS �� G GSJI�OLLr�/ JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL j BATH TUB ADDRESS / SHOWER CITY ,* TEL.NO. LAVATORY CONTRACTOR CkL ke,, SINK ADDRESS /#&/!7 DISHWASHER CITY lyai�ef ` TEL.NO. %la LAUNDRY TUB CONTRACTOR'S STATEI ❑ REGISTRATION NO. COUNTY ❑ / CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION / WATER HEATER — / GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS DATE INSPECTOR'S SIG11 NATURE �I @ OR FIXTURE S1.00 PER M UNDER SLAB WORK / //i ROUGH PLUMBING PERMIT 1 00 GAS PIPING J TOTALFEE j,Z L`C GAS VENT 1 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 V� PLUMBING. IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .y^' CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE - � �� OF PERMITTEE FINAL VALIDATION ROBERT A. WOOD. c?I. SUPERVISING MECHANICAL ENG'R CK. M.0. CASH AC00683t MAY 8 3 A 12.00