HomeMy Public PortalAbout5202 ARDEN DR_Plumbing__ 76%667 17 5-50 ® . APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS.ANGELES PLUMBIM7
WILLIAM J. FOX, .CHIEF ENGINEER
`rcFORR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER
�j�,/- ���{�. /!/���'If.ZB^Y� RECEIVED BY READY FOR ATE IS ED
��yy,, �//� �r FIRST INSPECTION -
ADD RESV`OV V Q/l 13/10 L�6 v •. /� n ` �� J �.
! ah� TEL. el
��-. K BUILDING - - 7/ II�YG('E YL ✓rf v-e'
CITY ADDRESS
COUNT
Yj // LOCALITY
LICENSE NO. /. EXPIRES ' C /
NEAREST
CROSS
PERMIT FEES ST. 1 l
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER '�/�5 � iJn"S7/Ile- 7�'�n'
` MAIL 3 -3 - o%/aha.' R1v eC.
/I I WATER CLOSET (TOILET) @ O.50 I$� ADDRESS374
�Gt�Q �
( "-I BATHTUB @ 6.50 Y 6.I CITY se itLTEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
f• ('LAVATORY (WASH BASIN) @ 0:50( J APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREETO,COMPLY WITH -ALL COUNTY ORDINANCES AND
KITCHEN SINK _@ 0..50 J c STATE'LAWS REGULATING PLUMBING. -
1 CERTIFY THAT 1 P THE ABOVE VALID LOS
L I LAUNDRY TUB OR TRAY @ 0.50 I Z ANGELES COUNTY LI1 AM THE LEGAL OWNER
GAS SYSTEMOUTLETS@ O.50 I
OF THE RESIDE P DESCRIBED ABOVE.
J I SIGNATURE O
PERMI
WATER HEATER @ 'o.561, � '-'
SLOP SINK @ 0.50 INSPECTION INSPECTION RECORD
J-FLOOR SINK` @ 0.50
LFLOOR DRAIN @ 0.50 I - .� p r t ` .U• /O O -Q. "" ��L 7'�G^Q
I' DISHWASHER @ 0.501 - '` RQ M)Q•)F; -
DRINKING FOUNTAIN @• 0:50 I� I z J�b '( �FI�D Y •
URINAL @ O.SOI
I HOUSESEWER @ .0.50.I� Q '
Z
MISCELLANEOUS I I
0.'
II o
I' APPROVALS
I
DATE INSPECTOR'S NAME
ROUGH PLUMBING ' / L"'� `'- r
GAS PIPING
GAS VENT
ICESSPOOL @ 1.00"I CESSPOOL
SEPTIC TANK: - I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1;pp GAS TEST
i
UTILITY CO. NOTIFIED
TOTAL FEE I $ O FINAL ��
7-CE817 1 -60
76A60 0
r '
����.�Ci 10N FOS:' PL MBING PERM-IT
-' .COUNTY'OF LOS"ANGELES
DEPARTMENT OF COUNTY ENGINEER'.
BUILDING,AND SAFETY-DIVISION. - . BUILDING
JOHN'A.' LAMBIE .COUNTY:-ENGINEER ADDRESS '" ' rr%< Q -✓
WILLIAM;A JENSEN SUPT of SUIL611,ldLOCALITY ` � P § � r
FOR APPLICANT.TO FILL IN :.NEAREST .
CROSSSS ST. �7 ii,? 2� `i ,(Gas-✓.
NUMBER FIXTURE OR ITEM OWNER :. -
4 WATER CIOSEr L•
BATH TUB'.
DRESS ✓ �r7,"jl�- �i��-�.ts �G��'
SHOWER
CITY� Z TEL
LAVATORY
CONTRACTOR'
SINK ADDRESS AV
N
DISHWASHER CITY: y ,TEL ' O`
'.CONTRACTOR' ❑
. � � SATE
LAUNDRY TUB REGISTRATION NO COUNTY
CLOTHES'WASIIER'' DISTRICT..N a ZONE PRO SED BY
{ .
WATER HEATER
INDUSTRIAL:' -
GAS-SYSTEM
WASTE APPROVAL
I INSPECTION RECORD .' a
0
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OR'FIXTURE : $,
"APPROVALS DATE. ' 'INSPECTOR'S SIGNATURE,
PERMIT- $ 2 00 UNDER SLAB'WORK
-. �i ROUGH PLUMBING „(�'&,, �•X�
. TOTAL:,FEE
t
GAS..PIPING`
HEREBY HIS,APPLICATION *_
=`
AND.STATE THAT OTHE EABOVEHIST COR ECT ASND AGREE'TO.COMPLY GAS VENT_
WITH ALL-'COUNTY'"ORDINANCES, AND -STATE, .LAWS RBGLLATING HOT WATER HEATER•. '
PLUMBING:` :. •t,J ,',T "'.. i,r 1
,•'i;-HEREBY. CERTIFY .THAT 1 .AM PROPERLY REGI3TERED,L,AND/OR PLUMBING+FIXTURES, ��y� 7
/!> / ?
LICENSED AS-REQUIRED BY'LOS,ANGELES COUNTY AN D;
STATE-OF ���///
,CALIFORNIA'OR THAT;, 1 AM THE LEGAL,.OWNER' OF THE ABOVE. ' GAS.T,EST ,
DESCRIBED RESIDE.TIAL PR PERT _ ''UT.ILLTY CO. NOTIFIED -
�:
SIGNATURE
OF PERMIT
..•. FINAL ,• a ..
ALIDATION.
ROBERT--A.-WOOD ¢
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cic. M ASH SUPERVISING'MECHANICAL ENG'R