HomeMy Public PortalAbout10828 ARROWOOD ST_Plumbing__ 7°L° " 'g"elle I� APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES _,}I COMPLETE
HEATER __CESSPOOL -L"]SEPTIC TANKBY READY FOR ATt
6 FIRST INSPECTION1 U
GAB
MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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NAME ',1 �••'',' - v' ''• l.,/ ADDRESS
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ADDRESS .}C _S •*� :..C�r'`-J`,,-11_..`,,-} - LOCALITYf 9 �F.,-e .8'` ...L
NEAREST
J CITY_ „'.�.
L - -�f-P f s TFL.No. CROSS ST. t <
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COUNTY
CERT.No. EXPIRES 6' NA ME ^e. e .' �'77
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LOCATION OF SEPTIC TANK, OR CESSPOOL x MAIL
ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
j ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLuMssR
I AM THE LEGAL OWNER OF THE PROPERTY D=CRIV
ABOE.
✓r OWNER .c-•--
p«
CORRECTIONS
SOUTH
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DESCRIPTION OF WORK i
BATH TUB FURNACE
lY
SHOWER DISHWASHER p
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 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I i
METER GAS SODA FOUNTAIN GASPIPING
OUTL / ,(,c IJ
GAS VENT I 1
CESSPOOL
l
TOTAL NUMBER OF FIXTURES SEPTIC TANK
. -CESSPOOI SEPTIC TANK SEWER
$ I I
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
76A667 17 8-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER ! RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL. NO. ADDRESS
COUNTY i LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
, OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM r. OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION R ORD' .
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 ,J
HOUSESEWER @ 0.50 Q
Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING J
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . 1.00 GAS TEST
I
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL I
J