HomeMy Public PortalAbout9314 BLACKLEY ST_Plumbing__ 761667- 9
APPLICATION FOR PLUMBINCJ PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING ANDS AFETY DIVISION BUILDING
JOHN A LAMBIt. COUNTY ENGINEER ADDRESS 3
!7!7!7j1_
WILLIAM A JENSEN SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
ADDRESS I`f 0 C_k 'L
BATH TUB TEL. NO.
CITY
SHOWER
LAVATORY CONTRACTOR
SmK ADDRESS S
DISHWASHER CITYeras lcp_ TEL NO. 1,11 --7-27.y7
CONTRA T R'S Y 9 7 L STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP ZONE P CESSED BY
WATER HEATER O '�)
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
a 11 dec"tep INSPECTION RECORD y
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03
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a $I 00 PER ITEM
l� OR FIXTURE $ l U v APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ I 2100 UNDER SLAB WORK
v ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT 1 ++I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING 1
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTU S 111 1/2 1 C�� tf � 11q Ulf. „
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE _
DESCRIBED RESIDENTI L PROPERTY. UTILITY CO NOTIFIED IpI I r '
SIGNATURE I . .
OF PERMITTE IIIIIIIIIIIIIMI FINAL -I I to I
®p VALIDATIO/ttOBERT A WOOD. V °
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D B S-17 25M SETS 6-46 APPLICATION FOR PERMIT
DDPARI4CNT OF BUILDING AND SAFETY PLUMBING COUNTY OF
` LOS LOS ANGELES
Wu J FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT O.
ROUGH FIXTURES - COMPL,ETE
HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
� -�- FIRST INSPECTION
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTIONNO/NLYJOB
NAME p ADORE" )C?6 4�
W
ADDRESS LOCALITY
7NEAREST
11 /�
y CITY { TEL No. C OBS STJ-
COUNTY
CERT No EXPIRES - X NAME /�X s��i[�r✓ .,�iR' .��
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
i
3 ADDRESS �^
NORTH O
CITY TEL No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _z
BATH TUB FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPRCTOR*S NAME
WATER HEATER DENTAL LAVATORY, ROUGH PLUMBING I
-METER-GAS SODA FOUNTAIN
OUn GAS PIPING
GAS VENT qq 44 p�
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTICTANK SEWER
S UTILITY CO NOTIFIED I I
TOTAL FEE
FINAL,
U If n W 41 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �����IN�
COUNTY OF LOS ANGELES
WM J FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP I ZONE PERMIT NO
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL HSEPTICTANK RECEIVED BYFIRST INSPECTION READY FOR DATE ISSUED
4-1
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
a' JO B o `
Ir NAME �,P� ADDRESS
W '
ADDRESS LOCALITY
O NEAREST PP� J►�
A CITY TEL No ROSS ST V f6
6
COUNTY
CERT No EXPIRESW NAME 1
MAIL
LOC ATIO OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS ) K
NORTH O
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI� O QUA-1F1 ATION—
°�PLUMB6R��
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
F
W
3 i OWNER
CORRECTIONS
SOUTH T �7/ /5 l' /l'
DESCRIPTION OF WORK
BATH TUB —yL_FURNACE Q
_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 NAME
._WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER--lLGAS — SODA FOUNTAIN GAS PIPING L�-
OUTL
GAS VENT
.o CESSPOOL
4—TOTAL NUMBER OF FIXTURES SEPTIC TANK
�T SEWER
CESSPOO` SEPTIC TANK
UTILITY CO NOTIFIED
TOTAL FEE FINAL