HomeMy Public PortalAbout10109 BOGUE ST_Plumbing__ Yeneey ;y -ag APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS' ANGELES 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN L-RIJECEIVED
STRICT NO. GRIOUP ZONE PERMIT NO.
PLUMBER VAI I EY BOULEVARD `PLUMB-ING W. BY �� READYFOR /DATE ISSUED,
.FIRST INSPECTION /w�S'
ADDRESS goo EAST VALLEY BLVD, �
_ n n BUILDING y�
CITY ROSEMEXPIRES EAD TEL. NO. AT. 2.2719 ADDRESS
LOUNT E NO. 93M 6-30•�/ LOCALITY/
/
NEAREST
PERMIT FEES CROSS ST.
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER' MAIL
/ WATER CLOSET (TOILET) @ 0.501$ ADDRESS, " '/�� Jin
BATH TUB @ O 50 I ' CIT �/v�r���.�JI L.
SHOWER @ 0.50 I' L.3 1 HEREBY AC OWLEDGE THAT I HAVE READ THIS
1 LAVATORY (WASH BASIN) @ O 50 iC.� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND'
1 STATE LAWS REGULATING PLUMBING.KITCHEN SINK @ 0.50 I I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
� LAUNDRY TUB OV TRAY @ O 5o I �� ANGELES COUNTY LI ENSE, OR I AM THE LEGAL OWNER
I I,r OF THE RESIDENTIA F PERTY DESCRIBED ABOVE.
GAS SYSTEMOUTLETS @ O SOI
a° ��q SIGNATURE OF
WATER HEATER @ O501 —/CPERM ITT --r
_
SLOP SINK of o.sol INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ O soI
DRINKING FOUNTAIN @ O 50
1 URINAL @ 0 SOI
IHOUSESEWER @ 0.501 I Q
MISCELLANEOUS - (7
I Y1 0
APPROVALS
. DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
1 GAS VENT
CESSPOOL @ f 00 I CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.001 1 SEWER
PERMIT . 1.00 GAS TEST
L UTILITY C.O. NOTIFIED ®✓' /
TOTAL FEE
FINAL I �
f
76A667-CE817 359
APPLICATION FOR--PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING O
JOHN A. LAMBIE, Count Engineer ADDRESS
CASSATT D. GRIFFIN, Supt of Building LOCALITY L
Zk
FOR APPLICANT TO FILL IN NEAREST 1 -
CROSS ST. RA
NUMBER FIXTUREbR ITEM OWNER
WATER CLOSET MAIL CA if L— h
ADDRESS P� j
BATH TUB p.
CITY TEL. N . 6
SHOWER
CONTRACTOR/'LAVATORY � -
SINS ADDRESS O
DISHWASHER CITY177 TEL. NO. Q
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DIST ICT NQO� GROUP J�ONEr PROC 3ED BY
WATER HEATER cs� / O (J TT`1
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
n
L $1.00 PER ITEM A
OR FIXTURE $ �• (� APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE � ROUGH PLUMBING
GAS PIPING
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
G.
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF GAS TEST
NIA OR THAT I AM 7 E LEG L E THE ABOVE
ED RESIDEN71 L P P Y. UTILITY CO.NOTIFIED
URERMITTE
FINAL
OF AUDAMN ROBERT A. WOOD,
SUPERVISING MECHANICAL ENWR