HomeMy Public PortalAbout10121 BOGUE ST_Plumbing__ YeAeey r>' s-as �3 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER 11A1 GV BOOM ARf1 PLUMBING D�IIYU '�!`.�s FIRST INSPECTION
RECEIVED BY READY FOR DATE ISSUED
VALLEY
ADDRESS
ADDRESS pn)gr pYCTyal LFY BLVD.
9 (� qBUILDING
CITY enc 17 hp.97A r) TEL. NO. AT. ((2-27 IQ ADDRESSCOUNTY
ei
LICENSE NO. A�i�•9 EXPIRES 6-3`+J/ LOCALITY
NEAREST �.
PERMIT FEES CROSS ST.
NUSISE511 TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
1 WATER CLOSET (TOILET) a 0.50 Is A0 0 y ADDRESS �/pJ ,�///�
�I BATHTUB Q O.50I I�� CITY A-4?4 , /xI TEL. NO.
/ I SHOWER @ 0.50I ^ 1 HEREBY ACKy WLEDGE THAT 1 HAVE READ THIS
— I LAVATORY (WASH BASIN) @ 0.50 I 4PPLIAND NATE THAT THE ABOVE IS CORRECT AND
—TTTT AGREEE TO TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 I STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OW TRAY Q O SOI
ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAS SYSTEM--A/—OUTLETS t@ 0.50 1 OF THE RESIDENTIA PERTY/jDESCRIBED ABOVE.
SIGNPT ZF A
WATER HEAT R (� O 501 ERM C/S�
SLOP SINK @ O Sol INSPIECTION RECORD
FLOOR SINK O 50
1FLOOR DRAIN O 50 1
IDISHWASHER @ 0.501
1 DRINKING FOUNTAIN 0.50
I URINAL O 501 1 -J
IHOUSESEWER a 0.501 1 Q
MISCELLANEOUS
o
I I
I�
II
1-- APPROVALS
DATE INSPECTOR'S NAME
1 I ROUGH PLUMBING
GAS PIPING
GAS VENT �� r
CESSPOOL 1.001 1 CESSPOOL
SEPTIC TANK: 1� SEPTIC TANK
DRAIN ( ' ) PIT ( ) a 1.00 I SEWER
PERMIT . I 1.00 GAS TEST
UTILITY CO. MOTIFIED .i
I TOTAL FEE I 1� I
d + FINAL"
BS-17 10.55 i
DAPPLICATION FOR *PLUMBING LV' CVRC ING 0L4� 11 I1 II 111
DBS-17
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING Y 0 1 •� ��+��a( '
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 1 "d 1
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY �r�'�, r L_r G �/ +��, TT,c
FOR APPLICANT
T TO FILL IN NEAREST
CROSS ST. \'C
U L7 1114 °r ` AI ��
OWNER CriC 1►� F'F' (1 V Ii DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION
MAIL
ADDRESS
p /a INDUSTRIAL
CITY T !( TEL. NO. ,i E ��S' U9� WASTEAPPROVAL
PLUMBER- Q��•-CJ .i; . 1 iLE_ J l.f L je.�.,} , INSPPECCTION RECORD
ADDRESS 1 �'� Y ttI v'�"�V d�� �/�; 1/'.G. /, "A !��-.�✓/ d IA///l�
CITY L LS 7 TEL. NO.
LICENSE NO.
•, NUMBER TYPE OF FIXTURE OR ITEM FEE n
WATER CLOSET (TOILET) @ $1.00 G
BATHTUB @ $1.00
L SHOWER ff-talop
@ $1.00
LAVATORY (WASH BASIN) @ $1.00
" KITCHEN SINK @ .$1.00
DISHWASHER @ $1.00•
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
.ry 1 � R
APPROVALS
DATE INSPECTOR'S SIGNATURE
A
UNDER SLAB WORK
PROUGH PLUMBING
PERMIT $ 1 00
GAS PIPING
TOTAL FEE "")I 0"I
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. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL.� -
ie%�i'
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
` CK. M.O. CASH
L .g o -s M MAY 0 3 a 2.0`g M