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HomeMy Public PortalAbout8920 BROADWAY_Plumbing__ D.S.S.-17 25M SETS 11-45 APPLICATION FOR PERMIT COU9 DEP�4RTT OF BUILDING AND SAFETY �������� _ COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER 1 NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE-f ZONE-fP RMI NO. S p) /) MGH FIXTURES COMPLETE v "1' `IDOL 9 HEATER I� CESSPOOL I SEPTIC TANK �RJICEIVED BY READY POR DATE ISSUED /1 I i I FIRST INSPECTION /1"), 7 GA9� MISCELLANEOU (O APPLICANT FALL IN HEAVILY OUTLI14ED PORTION ONLY E NAME J & D PLU,'T..4 CO. ADDRESS 11 ADDRESS JOB 715 EP,ST EROAOWAY LOCALITY D • 15UA b/ H , e NEAREST y CITY TEL.No. CROSS ST. COUNTY CERT.No. �LJ� EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL404,-- 3b 3 ADDRESS l� NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE AABOVE LOS ANGELES COUNTY CERTIFIC OF (f10! Q i LUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCR ED qq ABOVE. W. > ._ OWNER CORRECTIONS 7'0 0 tl r c -9r- Y) SOUTH J DESCRIPTION OF WORK a z BATH TUB FURNACE C7 E: SHOWER —DISHWASHER D AVATORY' REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK BANDTRAP - GLOP BINK ' FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I/ I METER-%I—GAS SODA FOUNTAIN GAB PIPING {� a I (I Gf -7,5 ' OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTICTANK SEWER B w o6_ TOTAL FEE O// unuTr co.MorIF1ED FINAL �p.Bic�c aS-1] D ] 12.94 APPLICATION FOR PLUMBING PERMIT BB.1 DIVISION OF BUMDING AND SAFETY QCJ�a Deportment of County Engineer v COIIIIty Of LOB FOX, BUILDING WM. J. FO , COUNTYTY ENGINEER ADDRESS CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALr. ITYJ/YN OR AJP�PLI�CAN�-IT TO/ FILL IN NEAR sT. Eiv16 OWNER �/l�'-//r///'�/Y'/� J� DISTRI/CC_NO. GROUP ONE-f REABY FOR INSPECTION MAILADDRESS G� tJ�'�f ..Z/ ./✓ 6///v 1./ /' I�" lelI p INDUSTRIAL CITY N F/ r TEL. NO. WASTE APPROVAL PLUMBER BAXTER & SON INSPECTION RECORD ADDRESS 2536 N. San Gabrielp6a.�// o ,sem G FsT s I S: Slan a rTe F '4T CITY ^^ TEL./�N O. V Q /I/ ��' LICENSE NO. /L/ � i;TE^J 1 NUMBER TYPE OF FIXTURE OR ITEM F WATER CLOSET (TOILET) $ BATH TUB O ' SHOWER _ LAVATORY (WASH BASIN) O KITCHEN.SINK O DISHWASHER LAUNDRY TUB OR TRAY _ CLOTHES WASHER O TOTAL NO. ® o.eo APPROVALS DATE INSPECTOR'S SIGNATURE T (P GAS SVSTEM_OUTLE WATER HEATER B L00 UNDER SLAB WORK - I-JJ ( -f If'? LL o ROUGH PLUMBING 7—ACJ SS PERMIT S t 00 GAS PIPING -v 5= TOTAL FEE '� (- 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 I ] WITH ALL COUNTY ORDINANCES AND STATE LAWS TING PLUMBING FIXTURES l PLUMBING. 1 HEREBY CERTIFY I A P 0 REGISTERED ND/OR GAS TEST LICENSED AS REOUI BY L AN COUNTY AN TATE OF UTILITY CO. NOTIFIED 107 ! CALIFORNIA OR AT 1 A HE G OWN THE BOVE DESCRIBED RES NTI OPERT . SIGNATURE OF PERM] T FINAL WILLIAM J. FOX, COUNTY ENGINEER VALIDATION &4 $ 89y Jml21 3 33.80 ST DEPUTY APPLICATION( FOR PLUMBING P MIT 1 D9e.IT(DIVISION OF BUILDING AND SAFETY Department of County Engineer - County Of Loa Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS .Broadway MM CASSATT D. GRIFFIN, Angeles OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Rosemead L,.,,n CROSS ST, OWNER JohGerman DISTRICT NO. I GROUP I ONE READY FOR INSPECTION MAILADDRESS 8924; E Broadway Z CITY San Gabriel TEL. NOAT 7-1054 ` INDUSTRIAL PLUMBER STATEWIDE PLUMBING 00. INSPECTION RECORD ADDRESS 10024 E Valley Blvd. mo?,#7H 7v,/? CITY El Monte TEL. NO. GI 4-3717 . 7-DA /?S, LICENSENO. 160930 C-36 NUMBER TYPE OF FIXTURE OR ITEM FEE �j(/,tF LL // /1/o 7- 5,4- 2 WATER CLOSET (TOILET) @ $1.00 $ 2 00 1.:2 'A� 2 BATH TUB @ $1.00 2 0 SHOWER @ S1.00 LAVATORY (WASH BASIN) @ $1.00 2 0 2 KITCHEN SINK @ $1.00 2 DISHWASHER @ $1.00 LAUNDRYTUB OR TRAY @ $1.00 _ CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 2 0 2 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE 13 100 GAS VENT 1 HEREBY ACKNOWLEDGE THAT IHAVE 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 -/ �{ ''f •-"j LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ` CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED -/ -:71, 9,'J j DESCRIBED RESIDENTIA��PERTY. r SIGNATURE ��yy OF PERMITTEE____ `�p(n(�� FINAL S---1 JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF FLOG. INSPECTOR C Y.e. CASH I,Ar,0 3 0 1 7 DE 4 3 1 3.0 0 " W 4(pel� TBA°DT APPLICATION FOR PLUMBING PE IT 1 aes.IT'DIVISION OF BUILDING AND SAFETY ' Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS CASSATT O. GRIFFIN. SUP'TOF BUILDING /) LOCALITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER DISTRICT NO. GROUP I ZONEj READY FOR INSPECTION MAIADD ADDRESS 1 CITY TEL. NO. INDUSTRIAL. WASTE APPROVAL PLUMBER R c ` INSPECTION RECORD ADDRESS Z CITY / J TEL. NO. LG'L LICENSE NO. / ///:�7--0 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 S BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ S1.00 LAUNDRY T US OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT S 1 00 ROUGH PLUMBING GAS PIPING _ TOTAL FEE '2_ 0 GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST n •3:7 J LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIJ PROPERTY. SIGNATURE OF PERMITTEE FINAL JOHN A. LAMBIEOUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR M.IS. GSR iuLO5809-� "AR 6 3 2.00 In °EAEETAPPLICATION FOR PLUMBIN=EgMIT 1 Des IV DIVISION OF BUILDING AND SAFETY U Department of County Engineer County of Loa Angeles BUIL01ES Q .. JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY ?yw;,-Q�.Y� FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER DISTRICT NO. GROUP ZONE READx FOR INSPECTION MAIL ADDRESS` Cj INDUSTRIAL CITY TEL. NO. ' WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS S7Zl L112 CITY/Al LICENSE NO, IZ 3 NUMIRER TYPE O F FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $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 Til APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT S 7 00 ' ROUGH PLUMBING GAS PIPING j�7. T7 J. TOTAL FEE fj GAS VENT 1 D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING E PLUMBING FIXTURES PLUMBING. © 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �1 GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF A r .).a CALIFORNIA OR TH I AM THE LEGAL OWNER OF THE ,ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDE 1 L PROPEft1Y. SIGNATURE Z7// OF PERMITTEE 'Y FINAL JOHN A. LAMBE COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLG. INSPECTOR r.M, e.0. CASN r C0 5 8 1 0 u MAR 6 3 2.0 0 tR I`T.ASST -CEN817 2-82 �y '/,!%/! ���•• ;/ \ �. ` APPLICATION FOR -PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING Q 7 D G BUILDING AND SAFETY DIVISION ADDREss JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY /r ( FOR APPLICANT TO FILL IN NEAREST CROSS BY NUMBER. FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1,25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY1,25 CONTRACTOR JNLti�Y xC.f�✓L.� SIN% 1.25 ADDRESS ��/z �,) ri DISHWASHER' 1.25 CITY n.J TEL. NO./fT ' y33 LAUNDRY TUB 1.25 CONTRACTOR'SLL,, STATE REGISTRATION NO. / ! ✓ COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROl11: ZONE PR aSSED BY WATER HEATER 1.50 1 ( ,l�t�,.(LL GAS SYSTEM�OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .20 INSPECTION'RECOBD / Uo 0 Z APPROVALS DATE /J INSPECTOR'S'SiGNgTURE PERMIT $ 2 00 UNDER SLAB WORK I�G�i'/�ryFJI�',�/�• ROUGH PLUMBING TOTAL FEE - U GAS PIPING L I r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAB VENT AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN. THE ABOVE ESCRIBED RESIDENTIALPRO ERTY UTILITY CO. NOTIFIED SIGNATURE //�✓.�(��iGLPd OF PERMITTE ��•vv/�� FINAL A/ VALIDATION ROBERT A.WOOD —� cn. M.0. CASH SUPERVISING MECHANICAL ENG'R LALO 6 7 5,1' MV 8 5 D 8_50- V C.B.S:19 25M SET. 11-96 1 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF'LOS ANGELES PLUMBING WM. J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT-NO. GROUP zO E ^tP�ERRMIT NO.- 2 O. ROUGH FIXTURES REB COMPLETE ✓ l/ / �r� HEATER . CESSPOOL s ICTANK R@CEIVED BY READY FOR _DATE ISSUED FIRST INSPECTION >/-/� / GAB MISCELLANEOUSy / !/ APPLICANT.FILL IN HEAVILY OUTLINED PORTION ONLY rcNAME & DPL OM$ CO. JOB m ADDRESS _ 715 EAST BROADWAY LOCALITY SE E J • 4. �.�� r i 1' - NEAREST // y LIr CITY ' 'TEL.No. CROSS ST. COUNTY CERT.No. EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSES R. OF THE /ABOVE LOS ANGELES COUNTY CERTIFIC OP O P IFI 'ATI �Q PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY D RIBED I- ABOVE. W D 2 OWNER. CORRECTIONS SOUTH J DESCRIPTION OF WORK i BATH TUB • FURNACE _ ED 0 SHOWER -DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAN6 TRAP GLOP SINK FLOOR DRAIN WASH TRAY ' URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN - _ DATE INSPECTOR'S NAME WATER HEATER DENTALLAVATORY . ROUGH PLUMBING I METER.:// GAB S' SODA FOUNTAIN Q �. I �� eeev OUTL GAS PIPING CJ GAS VENT CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL MEPTICTANKI I Si�/ C UTILITY CO.NOTIPIED TOTAL FEE . !f�L FINAL °'a'�17 9`r. i'.7 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��� �� � COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION IST ICT NO. GROUP zO E PERMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOL I SEPTIC TANK RECEIVED BY�/ READY FOR DATEISSUED �i`J�/� FIRST INSPECTION AS MISCELLANEOUS _ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY G".J/<Joe /y E NAME //. _ ADDRESS WA,11 W �( J G ADDRESS \\-7i- LOCALITY S E L X NEAREST y CITY \TEL.No. CROSS ST. + F' M _ A D COUNTY CERT.No. EIIPJAES- C NAME ..0 A LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL V 3 ADDRESS �t (1" AlvAII/L NORTH O V n I • CITY Xi •I +AKILI'♦ TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PUIMee¢ I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. q • �' a� (� OWNER y CORRECTIONS BOOTH ' J DESCRIPTION OF WORK z _z BATH TUB FURNACE MOWER DISHWASHER � LAVATORY REFRIGERATOR 'KITCHEN BINK WATER SOFTENER FLOOR SINK BANDTRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE IRsv¢eTOa'¢RwYe WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER-GAS SODAFOUNTAIN GAB PIPING I I OUTL GAG VENT CESSPOOL I/-•C / ✓ ¢AV TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOO+ SEPTICTANK / �O SEWER UTILITY CO.NOTIFIED TOTAL FEE FINAL 75A557 OBS 19 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING i COUNTY F LOS ANGELES WILLIAM J.. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN���' .r / I r 6- 6J PLUMBER /� RECEIVED BY READY FOR DATE 1 UED ., [//et` fl INSPECTION ADDRESS C! ADDRESS LICENSE NO.✓ EXPIRES �� OR Lf/ CITY TEL. ND. TT BUILDIN V COUNTY / LOCALITY T/ .� /1.1� NEAREST / PERMIT FEES � p ' IF yy NUMBER TYPE DI FIXTURE OR ITEM FEE OWNER q� ,��) I - I A� NAIL I C /. )T�0 qd WJ>'� WATER CLOSET(TOILET) Q 0.50 B ADDRE89 JAA _ BATH TUB ® 0.50 CITY rT �/e TEL r No. QJ/ SHOWER ® 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK Y$ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDEN AL PROPERTY DESCRIBED ABOVE. GAB SYSTEM OUTLETS 0.50 SIGNATURE OF n WATER HEATER @ O.SO PERMITTE �o4R GLOP SINK ® 0.50 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER ® 0.50 DRINKING FOUNTAIN a 0.50 RINAL a 0.50 J a HOUSE SEWER a 0.50 , Z_ MISCELLANEOUS 0 (1 APPROVALS DATE INBP¢QTOR'B NAME ROUGH PLUMBING OAS PIPING OAS VENT CESSPOOL ® 1:00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) a 1.00 I t SEWER PERMIT - - -- - - I(DO GAB TEST TOTAL FEE UTILITY CO.NOTIFIED B /I ,�O^ �t FINAL J 10AG67 17 rM Kb 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. � e g.-L /7s 9 PLUMBER W N9,//��/ A. RECEIVED BY READY FOR DATE ISSUED 'e p �j .,} 1 /I IRS INSPECTION y _ t y_T/ ADDRESS $9 ZD.!/t . E �2 CA d k/ b� G �/ ��LL ••••/�e,� L� ,I BUILDING A / CITY Jry• �� Vq C`../J'/(I KTa" NO. ADDRES - /! COUNTY LOCALITY,"AIV ��o r4_ LICENSE NO. EXPIRE6 NEAREST PERMIT FEES caoss sr. 7t yy�� NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER r%' MDAIL WATER CLOSET (TOILET[ GP 0.50 $J ADRESS I BATHTUB 0.50 . 0 CITY al 4,v ICr O. SHOWER (ISS 0.50 1 HEREBY AGfNOWLEDGE THAT I HAVE READ THIS DRY (WASH BASIN) AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LAVATQ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND STATE LAWS REGULATING PLUMBING. KITCHEN SINK 0.50 Ca ICERTIFY THAT 1 POSSESS THE ABOVE VALID LOS t LAUNDRY TUB OR TRAY (L1 0.50 ANGELES COUNTY LICENSE. OR i AM THE LEGAL OWNER GAS SYSTEM�OUTLETS © 0.50.f_ OF THE RESIDENT[ P OPERR�TY DESCRIBED ABOVE. SIGNATURE OF WATER HEATER 0.50 PERMIT TE SLOP SINK 0 0.50 VINSPECfION RECORD FLOOR SINK Q 0.50 FLOOR DRAIN 0 0.501 _ DISHWASHER Ca 0.501 DRINKING FOUNTAIN ('J 0.50 � � �- SII• !��//I /'l�_R tq u!� � ���. URINAL - @ 0.501 TI(YCI'M'C.T,/ FdRNRt F..I HOUSESEWER @ 0.50I I •Q H. 7 Y t2 V •Z MISCELLANEOUS ] ' tiI- SI I`,I111AA SrIJGYL h,til�k 1 s A t. td a ( F i A"2"r APPROVALS iDATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT ODl� CESSPOOL .� I.Do CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( I PIT ( 1 (a 1.001 SEWER ( 1 PERMIT . I.Do GAS TEST P I N I L _[x TOTAL FEE y' �I oo i UTILITY CO. NOTIFIED 7 - 7 91 p nn - 5 FINAL 76A667-CE817 5-59 APPLICATION FOR PLIJMB1PERMIT COUNTY OF LOS ANGELES �O DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILD[xG IOHN A. LAMBIE, County EO i., ADDRESS �l I CASSATT . GRIFFIN, Supt of Bilding LOCALITYFOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNERm ' O'lPvWATER CLOSET MAIL I HATH TUB CITY�A.> O - TEL, NO. j;Lr7SHOWERLAVATORY CONTRACTOR 1 SING ADDAESSp A� Ads'DISHWASHER CITYITEL. NO. !eCONTRACTOR'S LAUNDRY TUB REGISTRATION NO. y"7/')CLOTHES WASHER DISTRICT�NOO. ROU ZONE P WATER HEATER G 7S C�Z GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 1 @ SI.DO PER ITEM OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK TOTAL FEE </ t' ROUGH PLUM BING Liv—- GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ��j t UTI LITY CO.NOTI FI D SIGNATURPERME TEF��%G!�-�.•r�/ —'.i� FINAL /• n � OF /�AIJDATION ROBERT A. WOOD, CK./ M.0, CASH SUPERVISING MECHANICAL ENG'R n Lr, � 6 15 5 p 3 .0 C; t-,