HomeMy Public PortalAbout9200 BROADWAY_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department F of CouBUILDING
Engineer P L V M E" 0 N � 1
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County En0lneer
FOR APPLICANT TO FILL IN DISTRIX NO. GR LWP ZONE
PERMIT NU.
I ,6� / &;2 44
PLUMBER ED BY READY FOR OA E 1 SUED
FIRST INSPECTION
ADDRE69 7Z jJ
/J �96! J BUILDINOI �•
CITY .r)'Q/L TEL NN�7+'.i ADDRESS
COUNTY / LOCALITY
LICENSE NO. EXPIRES
PERMIT FEES CROs ST. �-G ae
NYMDER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) ® O.SO s ADDRESS
BATHTUB ®. 0:50 CITY TEL NO.
SHOWER @A0.50,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ CTHIS
ORRECT
LAVATORY (WASH BA N) 9110.50 AND AGREE
AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK (g 0.50 AND STATE LAWS REGULATINHRANO.
I CERTIFY THAT I POSSESS
THE
E ABOVE VALID LER
LAUNDRY TUB OR T Y (� 0.50 ANGELES COUNTY LICENSE, I AH THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTRT Y ESCRIBED ABpVE.
OAS SYSTEM OUTLETS 0.50 5
SIGNATURE OF
WATER HEATER @ O.SO PERMITTE
SLOP SINK D.50 INSPECTION RE ORD
FLOOR SINK ® 0.50
FLOOR DRAIN 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL D.SO J
Q
HOUSE SEWER ® O.SO Z
MISCELLANEOUS ❑
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAB VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT 1.10 GAS. TEST
/ 97UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
76d664 DIISQj 17 10/52 1
v
17 25M BETS 12-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM.J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIC NO. GROUP zo /E1 4P RMIT NO.
ROUGH FIXTURES COMPLETE
RECEIVEO,BY READY FOR DATE ISSUED
HEATER _I CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOU //`�'• //� �l Ib 7 YJ
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
J} )l oe
E NAME . fd/M.Qy/ � ..'r�a°�^,l��j - �N�•� ADDRESS _71-
ADDRESS
yam-
E ADDRESS �/a.f� ',Yi // �LLI�-d LOCALITY /f C. U
JNEAREST La / •9L
y CITY fftb,.4p�.ay.r/./nn.•d ®TEL.No. 7�q�-7/ .O NEAREST. C�+C�trL?•/J�w� A;
COUNTY
CERT.NO. 7 J/'1 EXPIRES,�-`✓ 4/c4 IV NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3, ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE
JIO-F QUALIFICATION.
PLUMB" //
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
s
2 V OWNER
-1 CORRECTIONS
SOUTtK
J
DESCRIPTI F WORK .a
z_
BATH TUB FURNACE I7
-SHOWER DISHWASHER
o
AVATORYREFRIGERATOR
J/ 'ITCHEN
BINK WATER SOFTENERLOOR BINKV BAND TRAP
LOP 8 NK FLOOR DRAIN
II II B
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I I
' ETER GAS SODA FOUNTAIN GAS PIPING I I
OUTL
SAB VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES �
SEPTIC TANK I I
CEBSPOOI SEPTICTANK SEWER
S UTILITY CO.NOTIFIED I (I �� I +I r♦ ///
TOTAL FEE / GQ: I f' / U'(I F '
FINAL
D.B. IT 25M SETS IE-" APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY, ��������
COUNTY OF LOS ANGELES
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRI NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE !"
READY FOR
HEATER CESSPOOL SEPTIC TANK RECEIVED BY DATEI88UED�
FIRST InNSPECTION
GA8- MISCELLANEOU �� �r✓11 /'"�4 6
APPLICANT FILL IIN HEAVILY OUTLINED PORTION ONLY
//JPPiG/ Cd r JOB
ADDRESS
W c '
m ADDRESS �S'J 6 LOCALITYEAREST
L CITY�I,�i..r/ms.µ_ TEL.No. SY�- Vf,/Y CROSS BT.
COUNTY
CERT.No. EXPIRES / m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE/O�P QUALIFICATIO�N.,./
�6.�4.fe�.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 M OWNER
y CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z_
BATH TUB FURNACE E7
Ir
RHOWER DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S HAMS
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAB SODAFOUNTAIN GAB PIPING I I
OUTL
OAS VENT I
CESSPOOL I
TOTAL NUMBER/OF FIXTURES SEPTIC TANK I `�—JI -CETT w/d., I�Mrn1
"CE88FOOL_..L_BEPTICTANK / �— SEWER I \
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL �V