HomeMy Public PortalAbout9624 1/2 BROADWAY_Plumbing__ U.8.9,1V 25M SETS 11^95 �G . APPLICATION FOR PERMIT '
DEPARTMENT OF BUILDING AND SAFETY ��� ����.
COUNTY OF LOS ANGELES . m-1488
Wm. J. FOX.CHIEF ENGINEER '
NATURE OF INSTALLATION DISTRICT NO. GROUP ZO EqRMITOUGH FIXTURES SEPTIC TANK GAe MISCELLANEOUS RECEIVED BY READY POR
HEATER CE86POOL ^, / FIRST INSPECTION
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
a, NAME Harry E. Deem ADDRESS 921A Proadway
W
M ADDRESS 401 South Hoyt Street LOCALITY Touple City, California
O NEAREST
'I CITY Rl Mnn+P TEL.No. RTl e8-985>1 cRogg et. Sunset Boulevard
a
CERT.No. 4360 MGF EXPIRES 3-31-48
tl NAME D LP Clark
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL A
3 ADDRESS 2210 Broadway
NORTH 0
CITY Temole CitY TEL.No.
I AM THE LEGAL PO OR OF ABOVE LOS
ANGELES COUNTY CERTI BOF qU ION.
PLUMPER
1 AM THE LEGAL OWNER OFT E PROPERTY DESCRI&ED
ABOVE.
A
3 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE L7
a•
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK SANDTRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INQPQCTOR'B NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I I
METER GAS SODAFOUNTAIN GAS PIPING I I
OUTL
- GAS VENT I I
CESSPOOL _ I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL SEPTICTANK SEWER I I.
S UTILITY CO.NOTIFIED
TOTAL FEE 1 00
FINAL
ItAeRT v 5.50 It APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
F -WILLIAM J. FOX. CHIEF ENGINEER
DLFrtO�cR� APPLICANT TO FILL IN DISTRICT O. GROUP I ZONE PERMIT NO.
PLUMBER REVERE SERVICE CORP. RECEIVED BY READY FOR DATEISSUED
FIRST INSPECTION /
ADDRESS 11811 Teale St. NON
CITY Culver City TEL. NO. '}M 721 1
ADD EISS 2218 E. Broadway
COUNTY
LICENSE NO, 6750-Y EXPIRES 6-go-51 LOCALITY Temple City
CROOSS 6T. Sunset Blvd.
PERMIT FEES F.E.NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER EN. i"eterson
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS Same as above
BATH TUB0.50 CITY TEL. NO.
SHOWER Q 0.501 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING.,
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, O.� I AM THE LEGAL OWNER
T OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE!
GAS SYSTEM-0 SIGNATURE
UTLETS R O.SOI
WATER HEATER @ O.SO FERMITTE
SLOP SINK R 0.50 1 INSPECTION RECORD
FLOOR SINK R 0.501
FLOOR DRAIN Q 0.501
DISHWASHER Q 0.501
DRINKING FOUNTAIN O 0.501
URINAL R 0.501 J
HOUSESEWER R 0.50 Q
1 MISCELLANEOUS U
1 Nater Softener �_� j0 a
0
I
I I
APPROVALS
DATE INSPECTOR'S NAME
I I
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
1 SEPTIC TANK: SEPTIC TANK
1 DRAIN I PIT ( ) Q 1.00 SEWER
PERMIT . . 1.00 GAS TEST
TOTAL FEE SiTILITY CO. NOTIFIED
150 FUINAL pr G+tip / b
D.B.S.-17 2511 SETS 12-41 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING '
Wm. J. FOX. CHIEF ENGINEER
F
TURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
FIXTURES I—IeEPTIC COMPLETE
/
CESSPOOL RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION ,
M18CELLANEOUB APPLI T FIIN HEAVILY OUTLINED PORTION ONLY
JOB�Y ADDRESS�.[ D��./�� LOCALITYNEAREST
��.[ TEL. No. CROSS ST.^ 1, ----� EXPIRES E NAME sE�v=
W
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
ADDRESS
NORTH O
CITY .-A -l'114 TEL. No.
IAM THE LEGAL POSSESSOR OF THE�ABOVE,.LOS
ANGELES COUNTY CERTIFICATE OAFOUALIFICATIO
.g.A,:,-✓+.
1 PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK
ATH TUB FURNACE V
Pr
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SANDTRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'&NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
MEfER_GAS SODA FOUNTAIN GAS PIPING
OUTL /]
GAB VENTL
CESSPOOL
TOTAL NUMBER OF FIXTURES ` SEPTIC TANK
CESSPOOI SEPrICTANK / rJ/n� SEWER I I
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
:DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER ADO EING SS 96y—� y %Z
LOCALITY APPLI NT TO FILL IN EAREST CROSS ST
ALIBI /9 /j//aiG/
s DISTRICT NO. GROUP ZONE PERMIT NO.
EARLOCALITY _ Z
CROSS ST . I /( �n
CROSS GL 4V40 RECEIV ED GY Ready for Inspection PATE ISSUED
OWNER
MAIL INDUSTRIALS C
ADDRESS WASTE APPROVAL �V
CITY W A L Upl (Se S INSPECTION RECORD
PLUMBER PLUMBINGI
ADDRESS I
CI TV R Y`'TE L.0NO.
LILI'AIAMPEROR AVE. - SAN GABRIEL
PERMIT FEES i
Vl1MP.EP. TYPE OF FIXTURE OR ITEM FEE ED
:3
WATER CLOSET(TOILET) @ 0.80 $ � � O� a'
--//� BATH TUR @ 0.80 Lam_ O
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80 O
KITCHEN SINK @ 0.80 l�a
LAUNDRY TUB OR TRAY @ 0.80 _
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM... .....----OUTLETS @ 1.00 d D
WATER HEATER @ 1.0000
MISCELLANEOUS
APPROVALS
DATE I NSPECTOR'S SIG N ATU RE
UNDER SLAB WORK
PERMIT s 00 ROUGH PLUMBING 3//'S /S'
1
TOTAL FEE pQ GASPIPING Aa RLRc.- " ^
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED
ANO./OR LiCENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST / •�.@�4- ��
AND BTATE OF CALIFOR OR THAT I AM THE LEGAL OWN. qqyy
ER OF THE ABOVE DES
E�RIBED R -g7ID NT�I L PROPERTY. UTILITY CO.NOTIFIED lilyla"7�
SIGNATURE �,,.,,//`/GG: tl
OF PERMITTEE_ . .. G'. ...... .. ... .. ....... :.�'.... ___............ FINAL
76.1667 DBS 17 1/53 /