HomeMy Public PortalAbout9709 BROADWAY_Plumbing__ JBA867 17 6'46 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO. GROUP ZONE JAj C�PERMMIT NO.
PLUMBER 151�*�) a -a RECEIVED Y /REA- DY FOR DA E ISS Eo
{ ` FIRST INSPECTION i
ADDRESS " J N J• 1�
��,.�
BUILD NG
CITY r'W �w TEL.�NO ADDRESS
COUNTY '•1 '',/
LICENSE NO. EXPIRES '�'�• LOCALITY
NEAREST
PE T FEES CROSS ST. . ry
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
WATER CLOSET (TOILET) @, Q.50 $ ADDRESSr q�
BATHTUB @ .0.50 CITY .C-�Y/ /�/ _. v 4 TEL. NO.
SHOWER @ 0.50
1 HERE - AL GE THAT 1 HAV READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION ANDD STATE HAT THE ABOVE IS CORRECT AND
AGREE A COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGAL ING PLUMBING.
I CERTIFY TH e POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNT L ENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENT PROPERTY DES ED AS VF-
GAS
EGAS SYSTEM OUTLETS @0.50 SIGNATURE OF l
WATER HEATER @ 0.50 PER MITTE
SLOPSINK @ 0.50 INSPECTION RE ORD
FLOOR SINK @ 0.50
..I�%.� Q TFPaY ✓ n.✓
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50 �f�r
DRINKING FOUNTAIN @ 0.50 a
v L
URINAL @ O.SO
HOUSESEWER @ 0.50 y1 Q
Z
MISCELLANEOUS ('1
�'+ E
./ ��' •lo A 4 • ? D J f/�Ld L 6�. 0
I C rs.as 1/.,.•e owe —o covC4
APPROVALS
D E IN8 =0R'6 NAME
ROUGH PLUMBING
/
GAS PIPING
GAS VENT
CESSPOOL @ t.00 CESSPOOL
I.SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER p //
PERMIT . 1.00 GAS TEsr y�
UTILITY CO. NOTIFIED/U.
TOTAL FEE s y( � - i�///
(�7 �/ FINAL
D.R.S.17 25M RETS 7-47 APPLICATION FOR PERMIT
DEPAI'TMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM. J. FOX.CHIEP ENGINEER
NATURE OF INSTALLATION— DISTRIC NO. GRO ZAO E PERMIT O.
ROUGH FIXTURES COMPLETE ' - AII '7( / 3
AS 1-1 MIBCELLANE IUB REC ,- BY READY FOR DATfi ISSUED
NEATER CESSPOOL SEPTIC TANK I_ /
`,G.)` FIRST INSPECTION
A /APPLICANT FILL IN HEAVILY OUTLINED PO,}R/TIONC ONLY !/
'K NAME /� q r/ x.71 e�.J'Q'Jn c�.'rI ADDR�e !/ J G O d
W n //��
m ADDRESS � D /! O , / a- LOCALITY e fe (� C
E
O �• o.J- tx
NEAREST , _/�n t A/ ��
A CITY / 'E h7 /e(.//( EL.NO. /t' 1(O 0 F CROSS ST. C'/ YY
COUNTY
CERT.NO. EXPIRES W NAME / d.T a r e J71 rl
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDREBe O W
NORTH O //JJ� ,.¢
CITY -)r/b/e e// TEL.NO. l SL
1 AM THE LEGAL POSSESS R OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
a2� /13
j y OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OFWORK z
ATH TUB FURNACE 9
FK
HOWER DISHWASHER 17
AVATORY REFRIGERATOR
ITCHENN SINK WATER SOFTENER
FLOOR BINK SANDTRAP
GLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER-A-GAB SODA FOUNTAIN GAB PIPING -/I'1/0 I 1rd i
OUTL
/ IGAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESBPOOI SEPTIC TANK SEWER I I
B O
UTILITY CO.NOTIPI6D
TOTAL FEE
FINAL F'I�� � ✓ �
76A667 lCE-8I7I-4/72 /till eld, [-/
APPLIC IONOR PL/U6MBIN'G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUDING — !'
V
HARVEY T. BRAN DT, COUNTY ENGINEER ADD ILRE55
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST I .(
NUMBER FIXTURE OR ITEM @ FEE CROSS $T.
OWNER
WATER CLOSET 1.75 MAIL - _�ozv + �L
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY _ �T L.
IK
LAVATORY 1.75 CONTRACTOj
SINK 1.75 ADDRESS '.I J.O ` k 4� I
DISHWASHER 1.75 CI .,E,.`C �W TEL. N f�'jj I'v/
CLOTHES WASHER 1'75 LICENTA TESE NO,:2 3 , CLASS 01 3j--,
LIC
SWIMMING POOL RECEPTOR 1.75
D ISTRIC7 NO. GROUP NE CESSE BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL y
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM '30 O
U
W
a
N
z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
APPROVALS DATE IISPIFCTGA's SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
92 '.
1 ACKNOWLEDGE THAT HOT WATER HEATER 9-7 Lyj 9;1,:A, —J
STATE HAVE PEND THIS ATO TIDN
AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY PLUMBING FIXTURES /
WITH ALL COUNTY OROINANCES
AND STATE LAWS REE GULATING
PLUMBING. GAS TEST
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOU I RED BY LOS ANGELES CON) AND STATE OF
CALI EO RN IA OR THAT I AM THE LEGAL OWNEp OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PRO ERTY. FINAL
SIGNATURE / ' '
OF PERMITTEE / /
PERMIT V JDATION CK. M,o. cnsH
PLAN CHECK V LI ATION CK. M.O. CASH
2 2 9�MAR 2 5 4.7 5 A016
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY ' PERMIT APPLICATION
COUNTY OF LOS ANGELES ew LOINc TO /wa
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS O je
FO APPLIC AT TO FILL I LOCALITY • C
BUILDING NEAREST Q /P In `�
ADDRESS Q CROSS ST.
DISTR Nom. GR P =N% PERMIT NO.
' LOCALITY 4 5
NEAREST /. '
CROSS ST. D ( Q.'�ti ✓✓f� - ,fyR G/ Reedy for Ina Oeetfon DATE ISSUED
OWNER
MAIL INDUSTRIAL"
'. ADDRESS WASTE APPROVAL
cly TEL.NO. INSPECTION RECORD
PLUMBER
ADDRESS ((//yy
CITY /�(.O TEL.NO. -
//q J B9TATE
LICENSE NO. V Y Y 0 COUNTY
J
PERMIT FEES i
IL'MBER TYPE OF FIXTURE OR ITEM FEE U,
WATER CLOSET(TOILET) @ 0.80 PIC O
-j BATHTUB @ 0.80
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80 O
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80 Q ?
SLOP SINK @ 0.80
FLOORSINK' @ 0.80
FLOOR DRAIN @ 0.8D
DISHWASHER @ 0.80
DRINKING'FOUNTAIN @ 0.80
URINAL I @ 0.80
too
GASSYSTEM....�.....OUTLETS @ 1.00WATER HEATER @ 1.00
MISCELLANEOUS
_ APPROVALS
DATE I NSPECTO R'S SI G NATU RE
_ UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GASPIPING
. O O
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- - GASVENT
CATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE I HOT WATERHEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST -!s Sc-
AND STATE OF CALI ORNIA OR THAT I AM THE LEGA OWN-
. ER OF THE ABOVE CRIBE
RESOD
NAM PROPER UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE.e._._..___._.._. ._5..._..................._.._......_._.__. ,
.------ R FINAL N� V S ! +"^'•�- �"
Ipt
711617 DBS 17 1/53
76AGS7 17 Z`M SETS '-aa APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERRMIT NO.
ROREADY FOR I
UGH I_I FIXTURES COMPLETE 5 I I
HE
GASTER ` M BHPOOANE IUS I eEPTIC TANK R� 1/VED 0 FIRHTINSPECTION
� DA_/S'UED�
APPLICANT
—FI/LL IN HEAVILY OUTL'INED PORTeII N m—TrJoe
d. NAME 3 Y // IV,/\I lay/L�'1A .11l'\ .. ADDRESS IZ t� D
g ADDRESS 3 1 ..A!/Y�/ /v LOCALITY ; i✓».4
1 q ./ /
LL CITY A l J M/TEL.No. CROSS ST. s
COUNTY // g /f.�A AAM // l/11:ra fA.h'k
LICENSE ND. l "PIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QU ALIFICM'r'
T`x10N 9
lr
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 R OWNER
•i CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
ATH TUB FURNACE
SHOWER DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I
METER GAB _ SODA FOUNTAIN GAS PIPING
OUTL
{'p{/.p�_ GAS VENT
'' \ � CESSPOOL
TOTAL NUMBER OF FIXTURES �� y SEPTIC TANK
CESSPOOI SEPTIC TANK V SEWER
B UTILITY CO.NOTIFIED I I
TOTAL FEE (/ J
FINAL