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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