HomeMy Public PortalAbout9719 BROADWAY_Plumbing__ >SASST-17.r50.Cai APPLICATION FOR PERMIT N.
DEPARTMENT OF BUILDING AND SAFETY p
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
OR APPLICANT//O FILL IN DISTRI�O. GR OU P I ZONE I iEORMITNO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION D'5/
ADDRESS
3` BUILDING ey
CITY TEL. NO. 3 ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST. 8
NUM ER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 S ADDRESS /J ��y,
BATHTUB @ 0.50 CITY b ll " `^'/v//�/ •TEL. NO.
SHOWER @ 0.50) 1 HEREB ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK _ @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT ,POSSESS THE ABOVE VALID LOS
L LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY 1 BE.
OR I AM T E LEGAL OWNER
i OF THE RESI DENTIALfi7ROPERTY DESCR D AS VE.
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.501 PERMITTEE
SLOPSINK @ O.So1_ INSPECTION RERD
FLOOR SINK @ 0.50)
FLOOR DRAIN @ 0.50 � 2 Y7
I DISHWASHER @ 0.501 C ��'� 7_�f� J•4�
DRINKING FOUNTAIN@O.SO
URINAL @ 0.50
HOUSESEWER@ 0.50 Q
02 PPv Y � k 11C�wr _Z
MISCELLANEOUS u D
` w
tilJd Q G�
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.001 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( I PIT ( ) @ 1.00I SEWER
PERMIT . 1.00 GAS TEST /
' UTILITY CO. NOTIFIED 9 '
TOTAL FEE I +` • ��✓'
FINAL
O`ae.iT asw eaTa I�40 APPLICATION FOR PERMIT
.DEPARTMENT OF BUILDING AND SAFETY �
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. G UP zo PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL —(SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
: FIRST INSPECTION q
GAS MISCELLAN US 1 '1 �
APPLICANT FILL[IIN HEAVILY OUTLINE/D'�PORTION ONLY
K NAME �! —AL1A .f/ ��{ i ADDRESS `
W
M
ADDRESS �1
f / �� �M//'i -✓1� LOCALITY IX �I - 1 �(
j NEAREST
y _CITY _ �n•.-"A� pl-11/(./ITEL.No. CROSSST.
COUNTY
CERT.Ho. V EXPIRES m NAME
LOCATION OF SEPTIC TARK, OR CESSPOOL 2 MAIL
Z ADOR
NORTH O �-
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANOELES COUNTY CERTIFICATE OFOUALIVICATIO
V I PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
z_
ATH TUB FURNACE
E
SHOWER —DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR BINK SANDTRAP
RLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INBPKC OR'a NANa
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I I
METER—GAS SODA FOUNTAIN GAS PIPING
OUTL /�T¢ sexy, GAB VENT
�C CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
--4--CEBBPOOI SEPTIC TANK SEWER I i
S
TOTAL FEE UTILITY CO.NOTIFIED I �_
��'
FINAL � �L
D•8'T "M B6B I' APPLICATION FOR PERMIT ,
DEP"TMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm.WM. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO, GRO aO E ` P RMI NO.
ROUGH FIXTURES --II COMPLETE �I L l 1 I u � 1
HEATER I_ CESSPOOL I SEPTIC TANK R;E�CENHD BY FIRST INSPECTION DY MR DATE IBEU6b
GAB MISCELLANEOUS `J 1-.7 9 -10-4—10-4
/In A/PP�Ly,IICANT,FILL IN HEAVILY OUTLINED PORTION ONLYJOB
B ADDRESS
W
A DOR E/68// /,l/LLI.1 LOCALITY
sWe NEAREST 8T.
CIROW �L�
y TY~ l 7 .No. C
COUNTY (/
CERT.No. EXPIRES W NAME (C
LOCATION OF PTIC,fANK, OR CESSPOOL z MAIL
3. ADDRHHB
,NORTH
/ CITY."s-%C'v.� <e'e✓cd'THL.
i AM THE UMAL POBBEB OR-OF ,THE ABOVE LOS
ANGELES COUNTY CERTIPICAT OF QUALIFICATION.
1 AM THE LEGAL,OWN/HR(J OP(`THB PROPERTY DESCRIBED
H. J \A S.0
ABOVLrYcz�(r��!� _.
ro
.'z OWNER
COAhECTIONS
SOUTH
DESCRIPTION OF WORK
z_
ATN TUB FURNACE 6
ROWER DISHWASHER Q'
O
/
// LAVATORY REFRIGERATOR
k�JCITCHEN BINKWATER SOFTENER
FLOOR BINK BANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY\ URINAL APPROVALS
WATER CLOSET L./—PRINKING FOUNTAIN
DATE INHGHCTOR'H NAMC
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I / I A 1, S
ETER_�_GAB SODA FOUNTAIN GAS PIPING I I
OUTL
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I III
CESSPOO1 SEPTICTANK SEWER I f
i
�� UTILITY CO.NOTIFIED I
TOTAL FEE ,V=
FINAL