HomeMy Public PortalAbout6226 BURTON AVE_Plumbing__ D.9.5:ro zsM SETS 1�6 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �����'�� '
COUNTY OF LOS ANGELES
Wm. J. FOX, CHIEF ENGINEER
9;4;
LLATION DISTRICY NO, GROUP ONE PERMIT NO.
ROU
F=URES
OMPL
SEPTICS ANKFIRST INSPECTION � ED READY FORDAT ISSUED FILL IN HEAVILY OUTLINED PORTION ONLY
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ADDRESS O ,
G ADDRESS LOCALITY
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NEAREST
f n
LL CITY�JVVv./]�l TEL.NoCy k1,4f-I 2 CROSS ST.
COUNTY '
CERT. Y _ O EXPIRES _ V KN NAME)MA bLVhA�
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL
3. ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE"OP QUALIFICATION.
P"MBER
I AM THE LEGAL OWNER OF THE PROPERTY SCRIBED
ABOVE.
W
1
.= YI OWNER
_I CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _z
BATH TUB FURNACE La
le
SHOWER DISHWASHER D
_LAVATORY REFRIGERATOR
_KITCHEN SINK WATERSOFTENER
FLOOR BINK ISANDTRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
_WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S MANZ
_WATER HEATER DENTALLAVATORY ROUGH PLUMBING I I
METER-1—GAS SODA FOUNTAIN GAB PIPING I I
OUTL
GAS VENT I I
CESSPOOL I I
TOTAL NUMBER OFFIXTURES SEPTIC TANK I I
CEBSPOOI SEPTICTANK SEWER I I
UTILITY CO.N01IPI6D
TOTAL FEE J
FINAL
764,67 17 6-A6 p APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO
FILL IN DISTRIC GR
UP ZONE/ pER(�IT�NO.
PLUMBER f�n /f/ �I-////�'M�/J(iy� RECEIVED BY READY FOR lT7OdAf�TE ISSUED
�J// I•J �`/f�`� FIRST INSPECTION /a_
ADDRESSBUILD
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CITY / ADD EISS
TEL. NO.
COUNTY LOCALITYi1n V.j'.1/!✓
LICENSE NO, EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
—� MAIL
WATER CLOSET (TOILET) @ 0.50 S ADDRESS
BATH TUB @ 0.50 CITY TEL. NO,
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) (•a1 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK r� 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY t� 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS a 0.50 / y/.j �J/]� ` I •�
SIGNATURE OF
WATER HEATER a 0.50 PERMITTEE �✓ r0 ^'/ 1'2/-e�I-L T.
SLOPSINKp o.so INSPECTION RECORD
FLOORSINK Q O.SOI
FLOOR-DRAIN 0 Q50I
DISHWASHER r7a O.SOI
DRINKING FOUNTAIN Q 0.50
URINAL (a 0.50 �J
HOUSESEWER Qa 0.50 Q
Z
MISCELLANEOUS U
Q
O
I
I
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00I CESSPOOL
SEPTIC TANK: SEPTIC TANK
IN ( ) PIT ( ) @ f.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE IS 4o-?)
FINAL �