HomeMy Public PortalAbout5816 CLOVERLY AVE_Plumbing__ 76A667 DES 17 7-S1 ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY '
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR—APPLICANT TO F L IN GROUP
Eli 3 3kry
PLUMBER �� RE VED Y READY FOR DATE ISSUED
I If FIRST INSPECTION _
ADDRESS I&J uJ
BUILDING
CITY 'S TEL. NO/ ADDREBS'
DDUNTYN E NO1 EXPIRES Q,'T 3 LQCALITY
NEAREST
PI&MIT FEES CR099 ST ill
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER t%
MAIL
WATER CLOSET(TOILET) @ 050 $ 4 ADDRESS
BATH TUB @ 050 CITY TEL.
..�...— —o.,.. �.... _ _
SHOWER O 50 ���+���
1 HEREBY ACKNOWLE' E THAT 1 HAVE READ T 19
LAVATORY (WASH BASIN) @ O 50 r APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 050 tAND STATE LAWS REGULATIN PLUMBING
I CERTIFY THAT 1 POS —b
THE ABOVE V I LOB
LAUNDRY TUB OR TRAY Q 050 'ANGELES COUNTY LICEN I AM THE LE L NER
-OF THE RESIDENTI=4�
RIB A E
GAS SYSTEM OUTLETS 0 DSOa81GNATURE OF
WATER HEATER @ 0513 7 PERMITTE
GLOP SINK 0 050 INSPECTION RECORD
+ FLOOR SINK lid 0.50 -'3 2.771 $e LJ ✓ -v—
FLOOR DRAIN Q O 50
DISHWASHER ® 13511
e
DRINKING FOUNTAIN @ DSO r
URINAL 1350
1 '�
_ Q
HOUSE SEWER O 90 _Z
MIBC LANEOUS M
lorll
O
APPROVALS
DATE INBP6 R•8 NAMC
ROUGH PLUMBING `� 7
CiAB PIPING
,GAS VENT'--
CESSPOOL @ 1 OD CESBPOOL'-
SEPTIC TANK. SEPTIC TANK,
DRAIN ( ) PIT ( ) 100 SEWER
PERMIT 1 00 GAS TEST A
�q UTILITY CO.NOTIFIED 14
TOTAL FEE ffi
- /,CIO
V FINAL
D B S-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLU
Wm J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT No
ROUGH FIXTURES COMPLETE I OT
RECE3VED BY READY FOR D TE ISSUBD
HEATER CESSPOOL SEPTIC TANK �/// FIRST INSPECTION
GAS MISCELLANEOUS /A�'� 1977
PLIC FILL IN HEAVILY OUTLINED PORTION ON Y
JOS
NAME ADDRESS
v ^�
m ADDRESS LOCALITY
g
EAREST
-1 CITY TE o � CROSS ST
IL
-COU TY 10,2
CERT No EXPIRffB W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3
_ _.�--^'.�-r.."."-'4"NORTH� "0 ADDRESS
_
CITY A TEL No
� 1 AM THE LEGAL P08S S R F T ABOVE L
ANGELES COUNTY CERT FIC T QUAT FIC T QUA I~��ON
` hJ
PLUM R
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
e �
' 0 OWNER
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK �
ATH TUB —_FURNACE
M
ROWER DISHWASHER O
_LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
' FLOOR SINK _SAND TRAP '
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE Y INSPECTOR S NAMR
_WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METERGAS ------SODA FOUNTAIN
OUTL GAS PIPING
GA8 VENT I v I r
CESSPOOL
TOTAL NUMBE=EPTIC
XTURES �® SEPTIC TANK
ESSPOOT
CTANK SEWER
I $
TOTAL FEE I 400UTILITY CO NOTIFIED
FINAL
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