HomeMy Public PortalAbout5940 CLOVERLY AVE_Plumbing__ 76A667 DBS 17 11-50 , APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENOINEER
DIBTR7 NO. GROU
RNE PERMIT
FOR AyPIPLIC T Tfl)FILL IN L•�f s/ `
PLUMBER ` VED Y READY FOR
REO DATE ISSUED
FIRST INSPECTION �
ADDRE9 j)
BUILDING
CITY TEL Na r %/� ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROBB ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
H
WATER CLOET(TOILET) � Oso >$ D ' ADDRESS
BATH TUB O s0 D CITY TEL. NO
;PHQWER O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 513 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSBESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY C� O 50 �D ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE REBIDENTI PROP TY DESCRIBE ROVE.
OAS SYSTEM OUTLETS (� O 50
/ Q O 50 SIGNATURE OF
WATER HEATER PERMITTEE
SLOP BINK o so SPECTION RECORD Ro&✓
FLOOR SINK @ O BO �y D
FLOOR DRAIN @ 13513
DISHWASHER @ 050
DRINKING FOUNTAIN Q 050 � �
URINAL Q 0513
J
HOUSE SEWER 050 —r' T� _Z
MISCELLANEOUS 0
o
J?a PLCO n n
APPROVALS
DATE INSPECTOR-9 NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL @ 1 OO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 1 00 SEWER
PERMIT I 1 00 GAS TEST
CO NOTIFIED /
TOTAL FEE ( O UTILITY SGT C nr0 , / hYK<`
v
7GA667 OBB 17 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
• COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT N 8RO PZONE PERMIT NED].
FOR APPLICANT TO FILL IN
PLUMBER Revere Service Corp. RECEIVED BY READY FOR DATE 19SUED
FIRST INSPECTION
ADDRESS 11811 Teale St. 9AA^ ung
(� EX 72
BUILDING 0-N. Cl(bverl Ave,
CITY �i 9 rCit TEL No Ex r`1 l
LEN E No 495 EXPIRES 6-30-5b LOCALITY Temple C
ity
PERMIT FEES
c OSS T Las Tunas ]rive
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER J Rough
MAIL Same &s above
WATER CLOSET(TOILET) O 50 ADDRESS
BATH TUB @ 050 CITY TEL. No
SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 5O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 5O AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O 50 ANGELES COUNTY LICENSE; OR 1 AM THE LEGAL OWNER
OF THE REBIDENTIAL FSROPERTY DESCRIBED�ABOVE.
OAS SYSTEM OUTLETS (? 050
SIGNATURE OF
EI to s
WATER HEATER @ O 50 PERMITTEE
i
SLOP SINK O 50 INSPECTION RECORD
FLOOR SINK @ 050
FLOOR DRAIN Q O SO
DISHWASHER Q O 50
DRINKING FOUNTAIN @ O 50
URINAL @ O 50
Q
HOUSE SEWER O 50 Z
n
MIHCELLANEOUB °
1 Water Softener 0 0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL @ 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 1 SEWER
PERMIT I 1 00 GAS TEST
UTILITY CO NOTIFIED J i
TOTAL FEE s1 150
FINAL
DBS-17 25M SETS 6-48 '
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
- COUNTY OFLOS ANGELES �L������
Wm J FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRCT_JV0 GROUPI ZONE PERMIT NO
ROUGH FIXTURES COMPItETR
2r / —
HEATER CESSPOOL H SEPTIC TANK _ RECEIVED BY FIRST INSPECTION READY FOR DATB ISSUED
�/�
AS, MISCELLANEOUS 10J
APPLICANT FILL IX HEAVILY OUTLINED PORTION ONLY
' JOB
E NAME ADDRESS
Id
m ADDRESSLOCALITY
`
11 v{f7r+r'*�
° NEAREST
IL CITY J1 TEL 1 C'IOSS ST
COUNTY
CERT No EXPIRES a' NAME
M
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS P
NORTH O
CITY TEL No
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUAL7jCATION
LU BER
I AM THE LEGAL OWNER OF THE PROPER ESCRIBED
ABOVE
- AI
a
M OWNER
1
CORRECTIONS
SOUTH , J
DESCRIPTION OF WORK Q
I _Z
BATH TUB FURNACE
Q'
SHOWER —DISHWASHER 11
—_LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
_WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR B HAM¢
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER—GAS _SODA FOUNTAIN GAS PIPING I
OUTL I v
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
S I I
TOTAL FEE ` UTILITY CO NOTIFIED
FINAL