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HomeMy Public PortalAbout6058 CLOVERLY AVE_Plumbing__ D-B-S-17-25M SETS-1-2-45- APPLICATION—FOR—PERMIT I TMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L mum M B S Wm J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. - GROUP ZONE PERMIT NO. ROUGH 'FIXTURES COMPLETE - r ��--� HEATER t CESSPOOL —I SEPTIC TANK E ID BYI FIRST INSPECTION DATE ISSUED GAB MISCELLANEOUS. APPLICANT FILL IN HEAVILY 'OUTLINED PORTION ONLY JOB NAME ADDRESS lz W M ADDRESS, I3 �S �J(/f.I ACJ LOCALITY - .F D NEAREST - R CITY TEL No _ .CROSS ST: COUNTY 1 CERT No EXPIRES 3/ ' NAME U LOCATION OF SEPTIC TANK, OR S_ OOL a MAIL ADDRESS ` NORTH O • CI TEL.No. 1 AM,THE LE AL P068ES6 R OF THE IS LOS ANGELES COUNTY CERTIFICATE O QUAL! TION. PLUMBER I AM,THE LEGAL OWNER•017 THE PROPERTY DESCRIBED ABOVE. ' r _ OWNER CORRECTIONS SOUTH / a F DESCRIPTION OF WORK _ M BATH TUB —FURNACE' `HOWER ` DISHWASHER AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER ' FLOOR BINK SAND TRAP k LOP SINK FLOOR DRAIN WASH TRAY URINAL t,qr S-mPROV A A -WATER CLOSET - _ DRINKING FOUNTAIN DATEtiJu�7 INsaecroR'B NAME WATER HEATER DENTALLAVATORY ROUGH PLUMBING I I IAI° ' METER�GAS aODA FOUNTAIN, GAS PIPING Y OUTL G,48 VENT' ' z _��••••�� CESSPOOL TOTAL NUMBER OF FIXTURES - V` SEPTIC TANK CESSPOOI..__8EPTIC TANK SEWER II " 1 UTILITY CO.NOTIFIED TOTAL-FEE JI T , ��� � 'FINAL �l/ D B.e_,V 25M-8E75„-6 APPLICATION FOR PERMIT ""DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS-ANGELES PLUMBING WM. J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP O P9RMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOL 17� REBY READY FOR DATE 1SUSEPTIC TANK C IV D ED - FIRST INSPECTION ? 1..7/� GAS MISCELLANEOUS r'1 , APPLICANT FILL IN HEAVILY 0UTLINElD7pMRTION ONLY-JOB �• NAME ADDRESS "ii ADDRESS V A - W”" LOCALITYDr� NEAREST \ d CITY ! TEL.No. CROSS ST. 1 COUNTY �✓,f t �'�' CERT.NO. EXPIRES m NAME �v A,01�1._,r�f•A'n -A' JAF3,� LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE1F QUALIFICATION. o�`t 6 JY._6 (yam .r1.�'� PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBEM. ABOVE. N ? OWNER Y CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE Q' SHOWER DISHWASHER' O LAVATORY REFRIGERATOR KITCHEN SINK WATER,SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA'FOUNTAIN OUTL GAB PIPING GAS VENT I I A • CESSPOOL 9, N 4A TOTAL NUMBER OF FIXTURES _ �ArSEPTIC TANK !� CESSPOOI SEPTIC TANK / SEWER 3 UTILITY CO.NOTIFIED i TOTAL FEE l� FINAL 76Ae67 n s-BO APPLICATION FOR PERMIT EUPARrMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ' WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT . GROUP ZONE SRM%NO PLUMBER Revere Service Corp. RECEIVED BY READY FOR Df/AO_TCE/ISSUED p FIRST INSPECTION ADDRESS 11811 Teale Ste NOjy BUILDING CITY Culver City TEL NO EX-72151 ADDRESS 422 N. Cloverly Ave. COUNTYC, LOCALITY LOCALITY Temple City LICENSE NO 6750 (J0 M EXPIRES 6-3o-5i NEAREST CROSS ST 01 ive St. PERMIT FEES NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER S. Anderson MAIL WATER CLOSET (TOILET) Col O X50 $ ADDRESS Same as above BATH TUB Q O 501 i CITY TEL NO SHOWER Q O Sol I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) Q O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT I P_O ES6 THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LI-I—ANZE OR I AM TH L-EGAL OWNER OF THE RESIDE AL1PROP TY DESCRIB BOVE GAS SYSTEM OUTLETS Q O 501 / SIGNATURE OF WATER HEATER © O 501 PERMITTE SLOP SINK a o Sol IINSPECTION RECORD FLOOR SINK Cc? O 50 FLOOR DRAIN Q O 501 DISHWASHER O SO DRINKING FOUNTAIN @ O 50 I URINAL O 501 J 1 HOUSESEWER O 50 i z MISCELLANEOUS 1 Water Softener 50 1 o I� APPROVALS DATE INSPECTOR'S NAME I ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 1 00 1 CESSPOOL 1 SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) Q 1 00 I SEWER PERMIT I 1'00 GAS TEST UTILITY CO NOTIFIED $ 1 5o TOTAL FEE FINAL E!r