HomeMy Public PortalAbout5210 DALEVIEW AVE_Plumbing__ 4/72 /'WOR P BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO. BUILDING
ADDRESS m 't
HARVEY T. BRAN DT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET
1.75 G OWNERBeMard
J. Clairmont
MAIL
BATH TUB 1,75 1 75 ADDRESS bu Ave,
SHOWER 7,75 1 75 CITVW. Covina TEL. NO.3378463
LAVATORY 1.75 0 CONTRACTOR wen Bros Plumbing, Inc.
SINK 1.75 1 7r) ADDRESS 4265 N. in Ave
DISHWASHER 1.75 1 75 CITY
1 Monte TEL. N0.443-0078
CLOTHES WASHER 1'75 1175 STATE c
LICENSE N0.2 1 741 C36-20 CLA$5C36-20
SWIMMING POOL RECEPTOR 1,75 A
DISTRICT N0. GROUP Zy�NE PRO SEED V
LAWN SPRINKLER SYSTEM 1.75 � ^;'
of
WATER HEATER 1.75 1 INDUSTRIAL �T }
WASTE APPROVAL G
GAS SYSTEM OUTLETS 1.75 1 75 INS P TIO RECORD V
OUTLETS OVER
5 PER SYSTEM .30 C)
W'
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N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 Do
TOTAL FEE 22 2
Plan' check applicant APPROVALS Ar sPECTo s AFURF
UNDER SLAB W K
Name ROU
Address GAS PIPING
City Tel. No. GAS VENT
HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREECOMPLY PLUMBING FIXTURES .7
WITH AL'L' COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUM BING-.�:p GAS TEST
HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ! —�3�� per( L rp rr
LICENSED' AS REOUI RED By
LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO py
RESIDE IN THE ABOVE SC ED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATI cK.' .o. casn
PLAN CHECK VALIDATION Ca. M.O. CASH �/ �1�/
11 � 2 4. 1 973 JUL 25 5 D 22.254
O.E.R.17 E5M SETS 7-47 APPLICATION FOR PERMIT
OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER'
NATURE OF INSTALLATION D STRICTy�N-OO* GRO P o f PT NO. )
ROUGH FIXTURES COMPLETE 2 /S
HEATER CESSPOOL I SEPTIC TANKREADY FOR PATE ISSUED
GAS MISC ELLANEOUB RECEIV EO B� FIRST INSPECTION /Z�/��
APPLICANT FILL IN HEAVILY OUTLrINE'D PORTION ONLY'
OB
C NAME
W
g ADDRESS LOCALITY C J
D NEAREST
y CITY TEL.No. CROSS BT.
COUNTY
CERT.NO. EXPIRES WC NAME L CQ
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL Gp
3 ADDRESS
NORTH O -
CITY A4QA7,6jaA TEL.N
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
ER
I AM THE LEGAL OWNER OPT OP R DESCRIBED
p1 ABOVE.
W D
yL OWNER
' 0��0's� CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATH TUB FURNACE
SHOWER -DISHWASHER Q
AVATORY -REFRIGERATOR
KITCHENSINK WATER SOFTENER ,
FLOOR SINK SANDTRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING
METER Y GAB SODA FOUNTAIN .
OUTL -GAS PIPING I /
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES
/��� gEPTIC TANK ' /J
CESSPOO11 ��EPTICTANK' , /��L/ SEWER
S UTILITY CO.
TOTAL FEE
FINAL '� F'