HomeMy Public PortalAbout5214 DALEVIEW AVE_Plumbing__ D.B.S.IT EBMBETS T-`T APPLICATION FOR PERWr
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ��
WM.J. FOX. CHIEF ENGINEER
NATURE UMBING
OF INSTALLATION DISTRI O. oRo P /z}y�o- PERMIT ROUGH FIXTURES COMPLETEHEATER CESSPOOL SEPTIC TANK R CEIV D BY READY FORD EFIRST INSPECTIONGABANEOUSAPPPPLICANT FILL IN HEAVILY UTLINEED PORTION ONLY
NAME .I 1 1 / D ADO REHB {y1,24 F �
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m ADDRESS � LOCALITY
E
O NEAREST /C
y CITY TEL.No. CROSS ST. V C
COUNTY
CERT.No. EXPIRES CW NAME LE/
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL ��
NORTH O ADDRESS p (`
CITY L TEL.Non
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
N _ ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPE�tTY DESCRIBED
ABOVE. //////���
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OWMER
CORRECTIONS
SOUTH
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DESCRIPTION OF WORK z
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BATH TUB FURNACE
B
SHER DISHWASHER D
LAVAOWTORY/ REFRIGERATOR
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--/—KITCHEN BINK WATER SOFTENER
FLOOR BINK SANDTRAP
GLOP BINK FLOOR DRAIN
-WASH TRAY / URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPII r R•B NAME
WATER PATER DENTALLAVATORY ROUGH PLUMBING
METER_GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTICTANK SEWER
TOTAL FEE —
UTILITY CO.NOTIFIfiD
FINAL f `!/�EY" ✓L�.�
D.Bb.17 BSNBLTB R-'B APPLICATION`FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM. J. FOX.CHIEF ENGINEER
NATURE 0 INSTALLATION DISTRICT GROUP ZONE P /R MI O.
ROUGH :INURES COMPLEfH S A I -724
HEATER CEBBPOOL I SEPTIC TANK RECEIVED BY READY POR DATE ISSUED
FIRST INSPECTION ( _ _
AB MISCELLANEOUS LC'c Q
/} APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
E NAME /��/(( (-Z5J� ADDRESS .2.z
ADDRESS 3U� p/ Q 4 [��( ij�p�tco LOCALITY
NEAREST
y CITY �-m6/ CROBB ST.
COUATY
C NO. REB NAME e
LOCATION OF SEPTIC TANX, OR CESSPOOL XMAIL
ADDRESS
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES.COUNTY CERTIFICATE OF QUALIFICATION.
0 PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
R
OWN Bw
• CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a.
z_
FHITCHEN
TH TUB FURNACE
C
OWHR DISHWASHER D
VATORY REFRIGERATOR
SINK WATER SOFTENER
A"OOR BINK BANDTRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL' APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IKSPwCTOR'$NAMZ
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I '
METER-GAS "ODA FOUNTAIN GAB PIPING
OUTL
OAS VENT I I
. CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
[TOTALCFEE
EHPOOI ICTANK - SEWER
B UTILITY CO.NOTIFIED
FINAL
76A6DEPARTMENT O 17 9-49 FBUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES L I N
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR p;PftO. GROUP�%EI _�PEE�M�LT O.
PLU M B ER /I /.�ijt1.. RECEIVED BY READY FOR ATE ISSUED
V FIRSTINSP ECTION — y�
ADDRESS r, </3" 3
TEL. NO. B DRESS
CITY ADCOUNTY
DRESS
LICENSE NO. ' EXPIRES LOCALITY/nf t i
NEAREST
PERMIT FEES CROSS'ST.
NUMBE0.I TYPE OF FIXTURE OR ITEM FEE OWNER
WATER CLOSET (TOILET) Q 0.5016 MAIL d
ADDRESS
BATH TUB Q 0.50I_I CITY TEL. NO.
SHOWER Q 0.501 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
I LAVATORY (WASH BASIN) g 0.50APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY 0R0INANCES AND
KITCHEN SINK Q 0.50I STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
\OF THE RESIDENTIAL PROPERTYr ESCRISEO ABOVE.
GAS SYSTEM-OUTLETS @ 0.50111
SIGNATURE OF �'/
I WATER HEATER @ O.SO \ PERMITTE V/
J SLOP SINK @ O.Sol INSPECTION RECORD
FLOOR SINK @ 0.501 r
FLOOR DRAIN @ 0.501 �c
DISHWASHER @ O.SOI
DRIN KING FOUNTAIN @ 0.501
URINAL @ 0.501
T 1
_ LHOUSE SEWER 90.50
MISCELLANEOUS I u
I�
I
APPROVALS
I DATE INSPECTOR NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
ll—s-:-TIC
@ I.Do I CESSPOOL
SEPTIC TANI:: I SEPTIC TANK
I DRAIN ( ) PIT ( ) Q LOO) I SEWER
PERMIT . I f.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEF: S t
—. Q �SD FINAL
1
76A667-CE817- 11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER - -
BUILDING AND SAFETY DIVISION BUILDING Sat/y 1��C V e L✓
JOHN A. LAMBIE, County Evgiaeer ADDRESS N
CASSATT D. GRIFFIN. Sup t of Building ` LOCALITY
FOR APPLICANT TO FILL IN NEAREST
-
NUMBER FIXTURE OR ITEM CROSS ST. /fr eel
OWNER R r C Q
WATER CLOSET. MAIL
BATH TUB ADDRESS j l Ou J-C V 1 r w
SHOWER CITY ant TEL NO. -7-537-.S37
LAVATORY CONTRACTOR �
,SINK ADDRESS
DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO. GGROUP_1 ZONE I READY FOR INSPECTION
/ WATER HEATER .f.:.✓� y �—I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
3 .
1
v
APPROVALS
/ @ $1.00 PER ITEM /' DATE IN PECTOR' SIGNATURE
�J OR FIXTURE E lifer/• 6L<3 UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
TOTALFEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r —
PLUMBING. PLUMBING FIXTURES Y 3^.1
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE - FINAL IZ '375 f"'C-.--t—
OF
SIGNATURE
TE
ROSERTA.WOOD.
®' VALIDATION SUPERVISING MECHANICAL ENG'R
CA. M.0. CASH
LACo 2 9'5 10% MAR 2 5 A 8.0 0 M