HomeMy Public PortalAbout5211 DOREEN AVE_Plumbing__ ,EAeAPPLICATION FOR PERMIT
DEPARTB ENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZO E PERMIT NO.
i
PLUMBERRECE//// I READY FOR /=ATE ISSU��
FIRST INSPECTION
ADDRESS
BUILDAUO E1NG
55 O
CITY TEL. NO. -
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSSST
NVMBER TYPE OF FIXTURE OR ITEM FEE OWNER /�/ /(�J �/C �y A 20
MAIL
WATER CLOSET (TOILET) CV 0.50 1 S ADDRESS oCQ
BATH TUB (S1 0.50 CITY P� r/TEL NO O
SHOWER Q 0.501 1, I1,HEREBY ACKNOWLEDGE HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.501. STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.501_ ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PRO RTY DE RIBED ABOVE.
O
GAS SYSTEM OUTLETS 0.50 I Iq
1 1 SIGNATURE OF PERMITTEE /ll
WATER HEATER @ 0.50
v
SLOP SINK n INSPECTION RECORD 0.501 V
FLOORSINK (a 0.501
FLOOR DRAIN
DISHWASHER Cb O.SOI
DRINKING FOUNTAIN C4 0.50
/. URINAL @ 0.50 J
/ HOUSE SEWER @ 0.501_1 Q
MISCELLANEOUS 1 U
JI IIS_ o
I I I
I I
I I I
I II
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
_ GAS PIPING
_ GAS VENT
CESSPOOL C 1.00 I I CESSPOOL
1 SEPTIC TANK: 11 SEPTIC TANK
I DRAIN ( ) PIT I @ 1.001 I SEWER I
PERMIT'. .. i.DO GAS TEST
II V UTILITY CO. NOTIFIED 11
TOTAL FEE 15 t,¢ G i
�YI J I FINAL
v.a.s.a; z;ni SETS Tz-as APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE / �� 0 7
REG EIVED BY READY FOR . DATE ISSU'E/D
NEATER CESSPOOL SEPTIC TANK FIRST INSPECTION 6 /
GAS MISCELLANEOUS t'�
APPLICANT FILL IN HEAVILY OUTLINED PORTION /IO�N�LY
C NAME - a0 X {Y % ! /Id
'JOB DR EBS .(� /./fqA1ADDRESS �I 2 • S • In ! C LOCALITY ^ /IllI)-AI'I CITY TEL.No. N:ARESTBT.(LCOUNTY f CERT.No. �.��RI ! EXPIRES .�� NAME '
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL
3 ADDRESS Tl /
NORTH O
CITY TEL. No..'
IAM THE LEGAL POSSESSOR OF 'THE ABOVE LOS
ANGELES.COUNTY CERTIFICATE OF QUALIFICATION.
PLUMMER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A
1
B OWNER
CORRECTIONS
0 -6
SOUTH
a
DESCRIPTION OF WORK ,
RATH TUB FURNACE
N
SHOWER DISHWASHER I a"
LAVATORY REFRIGERATOR
_KITCHEN SINK WATER SOFTENER
FLOOR BINK RAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INGPECTOR'E NAME
'
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I49 -a
d;I /�/"1r•:"Z'�X7
METER—GAB __SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
TOTAL NUMBER OF FIXTURES CESSPOOL
/ V l.J_ SEPTIC TANK
—CESSPOOLSEPTIC TANK —^ SEWER I /
� 6
/ S e UTILITY CO.NOTIFIED
TOTAL FEE FINAL .�,�/ts
96Afi67 -CE#BIT 262
APPLICATION FOR , PLUMBING PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN.A. LAMBIE, COUNTY ENGINEER ADDRESS
LD
WILLIAM A. JENSEN. SUPT OF BUIING LOCALITY
FOR APPLICANT TO FILL IN •NEAREST !
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE p
OWNER
12- WATER CLOSET 51.25 a Q MAIL
BATH TUB 1,25 / ADDRESS
J SHOWER 1.25 CITY TEL. NO. e
.LAVATORY 1.253 d-J CONTRACTOR
SINE 1.25 ADDRESS 7
DISHWASHER 1.25 .CITY (ae TEL. NO"-'7-7-7'
CONTRACTOR'S . pI/ STATE
LAUNDRY 'IUB 125
REGISTRATION NO: COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P OGE D{BY
WATER HEATER 1.50 U�_j
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 / INSPECTION RECORD
.min /s✓zf' � !✓. Y-24-r ,r *"41 a
- � o
.,.1_ '` -- Sa
40A
APPROVALS DATE j INSPECTOR'SSIG NATURE
PERMIT S 2 OO UNDERISLhTB WORK ��:. 3 '_— //
ROUGH PLUMBING � ,�•W �y
TOTAL FEE ti?] GAS PIPING
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICAT IONS '
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT '• , qt!j A /�d�
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING HOT WATER HEATER y 3F Rey
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOF PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.ANO INTEND TO
RESIDE IN,THE ABOVE 1DE/S1CRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
PERMITTEE N` r '
FINAL om�G3 F /2/.L...' ✓f/
VALIDATION ROBERTA. WOOD
cR.
M.0. C;SH SUPERVISING.MECHANICAL ENG'R
L ilio 9 9 2 0G JAN 21 5 D 1 6.2 5