HomeMy Public PortalAbout8810 ELM AVE_Plumbing__ D.BsJY 25M SETS 12-43 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 �6
HEATER CESSPOOL I—I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRSTINSPECTION
GAS MISCELLANEOU F
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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NAME�i e �. y/�I�fL�,_�lT.�,^fd. ADDRESS// - I
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ADDRESS/ 2. 1- J-1 LOCALITY
J ��r J (t NEAREST /� �[J
IL
CITY ,�sP✓�1�74da .t� TEL.No. CROSS ST. /Y..x—1 f. Y e-Ar- s
CERT.COUNTY
1 EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER i
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
1��11 R
i OWNER
T CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Z
z_
BATH TUB FURNACE 9
Q'
SHOWER DISHWASHER D
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 I I
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURESI I
SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER II
$ 1
UTILITY CO.NOTIFIED
' TOTAL FEE FINAL
0.6.6.1'7'25M SETS 12.44 APPLICATION FOR PEST,-
DEPARTMENT OF BUILDING AND SAFETY ��� �'��
COUNTY OF LOS ANGELES
Wm.J. FOX: CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURESCOMPLETE
HEATER CESSPOOL 1-1
SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
MR/L FIRST INSPECTION
GAS MISCELLANEOUS iT
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
C
NAME Q..11g.1 / ADDRESS l
m ADDRESS LOCALITY .
f
n .j NEAREST
CITY TEL.No. / CROSS ST.
a
COUNTY jd
CERT.No. EXPIRES m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE. ABOVE LOS
ANGELES CERyyFIATfi�IFICATION/
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRI ED
I ABOVE.
Iq
p
i OWNER
i
CORRECTIONS
i
I .
SOUTH
a
DESCRIPTION OF WORK z
BATH TUB FURNACE ~
G.�
w
SHOWER DISHWASHER
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 I
�ETER_�GAB SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
I/U TOTAL NUMBER OF FIXTURES r L SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER I 1
I 1 B
TOTAL FEE 3 50 UTILITY CO.NOTIFIED I
I
FINAL
76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF E GINEER
I Z IE: PERMIT NEI.
FOR APPLICANT TO IL INS
DISTRICT NO. GROUP
PLUMBER - IVED BY READY FOR DTIS ISSUED
FIRST INSPECTION 1 T
ADDRESS r4 FA 1
_ BUILDING
CITY TEL No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. No.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
�I LAVATORY (WASH BASIN) @ O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.SO
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 I J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS
Q'
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00SEWER
PERMIT . . . . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE
O FINAL