HomeMy Public PortalAbout8839-88391/2, ELM AVE_Plumbing__ D.B.S.17 25M SETS 2-47 APPLICATION FOR PERMIT
(DEPARTMENT OF BUILDING AND SAFETY xouu
COUNTY OF LOS ANGELES PLUMBONG
Wm.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT No. GROUP ZONE PERMIT NO.
�! �nvIIGH FIXTURES _I COMPLETE
HEATER CESSPOOL I SEPTIC TANK RECEIVED BY READY FOR DA 6 (SSU D
GAS MISCELLANEOUSL.
FIRST INSPECTION
APPLICANT
FILL,IN HEAVILY OUTLINEID PORTION ONLY 1
Y E NAME �i0 j(./1t�.C�l .t� i��+� ADDRESS
ADDRESS / i9 -fi7��}��t,.E�F�.., LOCALITY
!�. �}�, NEAREST
C _CITY �./X�.,!"�-A'�.'C-�� �P^ TEL.No. V CROSS BT.
COUNTY f � (/ r
CERT.No. // EXPIRES R NAME
LOCATION OF SEPTIC TAS, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O —
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
.ANGELES COUNTY CERTIFICATEOF, gUALIFICAT10W) .
1/ — (/ PLUMB,E`RR�f/- �-
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p� ABOVE.
Y
OWNER
CORRECTIONS
I
SOUTH J
IDESCRIPTION OF WORD ,; z
BATH TUB FURNACE 6
Q.
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK. FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'®NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I
METER GAS SODA FOUNTAIN
OUTL GAS PIPING I I 61
1
GAS VENT I ',l I tI//'/�,,�,, `•
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOO SEPTIC TAN KTI ee7 SEWER I I
�� UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
17 25M SETS 1146
'wn; AI'�LICATI®� FOR �� -
s�EPAIBTMENT OF BUIL AND SAFWY , .
COUNTY OF LOS ANGELES
wM.a. FOX.CHIEF ENGINEER PLUMBING
N.ATURE OF STALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I-I.SEPTICTANK REC ED BY READY FOR DATE ISSUED-
FIRST INSPECTION (�
AS- MISCELLANEOUS
APPLICANT FILL "IN-HEAVILY OUTLINED PORTION ONLY -
NAMEJOB
ADDRESS (,
W -1 w
m ADDRESSaC � � -TLOCALITY
Z
D NEAREST
'I CITY C s TEL.N CROSS ST.
d
COUNTY 1� 11 -
CERT.No. dr EXPIRES X. NAME J,/
td
LOCATION OF SEPTIC TANK, OR CESSPOOL Z -MAIL d
NORTH 0 ADDRESS
CITY JLC TEL.-No.
I AM THE LE AL •POS8 n1OR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICA OF QUUAA,LIFIC TION.
' 6 PLUMBHR
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A
... 3 i OWNER -
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
_z
^ BATH TUB - FURNACE
Q'.
SHOWER DISHWASHER E3
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
.VI ROUGH PLUMBING
METE GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I '
CESSPOOL
TOTAL NUMBER OF FIXTURES sy SEPTIC TANK
-CESSPOOL SEPTIC TANK SEWER
TOTAL FEE UTILITY CO.NOTIFIED Ityl Y 1
FINAL �� ��
76A667-CE817-8-58
APPLICATION FORPLUMBING PERMI�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING i
JOHN A. LAMBIE, County Engine ez ADDRESS' 2 f/) Is
CASSATT D. GRIFFIN.Supt of Building LOCALITY /� G
R APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM
OWNER
WATER WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO..
`s LAVATORY CONTRACTOR e— lJ��✓(
SINK ADDRESS SDISHWASHER CITY- Q �I-D L/r�TEL. NO. G3
CONTRACTOR'S STATE
REGISTRATION NO. 19 9 COUNT
LAUNDRY TUB Y ❑
CLOTHES WASHER DISTRI NO. GRO Z E P CESSED BY
WATER HEATER ( (,(/
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
O-5�7 FIX Lr_aK 1 f u/g-crlr Z
t C 1-0
G
e APPROVALS
@ $1.00 PER ITEM
OR.FIXTURE $ / DATE INSPECTOR'S SIGNATURE'
UNDER SLAB WORK
PERMIT $ 2100 w ROUGH PLUMBING
TOTAL FEE Z. d/�} GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER Z ib
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
• LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST —,3
CALIFORNIA OR THAT I .AM THE LEGAL OWNER OF THE ABOVE ' UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL ROP TY.
SIGNATURE
OF PERMI TT 1 FINAL.
ROBERT A.WOOD. _
®p VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. CASH
.`
AN 165 A 1 6.
D.B.S.-17 25M SETS 12-45' APPLICATION FOR -PERMIT
DEPARTMENT OF BUILDING AND SAFETY
l,COIJNTY OF, LOS ANGELES L
Wm.J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP.i ZONE PERMIT NO.,
ROUGH FIXTURES COMPLETE
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL• SEPTIC TANK J�ED FIRST INSPECTION, u
GAS- MISCELLANEOUS. �! - V - �'O 1'3 ,9- -
APPLICANT FILL IN HEAVILY :OUTLINED-PORTION ONLY
' .IOD �, - n
C NAME �� ' ADDRESS-- Y�`^^'�/J `'�"`"C
m `ADDRESS �' / �j` LOCALITY .� �":�{/)
n -
�. � � ��' � 'NEAREST
CITY ��:"'`!:_`�' TEL.No. CROSS ST.
COUNTY._
j
CERT..No. EXPIRES K. NAME .p
LOCATION OF SEPTIC TANK, OR CESSPOOL. z' MAIL /' e
3 ADDRESS
NORTH O
i CITY S�a L\—' TEL. No. -�6
1 AM THE LEGALIpp(I POSSESSOR_..OF THE ABOVE LOS.
ANGELES COUNTY CEIRTIFICATE.OF QUALIFICATION.
PLUMBER
s - I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED .
r.. ABOVE.
�e-•ice`l,I..o/ �'"'�l
OWNER "
CORRECTIONS
SOUTH -"
DESCRIPTION OF .WORB
BATH TUB FURNACE' '
! SHOWER DISHWASHER C
_I LAVATORY REFRIGERATOR .. -
f KITCHEN SINK _ WATER SOFTENER r°
FLOOR SINK SAND TRAP-
SLOP SINK FLOOR DRAIN -
WASH.TRAY URINAL APPROVALS
WATER CLOSET .. _ 'DRINKING.F,OUNTAIN DATE INspecT06'8 NAME
' WATER HEATER - DENTAL LAVATORY ROUGH PLUMBI146
' METER GAS " ODA FOUNTAIN GAS PIPING
OUTL
GAS VENT _ II//'
CESSPOOL
TOTAL NUMBER OF FIXTURES• .3 SEPTIC TANK'
'CESSPOOL SEPTICTANK SEWER
TOTAL FEE e-7 `�(� UTILITY CO.NOTIFIED
.FINAL I ^" .L�' I ✓�/•M�\