HomeMy Public PortalAbout8902 ELM AVE_Plumbing__ O.m.17 IoM osra APPLICATION FOR PERMIT
� DEPARTMENT OF BUILDING AND SAFETY PLUMBING
OF LOS ANGELES
Wm.J.FOX,CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE If- __r- 4 (�54 1
HEATER CESSPOOL I-I SEPTIC TANK_ FT INSPECTION
/ RECEIVED BY SEDY FOR DATfi�ISSUED
C
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY/,5-40 -2-
JOB
ZIOB �>�
� NAME ADDRESS efxol
Id
m ADDRESS LOCALITY
JNEAREST
IL CITY '•t�� �� TEL. Nom/ CROSB ST.
COUNTY
CERT. No. EXPIRES W NAME
LOCATION OF SEPTIC TANK,OR CESSPOOL Z MAIL
?� ADDRESS
NORTH O
CITY TEL. No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATF19F QIJALJFIC
C
PilUMBINR
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 i OWNER
CORRECTIONS
SOUTH J
Q
DESCRIPTION OF WORK ?
BATH TUB FURNACE
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 I
ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT // ��
CESSPOOL
--TOTAL NUMBER OF FIXTURES SEPTIC TANK ;
' CESSPOOI SEPTIC TANK o SEWER
$ UTILITY CO.NOTIFIED - f
TOTAL FEE
FINAL � r�
7G
A667
10.99 APPLICATION FOR PLUMBING I�PERMITPERMIT1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING d70
A
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN SUPT OF BUILDING / .tet/
.. :.,. v. .. LOCALITY , Irz!
FOR APPLICANT TO FILL IN NEAREST
Df(J/ CROSS ST.
"CL�ROWNER J L'�'• / ��aV DISTRICTGROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER l l }I)NfSPE�7CTTIdON RECORD
ADDRESS / ��_®� [w v" .-/ ��/I� - e7 O
CITY GLWmal T(EL. NO. � b �G/f'/�' I r
LICENSE NO. �A• / ✓J J �`
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET). @ $1.00
BATH TUB @ $1.00 '
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER '@ $1.00 I • vc;
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 '00 ROUGH PLUMBING
s n� GAS PIPING
TOTAL FEE (f GAS VENT
_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER O
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL 0 R OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT PROPEL Y�
SIGNATURE 'J
OF PERMITTEE J FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATI ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. M.O. CASH
1 9'6 5 seg 43 2.0
D.B.S.17 25M SETS 2-47 -APPLICATION FOR PERMIT
IDEPART,MENT OF ]BUILDING AND SAFETY
COUNTY OF LOS ANGELES
'-.Wm.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GRO zo RMIT No.
'ROUGH FIXTURES COMPLETE
READY FOR DATE ISSUED
RECEIV BY
HEATER CESSPOOL -I SEPTIC TANK
GAS MISCELLANEOU FIRST INSPECTION �ew y v
sp
APPLICANT FILLIN HEAVILY OUTLINED PORTION ONLY
JOB
a NAM . C. NOTTINGHAM CO. ADDRESS /"� G/ 2_ ` s �`� ✓f�
m OF TEMPLE CITY
ADDRESS LOCALITY �4/1f'J= "►i��sLF" �?/ �
dNEAREST
CITY TEMPI F1V-- ajjE jSF'e.: CROSS ST. n n
COUNTY E NAME �]Vp��l�"( !!J �Rii
CERT.No. - EXPIRES
LOCATION.OF SEPTIC TANK, OR CESSPOOL Z MAIL y,9
3ADDRESS/'J -L•t.,,�.,
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
[/ / L Gtr G7C'v flSV
PLUMBER
�1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p! ABOVE.
W D `
OWNER
CORRECTIONS
SOUTH
J
(DESCRIPTION OF WORK a
z_
BATH TUB FURNACE E3
Q.
SHOWER DISHWASHER Q
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
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
r q`
GAS VENT I I I
CESSPOOL I r'l 4- l Y I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
r CESSPOOL SEPTIC TANK / ^'�� SEWER I I
3I I
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D.B.17 3.41 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY,
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
ROUGH
NATURE OF INSTALLATION DISTRICT No. GROUP zo E PERMIT 7��NO.
_ _ � �..
__
PLUMBING FIXTURES COMPLETE .
RECEIVED BY READY FOR DATE iSSU D
HEATER CESSPOOL SEPTIC TANK / -� ��/ FIRST INSPECTION �/�
GAS MISCELLANEOUS �i�GV•�'Jv'/�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
- .NAME JOB /,I ds(`I'? v-
� ADDRESS
w
m ADDRESS �
G4LOCALITY ��-� _�I/
D NEAREST —' /
'LL CITY �� TEL.No. - CROSS ST.
COUNT
oo
CERT.No. EXPIRES ooli.6 A NAME - -
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAIL
DDRESS
NORTH O
.CITY TEL.No. .
1 AM THE LEGAL
r/PPOSSESSOR OF THE ABOVE LOS
ANGELES. COUNTY C��Y�TS.OF PUALIFICATION.
PLUMBER.
1 AM THE LEGAL.OWNER OF THE PROPERTY DESCRIBED
ABOVE.
F
N
W
OWNER
CORRECTIONS
SOUTH
Q
DESCRIPTION OF WORD _ Z
BATH TUB FURNACE
- / SHOWER - - _ DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK - WATER SOFTENER -
FLOOR SINK SAND TRAP
SLOP SINK - FLOOR DRAIN I -
1 WASH TRAYURINAL APPROVALS '
/ WATER CLOSET DRINKING FOUNTAIN } DATE INSPECTOR'S NAME
/ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
' METER_A�_GAS SODA FOUNTAIN GAS PIPING_
OUTL
GAS VENT
CESSPOOL
I
TOTAL NUMBER OF FIXTURES � r SEPTIC TANK
GGG SEWER
CESSPOOL SEPTIC TANK FFe -
S � UTILITY CO. NOTIFIED
TOTAL FEE FINAL °� ��
D.B.S.17 25M SETS 10-47 APPLICATION FOR PERMIT
DE,PAR ENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
\SVM.J. FOX. CHIEF ENGINEER PLUMBING
° NATURE OF INSTALLATION DISTRICT NO. GROff o E P tort o.
ROUGH FIXTURES COMPLETE C�
HEATER CESSPOOL -I SEPTIC TANK REC IV D BY READY FOR DATE ISSUEp�
FIRST INSPECTION Y d 1
MAIL
AS SCELLANEO
MIUS
�
APPLICANT
PPLICNT FILLS IN HEAVILY OUTLINED PORTION ONLY
JOB
4.� NAME Clit�l'.r� !�C/ �i' Jur ADDRESS
W
g ADDRESS /�9 i "" LOCALITY
D NEAREST
Y� 11 �'�f c
d/ CITY TEL.No. tCROSS BT. //�,
COUNTY
CERT.No. / EXPIRES W NAME - f0 �ykk�!`--=. .
LOCATION OF SEPTIC TANK, OR CESSPOOL Zi ADDRESS / � O I✓ �j�%'v
NORTH O CITY,�� TEL.No
1 AM THE LEGAL POSSESiOR OF THE A®OVE LOS
ANGELES COUNTY CERTIFICATB-OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY.DE8CRIBt_D
ABOVE. i
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF . ORK _z
�TH TUB
r �
aHOWER DISHWASHER
LAVATORY REFRIGERATOR ,
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
►r//WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER H ATERDENTAL LAVATORY I I /
ROUGH PLUMBING
k�WLETGAS RODA FOUNTAIN 6AS PIPING
OUTL 1
GAS VENT I 1
_ CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CE88P001 *+EPTICTANK (`� -SEWERME
S UTILITY CO.NOTIFIED
TOTAL FEE �® �.
FINAL
r•.