HomeMy Public PortalAbout9437 EMPEROR AVE_Plumbing__ 76AS67 138817 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �'
COU1�T-T-Y'OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
f
DISTRIFO.
FOR APPLICANT TO FILL IN �r7 3
PLUMBER Revere Ser1ce Cor oration RECEIVED 6Y READY FOR DATE ISSUED
v4r` FIRST INSPECTION r
ADDRESS 11811 Teale Street 1.v11 J
CITY Culver City TEL N13 EX 7.-2151
ADDREISS 9437 Emperor Ave.
COUNTYLICENSE LOCALITY3495-4 EXPIRES LOCALITY Temple City
NEAREST North Oak
PERMIT FEES CROSS ST.
NUMBERTYPE OF FIXTURE OR ITEM FEE OWNER Don L. Gorman
MAIL
WATER CLOSET(TOILET) @ O 50 I$ ADDRESS Same as above
BATH TUB @ 0513 1 CITY TEL No
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDEN IAL PROPERTY DESCRIBED ASOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0513 PERMITTED
SLOP SINK @ O 50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ O.SO
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 050
URINAL @ 050
Q
HOUSE SEWER @ 050 Z
MISCELLANEOUS C7
1 Mater Softener SO 0
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK' SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE l 50
FINAL b
D B S-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm J FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT`!NO
ROUGH FIXTURES COMPLETE / /.j
HEATER CESSPOOL —I SEPTIC TANK RE ED B� READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS _ A-7-�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME r� �• //,/��' /,� ADDRESS t �q
ADDRESS LOCALITY
J NEAREST
-1 CITY TEL No ` CROSS ST
COUNTY �J
CERT No ] EXPIRES 4•d-
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O e
CITY .4 ))t�•GD TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH ra
a
DESCRIPTION OF WORK
c5
HATH TUB FURNACE
O
ROWER —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 HEEATER DENTAL LAVATORY ROUGH PLUMBING I I I , A/V
METER " GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I I
CESSPOOL
E NUMBER OF FIXTURES Vy SEPTIC TANK
OOI__SSEPTIC TANK SEWER II
} S
TOTAL FEE UTILITY CO NOTIFIED
I � ���JJJ
FINAL s f— Qc
D B S-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBI G
Wm J FOX, CHIEF ENGINEER
NATURE OF INSTALLATION , DISTRICT NO GROUP ZONE ,,PERMIT NO
S� [�I
ry--,<
HEATER CESSPOOL I—I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
ROUGH FIXTURES COMPLETE
FIRST INSPECTION
GAS MISCELLANEOUS
,APPUCA15T,FILL IN HEAVILY OUTLINED PORTION ONLY
i•\ r; r JOB /
C NAME
GEGSpeeE L.J.
ADDRESS
W _ �y
ADDRESS 2022 G'MPc-7�Qcarn - LOCALITYD NEAREST
J..t�✓e
T�'
ra
d CITY TEMPLE cJ``-.��f-r - CROSS ST
COUNTY
CERT No EXPIRES CG I NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH 0
CITY TEL No
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFIC OF QUALIFICATION
4 PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
M>
3 m owNeR
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK
ATH TUB FURNACE (�
M
SHOWER DISHWASHER
O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
RLOP 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 GAS PIPING
OUTL ,
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI aEPTIC TANK / V �J SEWER
I
/D UTILITY CO NOTIFIED
TOTAL FEE
FINAL �� QG
0.8'8.17 25M SETS 1-48 APPLICATION FOR PERMIT 67'7
DEPARTMENT OF BUILDING AND SAFETYi �� � l > >
COUNTY OF LOS.ANGELES
Wm.J. FOX. CHIEF ENGINEER
NATURE OINSTALLATION DISTRi GaR.0_U ZONE PERMIT .
ROUGH FIXTURES _I COMPLETE S r:r- / 6-6 e,5`
RECEIVE BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION 12--1,3
� /�
MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY &7Z(jN OV
JOB r
NAME k ADDRE38
ADDRESS LOCALITY
NEAREST
L CITY TEL No. b 6�.C, CROSS ST.
COUNTY ^1�,�
CERT No (J EXPIRES O rG1 m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY TEL NO.
` 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF q�UALiFICATIO
wtem
eQR
I-AM THE LEGAL OWNER OF THE-PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH H
DESCRIPTION OF WORK
BATH TUB FURNACE -t
a
ROWER DISHWASHER
O
--LAVATORY REFRIGERATOR
--KITCHEN SINK WATER SOFTENER
FLOOR BINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE tHSPQCTOR'8 NAMQ
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER------GAG SODA FOUNTAIN
OUTL GAB PIPING I
GAS VENT
CESSPOOL' I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I
CESSPOOI SEPTIC TANK SEWER
S
TOTAL FEE UTILITY CO.NOTIFIED f SJC7
FINAL