HomeMy Public PortalAbout9227 FLAHERTY ST_Plumbing__ D B S 17 2oM SETS 12 4o APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �L� �1��
COUNTY OF LOS ANGELES
Wm J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
ROUGH FIXTURES COMPLETE 6 / — 4
READY FOR DATE ISSUED
RECEIVED BY
HEATER CESSPOOL —I SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS —2-0 Y�
APPLICANT FILL IN HEA LY OUTLINED/PORTION ONLY
JOB
C NAME i ADDRESS ` 1
r
f0 ADDRESS / 1 r'OCALITY .�.
M
NEAREST �1
IL CITY }Cae TEL No �}a CR088 ST
CERT
COUNTY
EXPIRESmP �m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH 0 ADDRESS
CITY TEL No
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIDRD
j ABOVE
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
ATH TUB FURNACE ai
HOWER DISHWASHER
O
I�VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR S NAUR
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS +ODA FOUNTAIN
OUTL GAB PIPING
GAS VENT
TOTAL NUMBER OF FIXTURES CESSPOOL/ V 4 SEPTIC TANK I I
CESSPOOL--------SEPTIC TANK SEWER II
S
TOTAL FEE UTILITY CO NOTIFIED
Po � � � � /Amr
e FINAL, 14
76A667 17 25M SETS 7 ae APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN ISTR GRP Z PT
NO
PLUMBER READY FOR
RECEIV D;Y FIRST INSPECTION DATE ISSUED
ADDRESS eJ{ L-4-- -x �Y/'Y
CITY f ( EL No JOB27
ADDRESS J
COUNTY
LICENSE NO EXPIRES LOCALITY
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST
ANGELES COUNTY LICENSE CROSS ST nn
OWNER A // X���^
_
'MAIL
1 PLUMBER ADDRESS
PERMIT FEE IS $1 00 FOR THE FIRST FIXTURE OR CITY ' TEL No
ITEM LISTED BELOW PLUS 50C FOR EACH ADDITIONAL 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP
ITEM FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE
$1 00 MINIMUM FEE FOR ANY PERMIT $1 00 EACH
GAS SYSTEM IS A SEPARATE ITEM
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
CORRECTIONS
WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY \
GAS SYSTEM OUTLETS
WATER HEATER
SLOP SINK -�
Q
FLOOR SINK Z
FLOOR DRAIN E9
Ix
DISHWASHER
O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
y DATE INSPECTOR S NAME
ROUGH PLUMBING
u \' GAS PIPINQI
GAS VENT
CESSPOOL
SEPTIC TANK DRAIN ( ) PIT ( ) $ SEPTIC TANK
CESSPOOL $ SEWER
HOUSE SEWER $ GAS TEST \
/
TOTAL FEE UTILITY CO NOTIFIED
$ � \
FINAL