HomeMy Public PortalAbout9533 FLAHERTY ST_Plumbing__ 76A667 (CE-817) - 5/73 e
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APPLICATION FOR PLUMBINGr PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION _
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MAKE CHECKS PAYABLE TO BUILDING
FADDRESS HARVEY TBRANDY, COUNTY ENGINEERFOR APPLICANT TO FILL IN (PRINT OR TYPE) CONI T
NUMBER FIXTURE OR ITEM @ FEE � � �
WATER CLOSET 1 75 OWNER, t Q
MAIL
BATH TUB 1 75 ADDRESS
SHOWER 1 75 CITY J TEL NO-
LAVATORYy 1 75 CON `1NSTAL1 E r, i
SINK 1 75 ADDR13MO E /`r J n
DISHWASHER 1 75 J CITY EMPLE ITY A
E
CLOTHES WASHER 1 75 STATE
LICENSE NO ��'t'! 9 CLASS ' ' -
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP NE SED EY
LAWN SPRINKLER SYSTEM 1 75 C'^D ey
WATER HEATER 1 75 L INDUSTRIAL G
WASTE APPROVAL >.a
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD CD
OUTLETS OVER U
5 PER SYSTEM 30 O
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED ESIDENTIAL ROPERTY FINAL
1
SIGNATURE ,
OF PERMITTEE )
PERMIT VALIDATION CC.1 M o CASH
PLAN CHECK VALIDATION CK M 0 CASH
r 8 3 '8-tiY 6 5 D , 4.7 5 ,&t�d
7BA667 17 5-50 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC NO GROUP I ZONE PERMITNO
INC6�3 0
PLUMBER
RBOTTOM BROS I NC RECEIVED BY READY FOR DATE ISSUED
12 VVEST1011461 ER AVE
FIRST INSPECTION
ADDRESS ALHAM A ("�I WDRAIIA
BUILDING
CITY TEL NO ADDRESS _ 19-5,13 FLAHERTX -(;T�
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COUNTY LOCALITY
LICENSE NO le. EXPIRESt
w NEAREST
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PERMIT FEES CROSS Sru Ir
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
14'ralfirp 11 A44n ca,
MAIL
p I WATER CLOSET (TOILET) @ O 50 $ ADDRESS �b3619 9-o t opw
A,
S I BATHTUB @ O 50I CITY �y�;(JAbIA,, CALWO TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 501
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
�A{ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 5o STATE LAWS REGULATING PLUMBING
1 ��� I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 --�-- ANGELEE L SE OR I AM DEQ LEGAL OWNER
OF THE TI RO TY D ZD A OV
GAS SYSTEM OUTLETS @ O 50 1 SIGN
WATER HEATER @ O 50 PERMITTEE
SLOP SINK @ o SO INSPECTION RECORD
FLOOR SINK Q O 501
FLOOR DRAIN @ O 50:::d
DISHWASHER Q O SO
I
F4 I
F=:1 DRINKING FOUNTAIN @ 0 50 I IF) I J�M)I1 I� Vr
t - r
URINAL rt O 50
J
HOUSESEWER @ o 501 Q
Z
MISCELLANEOUS � ��/ /},[H / ��� ��� 3
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING / Z.I
r
GAS PIPING
1 GAS VENT
1 1 CESSPOOL Q 1 00 1 CESSPOOL
L SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER r
PERMIT I 1 00 GAS TESTF/IV
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TOTAL FEE I $ UTILITY CO NOTIFIED
E� FINAL Y