HomeMy Public PortalAbout9843 FLAHERTY ST_Plumbing__ 76A667 17 S-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES . ; . PLUMBING
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN, DISTRI)2T140. GROUP ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
v W- FIRST INSPECTION
� D -
ADDRESS •
BUILDING +� -
CITY TEL. NO. ADDRESS
COUNTY LOCALITY - VUV
LICENSE NO. EXPIRES may*
PERMIT FEES CROSS s
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ..=� o 011
MAIL
WATER CLOSET (TOILET) @ 0.50 ffi ADDRESS
BATHTUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
1 LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O.50 SIGNATURE OF
WATER HEATER @ 0.50 - PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
1 FLOOR SINK E(�RO.
50
FLOOR DRAIN 50
DISHWASHER 501
1 DRINKING FOUNTAIN 50 1
URINAL @ 0.50 .J
HOUSE SEW ER @ 0.501
Z
MISCELLANEOUS
O
EE
1 _
1
1 ,
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 1 YCJ CESSPOOL
1 SEPTIC TANK: SEPTIC TANK
I DRAIN ( ). PIT ( @ 1.0011 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED 1
TOTAL FEE I $ !�� V
FINAL �
G.B.B./7 25M METH 1-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM.J. FOX.CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT O. GROUP/ 'O E PERMIT O.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL [SEPTIC TANK RECEIV Y ;READY FOR DATE ISSUED
! FIRST INSPECTION I j�
GAS MIBCEL ANE US
/ mnm
APPLICANT FILL IN HEAVILY
OUTLINEDl�PORTION ONLY
ADD �d. r2
ADDRESS
_LOCALITY
.6 O /U N;K NEAREST
- CITY T✓1ir,EL.• Y ! CROSS BT. _
COUNTY � .
� NAMECERT.NO `A®e
LOCATION OF SEPTIC TANK, OR CESSPOOL 3Z MAIL
,ADDRESS/o
NORTH O •
.CITY'LA tet,., TEL.No.
1; AM THE LEGAL.PGI8B(LSS0W OF ,7HB ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION:
' '-- PLUMPER� "
1 AM THE'LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. '
- N
a
OWNUM
CORRECTIONS'
SOUTH
DESCRIPTION OF WORK :a
z_
BATH TUB FURNACE
{C
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-,?—(;AS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL__SEPTIC TANK SEWER I I
S UTILITY CO.NOTIFIED I _ n
TOTAL FEE _
FINAL v /YIV
l�/
• 76A667A ICE 81781- 11/76 ►/ A �/'7 )
APPLICATION FOR•PLUMB ING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
WATER CLOSET LOCALITY
BATHTUB NEAREST
CROSS ST
SHOWER OWNER L .
LAVATORY MAIL r
ADDRESS <J
SINK - « CITY TEL NO l
DISHWASHER CONPAtj��C INSTALLERS
ALLERS
CLOTHES WASHER
ADD
SWIMMING POOL RECEPTOR 70
CITYTERM E T O
LAWN SPRINKLER SYSTEM
STATE' —"'-— LIC
WATER HEATER LICENSE NO ` CLASS
GAS SYSTEM OUTLETS DIR�CTv GROUP ZONE RO SbED BY
tilnr� 1�—.
OUTLETS OVER >
5 PER SYSTEM INDUSTRIAL cc
WASTE APPROVAL
INSPECTION RECORD i u
Ct _
d � S`Tr�1'? tc>Ia�2l� 0
Plan check fee
PLUMBING PERMIT ISSUING FEE$
,95
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name,
UNDER SLAB WORK
Address ROUGH PLUMBING
,
City Tel No. GAS PIPING' A _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT -
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ��
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER - i
FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIa
Ju
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED V n ce I.
SIGNATURE
OF PERM ITTEE FINAL
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATIO PCKM o CASH
D �1.j 7 0 5 El C-4 5 n- 7.� V �
0 - ®: