HomeMy Public PortalAbout9156 FORTSON DR_Plumbing__ O B S-17 25M SETS 11-46- - - \ APPLICATION FOR PERMIT
—DEPARTMENT OF BUILDING-AND SAFETY,
COUNTY OF LOS ANGELES PLUMBING
WM. J. FOX. CHIEF HNGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO.-
ROUGH FIXTURES I COMPLETE
HEATER CESSPOOL SEPTIC TA
RECEIVED BY READY FOR- DATE ISSUED
NK FIRST INSPECTION
GAS MISCELLANEOU '
APPLICA�N'T FILfLj IN HEAVILY OUTLINED PORTI/ON ONLY
JOB
E 'NAME � � Y ADDRESS
m ADDRESS (/ Y LOCALITY 77
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NEAREST
6l. CITY TEL.No. x CROSS ST. /F9aF7`�-'{.Os t� ♦/
COUNTY
CERT.No. EXPIRES I 6' NAME
ld
LOCATION OF SEPTIC TANK, OR CESSPOOLS 3 MAIL
ADDRESS
NORTH O
CITY TEL.No.
_
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES.
FOUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER 4
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N .
3
OWNER
'fI CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK _Z
BATH TUB FURNACE
_ <Y
// SHOWER DISHWASHER, O
�L.LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK -FLOOR DRAIN
WASH TRAY dURINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
/ DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
/ METER—i—GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I I
CESSPOOL
21 TOTAL NUMBER OF FIXTURES 1 � U SEPTIC TANK I I
CESSPOOL SEPTIC TANK SEWER I I
my
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL �D�y� �'W„'✓
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D 9 S 1725m SOTS. 2-47 `� APPLICATION FOR•PEIWIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
Wm.J. FOX,CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH` FIXTURES COMPLETE _
HEATER CESSPOOL —I SEPTIC TANK RECEIVED BY READY FOR DATE ISSSUU'E7D
FIRST INSPECTION
AS MIBCELLANEOU
APPLICANT
FILL ISN HEAVILY OUTLINEDD PORTION,ONLY
a. NAME / !��/ JOB /O_ sit
�y ADDRESS
ADDRESS
/ , ry�'/ HctiV)T', LOCALITY
NEAREST
L CITY /� ��,�yt,� TEL.NO.� —/ r �/ CROSS ST. — !!
COUNTY `
CERT.No. EXPIRES W NAME G��v✓W/ ✓1�ii/J
LOCATION OF SEPTIC-TANK, OR CESSPOOLS'
2 MAIL /fl
3 ADDRESS
NORTH O l/�� �
CITY 4TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
11 "1
ANGELES COUNTY CERTIFICATEiOF QUALIFICATION.
_,<�/> //. ..r.�
I V PLUMBER �y�
I AM THE LEGAL OWNER OF THE PROPERTY DE8 RIBED
ABOVE.
N -
3 f/f OWNER
_I CORRECTIONS
SOUTH J
DESCRIPTION OF WORK Z
BATH TUB FURNACE _D
Q'
SHOWER DISHWASHER O
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 I I
METER GAS SODA FOUNTAIN GAS PIPING
OUTL I{
7T::SEWER
ENT I 1.
POOL
•TOTAL NUMBER OF FIXTURES C TANK
CES8POOI SEPTIC TANK I I
$ f TY CO.NOTIFIEDTOTAL FEE
7GA667 (CE-817) - 5/73 ._..% -�,•^l, 1�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 9
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILD
NGC,,
��
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY' /I - •
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST / f
CROSS ST 1
NUMBER FIXTURE OR ITEM @ FEE jam? I
WATER CLOSET 1 75 r """7 OWNERMAIL
f BATH TUB 1 75 t ;) ADDRESS/4�
SHOWER 1 75 CITYr {/�� TEL N4 r4C ,-1-+e 4/Cj
f LAVATORY 1 75 �+ ir•w CONTRACTOR
r .J e Irl i.
SINK 1 75 ADDRESS
DISHWASHER 1.75 CITY TEL NO
CLOTHES WASHER 1,75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 75 : .
DISTRICT NO GROUP ZDNE ' FRQCESSED BY
LAWN SPRINKLER SYSTEM 1 75 _ 'w..� ! .I_� + ' .•'t -e
+f WATER HEATER 1 75a
fINDUSTRIAL *wSOVAL
GAS SYSTEM OUTLETS 1.75 i INSPECTION RECORD LLL
J
OUTLETS OVER 30 w
5 PER SYSTEM
r
rY
t
_ C
CD
a.
� w
1
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 DO
TOTAL FEE f l r a
APPROVALS DATE INSPECTOR S SIGNATURE _
Plan check applicant UNDER SLAB WORK
Namur;/ _ ROUGH PLUMBING
Address 7fs „�Y-«�C ^,�J L a GAS PIPING
CityGAS VENT
Tel No ^ «d`r�lft� HOT WATER HEATER
I HEREBY A KNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LA REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOU I RED BY L05 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL _
SIGNATU REr`�!
OF PERMITTEE/"it r`F�1/t_! �,,;,,•�!/,("Jdr/l r�, / ,
PERMIT VALIDATION CK M10 CASH
PLAN CHECK VALIDATION CK M 0 CASH , 4 r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING=PERMIT a
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL_0508 98102700.19
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
TR: 14396 LT: 40 9156 FORTSONDR-J
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-9178-01322
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5382-016-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY
13 DISHWASHER(S) 1.00 FIX 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/27/98 UT 10/27/99
OWNER: TEL. N0: FINAL DATE FINAL CODE:
9KAO15 RICHARD H;NANCY W TRS (626) 287 1672 //Z— 9 p moi/
9156 FORTSON DR / _, 1
TEMP 917801322 DES CRIP�TION-OF-WORK•--�_
CHANGE-06T°OF DISHWASHER!—
APPLICANT: TEL. NO:
D & H SERVICE (818) 343-4009-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: ®� llJr APPROVALS DATE INSPECTOR SIGNATURE
D & H SERVICE (818) 343-4009-
6029 1/2 RESEDA BLVD LIC. NO UNDER SLAB WORK
TARZANA CA 91356 704779 C36
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO: I 1111111
L GAS PIPING
GAS rIL 0 O K 0 HOT WATER F Q V lJER HEATER
1
PLUMBING FIXTURES
O 0 ��
O 0
L7e4 LAWN'SPRINKLERS
r,
0 _ GAS TEST
�_�4,�1�� UTILITY COMPANY NOTIFIED
'OC �erb0� "®g CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508