HomeMy Public PortalAbout10769 FREER ST_Plumbing__ APPLICATION. FOR PERMIT
TMENT OF BUILDING AND SAFETY,
COUNTY OF LOS ANGELES �`���t��
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTIPCT NO. GROUP -ZONE RMiT NO,,-
ROUGH FIXTURES COMPLETE - / `(
1-1
HEATER CESSPOOL SEPTIC TANK REC ED BY READY FORT6 1 Hid
FIRST INSPECTION
GAS MISCELLANEOUS U V
APPLICANT FILL IN HEAVILY OUTLINED PJORTION ONLY
JOB
K NAME � ADDRESS
m /
LOALTvtADDRESS � _f4 I,
/J /lwn .
ILCITYJf�.,t,YL [,e>,- ' TEL.No. X; �� CROSSST ;0
COUNTY o� ✓ ^f. ." 4_1
CERT.No. :L, �✓, f-��`� EXPIRES . G�`•A�1� 0 NAME o, �`v •°" .
ul
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL ¢./
3 ADDRESS `f
NORTH O G/ ,� , �i
CITY C 2 �' �` ,» 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
mm ABOVE.
W D
OWNER
CORRECTIONS
SOUTH -1
DESCRIPTION-OF WORK Z
e
—BATHTUB FURNACE 5
0.'
SHOWER DISHWASHER O
'LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK BAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPSCTOR'e NAMt
WATER HEATER DENTAL LAVATORY 4 t
ROUGH PLUMBING
i
METER__3 •GAS SODA FOUNTAIN GAS PIPING I I
OUTL
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I / I
CESSPOOL SEPTIC TANK � G Q SEWER
$ UTILITY CO.NOTIFIED h d ! I
TOTAL FEE
FINAL t �
76A667¢ (CE-6178) -9/75 -
APPLICATION FOR PLUMBING PERMIT
BUILDING D SAFETY'D[VISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING _
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
LITY
LOCA
WATER CLOSET r ()o
NEAREST
BATH TUB CROSS ST. �
SHOWER G OWNER S f`_
MAIL
LAVATORY O'V ADDRESS
SINK CITY TEL. NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER G
ADDRESS ,
SWIMMING POOL RECEPTOR
CITY TEL. NO
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO. CLASS r
d
GAS SYSTEM OUTLETSlige) D rRICT N0 I GROUP ZOO �'$O;ESSED BY Q7
OUTLETS OVER c U U
5 PER SYSTEM
INDUSTRIAL
i) WASTE APPROVAL W
r1
I NSPEC TI ON REC ORD
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name COO-
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel. No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY'THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES -27-77 �.
LICENSED AS REQUIRED By. LO
ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESC BED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED �-
SIGNATURE
OF' PERMITTE FINAL
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION < CK. M.O. CASH
66 9- SEG ' 8 5 D 2 X3.5 0 Ac's
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETYL
WILLIAM J. FOX, County Engineer
I TR . D. ROUP ON .
FOR APPLICANT TO FILL IN
PLUMBER EIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS !1n _ L. >f
t BUILDING
CITY TEL:No. E ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES v CROSS BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE Y OWNER jIJ
tl MAIL
WATER CLOSET(TOILET) 0.50 ADDRESS �jr/ /�p an J/
BATH TUB 0.50 CITY J(,( TEL. No.
SHOWER @ 0.90 I HEREBYi/ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ D.sG APPLICATION AND STATE THAT THE ABOVE IS CORRECT
I AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50. ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
1 OF THE RESIDENTIAL ROPERTY DESCFkIBED ABOVE.
GAS SYSTEM OUTLETS O.SO
`} 1GNATURE OF
WATER HEATER 0.50 }' PERMITTER-�
GLOP SINK @ 0.50 e� INSPECTION RE60RD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
S DRINKING FOUNTAIN 0.50O=0
URINAL - 0.50 Q / Q
HOUSE SEWER 0 0.90 , r/ Z„ _Z
MISCELLANEOUS
jig
I <-5w divsroLGEo iiv G+adv, i/-
F7 5' ..0 49:-t7 L4 P-lem .I T�•o'� p,OL �v V I�°eSGT'� '7-C7
7-2) GA49 't caD/ '1101AJ.
. I&A-P, F%_0V.ALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( _) PIT ( ) @ 1.00 SEWER
PERMIT .
l.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE ffi ® � I
FINAL
7GA667 DBS.##'17 6-52