HomeMy Public PortalAbout10859 FREER ST_Plumbing__ 76AGS7-CZ#817 2-81
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARR�T ENT OF COUNTY ENGINEER
B o-Rw.L��igi or �NM3IONO gs
WILLIAM A. JENEEN, BUF'T OF BUILDING
FOR APPLICANT TO FILL IN ICZO978
NUMBER FIXTUR[OR IT[M EACH FEE
OWNER
MATER CLOSET SimMAIL
G
RATE TUB 135 Z DREM" O 77
eaowae 145 cr" TEL NO.
LAVATORT 1.25 1 CONTRACTOR
am im ADDRESS a 6
DISHWASHER 115 CIT7 TEL. No.
ATE
LAUNDRY Tun im REGISTRATION AO. A6 CCTORPS OUNTTT
CLOTHES WASIM 135 DISTRICT O. GR�r ZONE EY
WATER HEATER 1.50
EAS aYSTE![ OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER a7ST•EW .30 INSPECTION RECORD }
ac
0
APPROVALS DATqIn •a 1 RI
PERMIT s 2 CSO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
OAS PIPING
I HSR[SY ACKNOWL[OGI THAT 1 HAV[ RI
LAD THIS APPLICATION
AND STAT[ THAT TH[ AIOV[ IS CO RRICr AND ASRII TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCZS AND STATI LAWS RIGULATIMG
PLUMBING. HOT WATER HEATER
I HIRMY CDTTI FY THAT I AM PR'OPIRLY RIOIST[RID AND/OR PLUMBING FIXTURES
LI CDdSIa AS RIgU1RID BY LOS ANGIL[S COUNTY AND /TAT[ OF GAS TEST
CALTI
-LAT OR TAT I AM TH[ LIGAL OWNIR OF AND INTIND TO
R[SID[ IN,7H[ASOV[ D AL PROP[ UTILITY CO. NOTIFIED
SIGNATURE
OF PERMIT TE[
FINAL f,P-7•�
ATION ROBERT A. WOOD
cIc M.o. CAW SUPERVISING MECHANICAL ENG'R
Lj�,06720QJ NOV 8 5 D 5.75
DJL " "" W&" „"" APPLICATION FOR PgRffiT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOSANGELES pLu�B'N� '
WM.J. roxrC1911yr mmormmt
r /
NA I OF MRIW=ON DIST170. GROUPI ZONE
ROUGH k-fFDTRIR[S' P.tR
HEATER faTIC TANKFOR DATE lowFIRST IItSTECTION
APPLICANT FVL IN H$AVILY OUTLINEW PORTION ONLY
�/ � RAYL ADDRESS
U
ADDRESS LOCALITY
1 I NEARETf
CITY TEL No. Clgff
COUNTY
CERT.No EXPIRES "E
LOCATION OF SEPTIC TANS, OR CESSPOOL' MAIL
ADDRESS
NORTH
CITY TEL No.
1 AM THE LEGAL OF THE ABOVE LOS
ANGELA COUNTY CERMFIdATX OF QUALIFICATION.
nurses
I AM THE LEGAL
ABOVE. �
CORRECTIONS
I I
SOl►TH I
DESCRIPTION OF WORK
MATH TUM
rr�RNwcE o
HOWER ^1SHWASHMt O
VATORY nrr�IGDtATOR
EH SINK WA"M Sorncpt t
R SINK HAND TRAP
mil •INK r'LOO_t DRAIN
WASH TRAY URINAL APPROVALS
WAVER CLOSET DRINKING FOUNTAIN DATE •rarf
WATER'.HEATllpe
*�12CTAL LAVATORY ROUGH PLUMBING \
eo•FOUNTAIN OAS PIPING
OUTL
GAS VENT
CMWOOL
TOTAL NUMB"OF FIXTURES SIPMC TANKI-?_
ESSPOOL--/ GWMCTANK SEWER / r
UTILITY CO.N2nrm /
TOTAL FREE j j
DJ' " 0*M KrTa w-43 APPLICATION FOR PER]=
DEPARTMENT OF BUILDING AND SAFSTY
COUNTY OF LOS ANGELES PLUMBING
Wm.J. FOX,CHIS*tNGINaR
NATURE OTTRNTA3MMON DISTMCr F40. GROUP rialtmrr NO.
ROUGH FD(R7RES COYPLiTt
HtATtR CSMPOp. SQTIC TANK
RSCSIVtD READYFiRSt DA tSSUlpD
mIfc
APPLICANT FILL IN HBA P� OUTLINED PORTION ONLY
` JON 3� I
Jf! AD
ADDDR LOCALITY
^ T>tZ NO. D
CELT.No. O'-- I metsL14 N"X
LOCATION OF SEPTIC TANS, OR dk39POO4 mA°-
ADDRSM
NORTH
CITY TSL Igo,
I AY THS L MMA R OF TH Los
AMOKUM COU!(TY TS OF U Tlo
I AY TH9 LZQAL OWNR aF TI•IS MeoPEeTY D TMED
ASOVS.
• wrwo
CORREM014S
SOUTH J
DESCRIPTION OF WORK ' r
.-*ATM TUB FURIiACJK!J O
HOWJ[l *+ISHWAS1413e a �-. Q
VATORY pQRIgKPeATQR ,
HEI SINK WATltRSOFTQlZR,
R SINK R ND TRAP
SINK ------FLOOR DRAIN0
��p
WASHTRAY URINAL APPROVALS
WATfle CLAGIrT �RINkING FOUNT/[IN DAtt Mwc
WATR#1[ATR ^ENTAL LAVATORY ROU PLUMBING
-SODA
KTXY su FOUNTAIN GAS PIPING
OUTL
GAS V CHT
CM08POOL
TOTAL NUY■R oF}IXTURI S SQTId TANK
rxsPoOi RQTIC TA34K 1y StW]ot
# [Y'�✓ UTILITY CO
TOTAL FEMME / `
G c
,5,° 7 APPLICATION FOR PLUMBING PERMIT 1
I
ID"-17
WWON OF B=ING AND SAFETY
D.parbn.at of Co—.'y Eap�Mr
of 7.os
.JOHN A. L AAMMBIE. COUNTY wD RX" 10859 Freer
CASGATT D.GRIFFIN,ISUr-r OF ISU1LDINo
LocALtT,r Tem 1e City, Calif.
$ APPUCANT "�I Dale View
OWN[R Pruej t DISTRICT NO_ GROUP ZONt RIADT FDj insrk CTlom
HAIL 1
ADDRSfG
INDUSTRIAL
rlrry TW- NQ, WAGTM APPROVAL
PLUMB1R3l Statewide Plumbincc Co. ON RWOBD
ADDR[Ga 10024 ValleY Blvda d
c, E1 Monte TimNOGi 43717
LICIENGs NO. 160930 C36
NUY.iR TYr[OF FGSTURi OR ITIH F[I .�
1. WATER CLOSET (To1L.1T) .00
BATH TUB 1.00
SHOW'. 41.0.0
l LAVATORY (WASH BASIN) 1.00
1 KITCHEN SINK 4 1.00
DIGHWAGHIER qI.00
LAUNDRY TUP OR ThAY J11.00 L �Y1
l CLOTHES WAGHKR 1.00
WATER HB.ATER 1.00
GAS SYvTmM v 1.00 +•• C�- I�L�7
'l
AMOVAIS
DATE INSPB ORB SIGNATURE
UNDIER GLAD WORK
PERMIT i 1 00 ROUGH PLUMBING GIIS ' "t tib`
GAG PIPINO
TOTAL FEE B OO GAG VENT
1 HEREBY ACKNOWLEDGE THAT 1. HAVX READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND A7REQ TO COMPLY HOT VVTER HI{ATIER 17 W446e�&
F WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FT
IXURkS /
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED /lUUS�D/OR G"Tf,8T
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OR THE ABOVE UTILITY CO. OTIFIB� i.
DESCRIBED RESIDENTLAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
JOHN K LAMQIE, COUNTY ENGINMUR A MATION ROBERT A.WOOD, CHIIEF PLBO. INSPIKCTOR
67 X.o. CAsn
j 2 6 2 4t-n SEP 2 4 3 8.0 0 R