HomeMy Public PortalAbout4939 GLICKMAN AVE_Plumbing__ t 76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT-NO. GROUP ZONEPERMIT NO.
FOR APPLICANT TO FILL IN
Z��O CS
PLUMBER REC IVED BY READY FOR DATE IBISBUED
FIRST INSPECTION D_ E \ED
ADDRESS 1808 W.Whittier Blvd
o ¢ BUILDING
CITY be L O TENo8
.TJn —2113 ADDRES COUNTYR1
LICENSE ND7159 LOCALITY 1emle City
EXPIRE86 3� 53
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
1 WATER CLOSET(TOILET) @ a $ ADDRESS "),'144 0Aklgnd Street
1 BATH TUB @ cITYL.A 32 TEL. No.
SHOWER @ (3 `- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ .D p AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POc�S�,SESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ p.SO qG E 4?Wl? "7'C `l'l �CRHBEDEGAL ABOVDEWNER
1 GAS BYSTEM OUTLETS @ NAP I T'��'/ �gYVf E?
SIGNATURE OF
WATER HEATER @ O. D PERMITTEE L
SLOP SINK @ 0.56 INSPECTION RECORD
FLOOR SINK
FLOOR DRAIN @ O.
DISHWASHER
DRINKING FOUNTAIN @ 13.4
URINAL
. .-
URINAL
Q
MISCELLANEOUS O
(Y
0
APPROVALS
DAT , IN9PECTOR•B NAME
ROUGH PLUMBING `
F
GAS PIPING .'.L
GAS VENT
CESSPOOL —CESSPOOL @ 1.OD CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00I SEWER
PERMIT 1.00 GAS TEST
_ UTILITY CO.NOTIFIED
TOTAL FEE $
FINAL
I.
76MW-C;EM7 12/59 1 Lex PLI M M'll
1 APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. _AMBIE, COUNTY ENGINEER ADDRESS , C
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER /17,
WATER CLOSET MAIL
BATH TUB
ADDRESS ` . .h 'o A/
SHOWER CITY " �/j TEL. NO.
CONTRACTOR
LAVATORY y
SINS ADDRESS
DISHWASHER CITY TEL. NO.7-e_j
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. G COUNTY ❑
CLOTHES WASHER DIISSTRICTNO. I GROUP ZOJiI- I PROCESSED BY
WATER HEATER ', , Q y 7�(r
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y,
w
O
U
' a
O
U
w
_ w
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/ @ $1.00 PER ITEM I /
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
--HPERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
I GAS PIPING
1 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
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE / -
OF PERM ITTEEI�,?�
FINAL
Or ALIDATION ROBERT A. WOOD,
f
V.-
M.0, CASH SUPERVISING MECHANICAL ENG'R
I
L� O 1 2 0 O:fl Jll!:
I IL - 18 5 D 3.0 0 e
millimp---- T -,
D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
- •" COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
W
D ADDRESS LOCALITY
J NEAREST
0. CITY TEL. No. CROSS ST.
COUNTY
CERT.No. EXPIRESC NAME
w
LOCATION OF SEPTIC TANK OR CESSPOOL Z MAIL
3 ADDRESS f�
NORTH 0
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWOF THE PROPERTY DESCRIBED
j ABOVE.
W D
3 i OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Q
z_
�8 H TUB FURNACE
r" [l'
SHOWER DISHWASHER (]
LAVATORY REFRIGERATOR
I
'&_-KITCHEN SINK _WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
I WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
k
METER-GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
I Imo.
$ UTILITY CO.NOTIFIED I
TOTAL FEE
FINAL