HomeMy Public PortalAbout5938, 5938 1/2, 5940, 5940 1/2 GOLDEN WEST AVE_Plumbing__ 76AG67 17 25M SETS 7-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ' �� � �
COUNTY OF LOS ANGELES
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATTO-V DISTRICT N . GRO PO E —PERMIT NO.
i
ROUGH FIXTURES MPLETE l_ _4 4- '
HEATER CESSPOOL ISEEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
AS MISCELLANEOUSin
V
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME _ . ADDRESS C>� Iv. a 4As fi*,oyS
W *�
ADDRESS LOCALITY T T
1
_
`I CITY �����,{� TEL.No� ,{� TEL.No. CROSS ST.
IL -
COUNTY
LICENSE NO. EXPIRES IE NAME '
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFIC�E_OF L �
W7�/+(y'� PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK z
ATH TUB FURNACE E9
Q'
-SHOWER DISHWASHER I]
LAVATORY REFRIGERATOR
_KITCHEN SINK WATER SOFT6NER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER—GAS —SODA FOUNTAIN
OUTL aA8 PIPING
GAS VENT /� I
CESSPOOL
TOTAL NUMBELOIFFIXTURES SEPTIC TANK_CESSPOOLL— PTICTANK SEWER I ��
G UTILITY CO.NOTIFIED I i
TOTAL FEE / J�
FINAL
D.B.B.17 25M SETS 7-47 ` APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 1 _
COUNTY OF LOS ANGELES
WM. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT
O. GRO PJ ZONE PERMIT /O.
ROUGH FIXTURES COMPLETE c J ' ` ��O
RE IVED BY READY FOR DATE ISSUED{
HEATER __CESSPOOL -I SEPTIC TANK `, � FIRST INSPECTION _ C'
AS MISCELLANEOUS
APPLICANT FILL IN IIEAVILI' OUTLINED PORT12a ONLY
JOB _—Al
NAME . ADDRESGzA
-elW
® ADDRE9S� LOCALITY a
2 _ g
D � W, 4P ' NEAREST
"t CITY �f TEL N / (J ' ROSS BT,
A.
COUNTY _ a
CERT.NO. f4wf EXPIRES W NAM
LOCATION OF SEPTIC TANK, OR CESSPOOL" Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No. -
I AM THE LEGAL POSE OR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI E OF U L ICATIO
e
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p� ABOVE.
W >
3 W OWNER
- i
CORRECTIONS
SOUTH
- J
DESCRIPTION OF WORK i
BATH TUB FURNACE
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 INBPtCTOR a NwMa
_.WATER HEATER DENTAL LAVATORY-
ROUGH PLUMBING
METER 6 GAB SODA FOUNTAIN
OUTL CTAS PIPING
n GAS VENT
CESSPOOL
TOTAL NUMBER OR FIXTURES X 6 I
V SEPTIC TANK ( I
CESSPOOL SEPTIC TANK SEWER
s
TOTAL FEE -5-Z7UTILITY CO.NOTIFIED I I f
FINAL
D.B.S.17 25M SETS 7-47 APPLICATION FOR PERS
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER PLUMBING
NATURE OF.INSTALLATION DISTRICT NO. GROUPO /J PERMIT IVO.
ROUGH FIXTURES COMPLETE - ` O
HEATER __CESSPOOL —I SEPTIC TANK RECEIVED BY READY FOR DATE/ISSUED
/��i��� FIRST INSPECTION ��%,` —�
AS MISCELLA EOU �C�O•r�/Y_� {
APPLICANT FILL IN HEAVILlC OUTLINEDp�PORTIO�N�ONLYJOB
E NAME ADDRESS d ed `+R/
w r
MMA ADDRESS� OCALITY ��A04 614
f
d CITY le TEL.N"42`W4%4 . 1N EAREST OF
/ ROSS ST.
COUN
CERT.No. � EXPIRES If m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
-I AM THE LEGAL P08S SOR OF THE ABOV LOS
ANGELES COUNTY CER TI 'I E OFQ AI IFIC TIO
gel
.� �..�
mumsER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
V/ OWNER
1 CORRECTIONS
SOUTH
_ J
DESCRIPTION OF WORK a
- z
BATH TUB FURNACE I9
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 e(NSPRCT0 '8 NAMi
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I v I a .d ° � gh
METER�GAS -------SODA FOUNTAIN GAS PIPING
OUTL 1
GAS VENT ( 1
CESSPOOL I
TOTAL NUMBEROF FIXTURES 5� SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER ( I
8
UTILITY OTIFIED
TOTAL FEE
FINAL
PLUMBING
DEPARTMENT OF COUNTY ENGINEER I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING {
LdesWILLIAM 3:, FOX, COUNTY ENGINEER ADDRESS �/ �!�/ e
LOCALITY 'e )
FOR APPLICANT TO FILL IN NEAREST
BUILDING CROSS ST
ADDRESS
CIS TRIC N0. GROUP ZONE PERMIT N0.
LOCALITY Tj I
NEAREST d Tt1 n S
CROSS ST. RECCyE�I�VED BY Ready for Inspection DATE ISSUED
OWNER S /! ��( ` JV
INDUSTRIAL
MAIL //D // '�•(Td/�eA a ]A C WASTE APPROVAL
ADDRESS
CITY',e J ' TEL.NO J— INSPECTION RECORD
'
PLUMBER 1/V,/AV �(
ADDRESS A"
CITY TEL.N0.
❑STATE
LICENSE NO 0 COUNTY .J
PERMIT FEES Q
z
4UM5ER TYPE OF FIXTURE OR ITEM FEE L7
WATER CLOSET(TOILET) @ 0.80 S D:
0
BATHTUB - @ 080
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 080
FLOOR SINK @ 080
FLOOR DRAIN (0 080
DISHWASHER @ 080
DRINKING FOUNTAIN @ 0.80
URINAL @ 080
GAS SYSTEM-----_-- -.--OUTLETS @ 1.00 `ry
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 1 00 ROUGH PLUMBING
TOTAL FEE �. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
t:ATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING, PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED _/ J
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST RI) 4,r1NPj__T'7
AND STATE OF CALI ORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE ES RIBED RESIDENTIAL PROBER Y. UTILITY CO.NOTIFIED /
SOF PERMRITTEE -- •--r a - ----,----•- FINAL 4 �— !) w I /IdAZMZ
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76A667 DB8 17 r4 k t o_c
D S S.17.25M SETS 7-47 APPLICATION FOR'PERBUT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm. J. FOX,CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT NO. GROUP O E PERMIT NO.'
ROUGH FIXTURE8 COMPLETE J ��
HEATER CESSPOOL I SEPTIC TANK '- REC I I BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS M18CELLA EOU (�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
C NAME ADDRESS
IS `
M
ADDRESS 1 LOCALITY
NEAREST
.J CITY TEL.NO. i CROSS ST -
COUNTYc�
CERT.No. EXPIRES 0: NAME
Id
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM,THE LEGAL POSSES OR OF THE ABOVE LOS
ANGELES COUNTY CERTIIFIC OF QUALIFICATION.
r '
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. ,
D
3 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB FURNACE 0
R'
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
-KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS +ODA FOUNTAIN
OUTL GAB PIPING
GAS VENT I I
CESSPOOL
TOTAL NUMBERLOFFIXTURES lX� SEPTIC TANK
CESSPOOI PTIC TANK V 6 SEWER I I
$ UTILITY CO.NOTIFIED
TOTAL FEE FINAL