HomeMy Public PortalAbout6127 GOLDEN WEST AVE_Plumbing__ D.B.S. 17 28M SETS 12-44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY .
COUNTY OF LOS ANGELES PLUMBING
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIG�T�NO. GRROOUUP ZONE PERMIT NO.
ROUGH, FIXTURES COMPLETE �51F'
HEATER CESSPOOL I I SEPTICTANK RECEIVED BY FIRINSPECTION READY FOR DATE ISSUED
-{
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
^/ JOB I
NAME I _/ ADD ESSIr
✓L ^'""
ADDRESS �I � / eNA-Cd L'D LOCALITY �r,��
NEAREST
IL CITY L��e TEL.N., ,-112-7 CROSS ST.
COUNTY
CERT.No. /O 7 EXPIRES 'C NAME 1
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL ` �/�
NORTH O ADDRESS 2-/' `�L �V `IVi&,
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE .A3OVK LOS
j ANGELES COUNTY CERTIFIC TE O QRIFICATION.
I AWTHE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
_4 I
SOUTH
DESCRIPTION OF WORK .
�BXTH TUB FURNACE p~+y
0
ROWER DISHWASHER
LAVATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LWA
SINK 'FLOOR DRAIN r
TRAY URINAL APPROVALS f
R CLOSET DRINKING FOUNTAIN
�"DATE`,( INBP[CTORnffNAM[
R HEATER DENTAL LAVATORY ROUGH PLUMBING ( �\ � ;V\� `\.t\\'..��
METER—GAS SODA FOUNTAIN
OUTL' GAS PIPING
GAS VENT -
CESSPOOL
NUMBER OF FIXTURES SEPTIC TANK
OOT 9EPTICTANK HEWER
-� UTILITY CO.NOTIPIED
TOTAL FEE ,.r
FINAL / �,
D.B. 17 25M SETS 12-43 I APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �/84WII11
COUNTY OF LOS ANGELES PLUMBING
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZO E P RMIT NO.
ROUGH FIXTURES COMPLETE
READY FOR
HEATER CESSPOOL SEPTIC TANK RECEIVED Y ED
FIRST INSPECTION DAS,U
GAS MISCELLANEOUSmiaboomwam
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONI Yj ,///�� /�19
L. NAME t �®` JOB ADDRESS
m ADDRESS v' LOCALITY
J NEAREST -�
6 CITY TEL.No. CROSS ST.
COUNTY NAME
CERT.No. EXPIRES
LOCATION OF SEPTIC TANK, OR CESSPOOL Z ' MAIL
3 ADDRESS A42
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUM13VIi
I AM THE-LEGAL OWNER F THE PROPERTY DESC IBED
ABOVE.
D ��
OWNER
'1 CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
_z
BATH TUB FURNACE
SHOWER DISHWASHER Q
--4—LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
M�= WASH TRAY URINAL APPROVALS
—WATER CLOSET DRINKING FOUNTAIN DATE INSPE[CTOR'B NAME[
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
- fes A�GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I
CESSPOOL
I TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
s -
' UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
F
,OR_,APPLICANT TO FILL IN ZD
D.
tf�LUMBER BY READY FOR DATE ISSUED
FIRE INSPECTIONDDRESS \ _ `")—
CITY TEL
•
COUNT LOCALITY
LICENZN❑ EXPIRES OLO
IF NEAREST
PERMIT FEES CROSS s r.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL
WATER CLOSET(TOILET) 0 O. !8 ADDRESS
f
BATH TUB Q O. O CITY TEL. Na.
SHOWER O. O 1 H BY AC LEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) O. O APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ of AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ Cfsa ANGELES COUNTY L ENSE OR I AM THE LEGAL OWNER
SIDENTI
OF THE REP ERTY D BCRI ED ABOVE.
OAS SYSTEM OUTLETS 0 O.50
.50 SIGNATURE OF
WATER HEATER Q A
,PERMITTE
SLOP SINK a U45D INSPECTION RECORD
FLOOR SINK @ .50
FLOOR DRAIN Q t.50
DISHWASHER Q 6.SD
DRINKING FOUNTAIN @ .50
URINAL O 50 '!
HOUSE SEWER @ O.90 Z
MISCELLANEOUS
d
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING I
OAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE S Q� ���
FINAL �
76A667 DBS$#17 10/52 F
7SA667 17 25M SETS 7-48 APPLICATION FOR PERNn
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM.J. FOX.CHIEF ENGINEER PLUMBING
NATURE OFINSTALLATION DISTRICT . GROUP O PERMIT NO.
ROUGH FIXTURESCOMPLETE
HEATER CESSPOOL H SEPTIC TANK RECEIV*D BY READY FOR DATE ISSUED
IRST INSPECTION
AS MIS ELLANEO 2- 9
AP'P�VTLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
E NAME �j. j` i Co.OTTYNGHAM ADDRIIM
ADDRESS 123 No�1 (C�1�o C'�'ly Ave. LOCALITY
NEARESTJ
CITY TEMPLE �J1,9�.*I�oC"LEJl o -CROSS ST.
COUNTY e
LICENSE NO. EXPIRES III
NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF TUE ABOVE LOS
ANGELES COUNTY CERTIF! A E OF ALFFICATI N.
�c
t PLUM
*THE
LEGAL OWNER OF THE PROPE TY DESCRIBED
3 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
BATH TUB FURNACE
Q.'
SHOWER DISHWASHER O
--LAVATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
-FLOOR SINK SANDTRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NA149
WATER HEATER _ DENTAL LAVATORY - ROUGH PLUMBING i
METER GAS _SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOI__SSEPTIC TANK SEWERI I
tf
UTILITY CO.NOTIFIED I
TOTAL FEE ~
FINAL