HomeMy Public PortalAbout10823 GRAND AVE_Plumbing__ D.B.S.17 2SM SETS 7-47 l
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GR0 P ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE _
HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
AS MISCELLANEOUS
IN MISS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME ADDRESS
W
m ADDRESS LOCALITY
NEAREST
J CITY TEL.No. CROSS ST.
IL
COUNTY
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY 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
ABOVE.
s
3 i OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Z
BATH TUB FURNACE
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 I DATE INSPECTOR'B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING 1
METER GAS RODA FOUNTAIN
OUTL GAS PIPING
l
GAS VENT I 1
CESSPOOL {
TOTAL NUMBER OF FIXTURES SEPTIC TANK
� l �
CESSPOO' �� 14EPTIC TANK SEWER
S UTILITY CO.NOTIFIED 1
TOTAL FEE
FINAL
D-R&-17 stili Byre 12-46 APPLICATION FOR P$RWr
DEPARTMENT [.
OF BUILDING G AND SAFETY
COUNTY
LOS � �'��
COIINTY OF LOS ANGELES
WM.J. PDX. CHIEF ENGINEER
'NATURE OF INKAjJATION ST
` ROUGH F'm-mKm OOYIMUMM �
HI<AT70t O[MMrOOL <Q+TIC TANJC FOR
RXIC[IVm BY FIRST INST[CT10N P T[ 11fUm
AP LICANT FILL IN HSAVIYOUTLENIM PORTION NLY
.los
NAM[ ADOR[86 ^ .
s971ADDR[MLOCALITY
NKAA
CITY TKI No. CRO"R.
COU
CRT. o. N317 i [ N"'L
LOCATION OF SEPTIC T OR CESSPOOL z -+AIL
ADORE"
NbRTH
CITY Ta. No.
1 AM THE LEGAL POOS[10OR QF THE A 1-06V Oi
A"KLKS CCXJP Y Y[ q4 fCAT
1 AN THE LEGAL OWNR OF THE PROPERTY D[MC"KD
ADOV[.
OWNER
CORRg.C'I'IONS
iOUTH.
DESCRIPTION OF SPORE
-RATH T" ■URXAC[ Ct
D UtHWASN tisk O
-LAVATORY R FRIGRATOR
-MCHEN MINK WATER MOFTQiR
-11193opt MRS[ AMD TRA)-
MINK DRAIN p
WAMH TRAY URINAL APPROVALS /
WATER C-OM[T DRINKING FOUNTAIN 7'[ 1!faiiewT+Dn)!l Amx r
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
90^^A FOUNTAIN
OUTL GAS PIPING
SAM YtWF k6
CzespooL
TOTAL NUYSKK OF FUCTURM
SEPTIC'LANK
f�
IC TARK 9'11w10t
MUITIFI
UTILITY co.NOTMD
TOTAL FE � j� �