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Home My Public Portal About10030 GREEN ST_Plumbing__ 7SA697CI (Ca-$IT1) -9/73 . APPL.IQATION FOR PLUMBING PERMIT BUILDING AND SAFETY D SION FOR APPLICANT TO FILL FN (PRINT OR TY PEI BUILDING NUMBER FIXTURE OR ITEM 1 FEE ADDRESS WATER CLOSET LOCALITY BATH TUB NEAREST CROSS ST. /G✓Gc7«3 SHOWER OWNER LAVATORY MAIL ADDRESS SIN-K CITY TEL. NO. DISHWASHER CONTRACTOR �C�. CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR �J LAWN SPRINKLER SYSTEMSTATE I, CITY L(f`1fC/f TEL NQS/-Z�a�f7 WATER HEATER LICPNSE NO.36,0 91CILASS 4L-- DISTRICT DISTRICT NO. GROUP E CESSED BY GAS SYSTEM OUTLETS C) OUTLETS OVER p��Tgl L t 6 PER SYSTEM r WASTE APAPROVA �`h�'� Iz col) tZ INSPECTION RE ORD Z Plan check fee PLLWBING PERMIT ISSUING FEE 8 TOTAt FEE Plan check applicant Name APPROVALS DATE INSp ORAS SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tol. NO. GAS PIPING I HERESY ACKNOWL[D!E THAT I HAVE READ THIS APPI-IrOAS VENT AMD lTATt THAT THE ADDY[ 14 CORRIECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STAT[ LAW! REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I OPERLY REGUT[R[D AMD/OR PLUM91NG FIXTURES LICiN![D AS R[CIUIRED BY LOS [LEE COUNTY AND !TATE OF GAS TEST CALIFORNIA OR THAT I AL OWNER OF, AND INT[Md TO RESIDE IN"fH�AeovX ! [D R TI PR R UTILITY CO. NOTIFIED' SIONA TU Rr OP PE RMITTE FINAL PLAN CHEEK VALIDATION CK. M.O. CASH PERMIT VALIDATfON CK. H•O: CA/H 6 0 7 5 0 .� 7SAGS7f (Qt-21751) -4/75 . APPLICATION FOR PLUMBING PERMIT BVI 1 11 pND SAFFITY DFV N FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM FEE ADDRESS WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. n7 SHOWER JOWNIiR LAVATORY MAIL ADDRESS SI" CITY TEL. NO. DISHWASHER CONTRACTOR t �� CLOTH ES1yASHEp -` �7r] (J !� SWIMMING POOL RECEPTOR ADDRESS C I TY VleTEL. N O& ,L. 7 LAWN SPRINKLER SYSTEM STATE �y,.� LIC /+ WATER HEATER LICENSE NO. O��C3 O w0 CLASS C— l� GAS SYSTEM OUTLETS / DISTRICT NO. GROUP NF Ess B OUTLETS OVER 1O r! S PER SYSTEM �J$7gI AP WASTE A OVAL INSPECTION RECORD C7 Plan Check fee PLUMBING-PERMIT ISSUING FEE B / rX-0� TOTAL FEE Ss Plan Check appl icant Name APPROVALS PATE IN• oR'n S14MAT RK UNDER SLA&WQRK a AddLeBS -ROUGH PLUWING City Tel. NO. GAS PIPING LA REBY ACKNOWLBDSC THAT F HAVE READ THIS APPLICATION GAS VENT ATE THAT THE ABOVE IS CORRECT AND ASREE TO COMP LY LL COUNTY ORDINANCES AMb STATE LAWS_ REGULATING }{OTWATER HEATER i�.RESY CERTIFY THAT M PRQPERLY REGISTERED AND/OR PLUMBING FIXTURES D AJ REgUI RED BY OS MGEL 1 LINTY ARD S_TATE OF GAS TEST M A ORTHAT I THE L A R AM INT D TO I�THE ABOVE D cRIBED wE L UTILITY Ca. NOTIFIED TU REE.RMITTE FINAL PLAN CHECK VALIDATION CK, M.O. CASH IT VAL}DATION GK. ,O. CASH �,� �4 � o 3.5 0 '% D.B.S. 17 25M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE _!5 -I -,JtECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL SEPTIC TANK ff77 FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB IIt _ NAME iiy � `q,, ADDRESS i+ �% P, m ADDRESS , i 1,.. LOCALITY E — J NEAREST IL CITY ;,. TEL. No. CROSS ST O t.t,. COUNTY CERT.No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL NORTH 0 'ADDRESS 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. B i OWNER CORRECTIONS SOUTH a DESCRIPTION OF WORK -------- ----- z BATH TUB FURNACE ~ C.7 _. 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 IN9P[CTOR'H NAM[ .-WATER HEATER ---DENTAL LAVATORY ROUGH PLUMBING METER GAB SODA FOUNTAIN OUTL GAS PIPING GAS VENT i CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL- SEPTIC TANK SEWER • I TOTAL FEE UTILITY CO.NOTIFIED FINAL r � APPLICATION FOR PERMIT • - )�RARTMENT pFING AND SAFETY PLUMBING ��g ` COUNM LOS ANGEIM WILLIAM -tr,FbX. CHIEF ENGINEER FOR APPUCANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. n.uMeER POTRERO PLUMBING CO. R Y IVD READY FOR � . 7-13.,oFIRST INSPCCTION '2 3 ADDR[CS SOUTH SAN GASM ' BUILDING CITY TEL NO. ADDRESS 10 ! COUNTYLOCALITY CKNC N IREB NEARESTcj PERMIT F.S CRO"ST. MumazR rym of FDC! RI oR IT[Y F[[ OWNER. MAIL WAT@t CLOSET TOILET 0-50 ADDRESS CATH TUB 0.00 CITY TEL NO. SHOWXR 0.50 1 HEMMY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) O.DO APPLICATION AND STATEHRR TAT THE ABOVE IS CORRECT AN AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFgTHA POSSESSg AaOVE VALID LOS LAUNDRYTUM OR TRAY o.MO ANGELES COENSE, OR THE L.EALECAL OVYNKIt OF THE R13 ROPKR Dle® AiOV r- GAB fYCTOIOUTLiTC O.60 SIGNATURE O WATER H[AT[R a 0.SO P Qt M I TT SLAP SINK O.MO rINSPECTION RECORD FLOORSINK 0.no i� u.[�.rV FLOOR DRAIN U.SO DISHWASHER 0.150 DRINKING FOUNTAIN 0.150 URINAL 0.80 ..I HOUS[SEW[R 0.00 i MISC SOUS (� a 0 APPROVAM . DATE n.+>RCTOR'• KAhM ROUGH PLUMBING GAS PIPING GAB VENT CEbSPOOL I.00 CESSPOOL SEPTIC TANK. SEPTIC TANK DRAIN ( ) PIT ( ) ® 1.0-01 S[WIER PERMIT . . 1.00 GAS TAT UTILITY CO. NOTIFIED TOTAL FEE s Q FINAL 76AS07 Ds•17 „-`b APPLICATION FOR PERMIT ``'7 ASTMENT OFNG AND SAFETY PLUMBING 1 COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, OHIEr [NOINKER R APPLICANT TO FILL S' 1 /(-1 03-p� o PLUM RIOINm KY FIRST INSPECTION �/ � (p ■UILDINO OI TIL N . ADDR[i Q/ COUNTY N[AR[ST PE ICT Fl= CROSS ST. mulwo" TYPI OF FDCTURi OR ITXM FQ OWNKR A--r- MAIL WATIR CLOSET(TCILIT) a 0.60 !A ADDRISM MATH TUB ! 0.60 CITY TIL ND. OWER a6O 1 HER-1311Y ADKNOWL[DO[ THAT 1 HAVK READ T?II■ LAVATORY (WMH BABIH) • 0.6D AlOISLICATION AND STAT[ THAT TH[ MOV[ 1■ OORR[CT AND AORR TO COMPLY WITH ALL COUNTY O;RDINAH00 KITCHEN BINK Q 0.60 AND STAT[ LAWS RIUULATIND PLUMBINBL I OIRTIrY PCSSISS TH[ ABOVE VALID LOS LAUNDRY TUB OR TRAY 0 O.sO ANO[L[S aouwryopLlIVK1111[. wn'.4': M THE LWAL OWNER -, OF TH[ RLSID rRUPRJB[D ASOVL a" sYWMM nUTLiTS 0 C.sO ■ISNATURE O wATiR H[AT[a • O.sO r�m-mlf /+� SLC* MINK 0 [LED MWECrION RECORD 1 nMDM MINK ! asO FLOOR DRAIN 0,60 DISHWASHIER 0 a60 DRINKING FUUWrAIN 0 CL.go URINAL [Loa HOUSE BEWIR O.so _Z MISC[LLAN[OUS 2 It 0 APPROVALS DAT[ IN1rm7v R•■ NAME RODUH PLUMMINO OM PIPING OAS VINT OXWPOOL 1.b0 OISSPOOL S=rTID TAHKI SEPTIC TANK DRAIN ) PIT ( 1.00 SEWER PERMIT 1.GO m" TUT �O UTILITY CO.NOTIFIED TOTAL FEE FlNAL • 76"867 D�" 11-'° APPLICATION FOR PERMT tip�TMENT OFNG ' sAFESAFETYPLUMBING 1 .� COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, OHI[F EHSIN[ER FOR APPLICANT TO FILL IN PLUMMER [ Sl( READY FOR DATE ISSUED FIR>irINSPECTION AD DA[MM BUILDING E 0 CITY TEL Na. ADDR[� COUNTY LOCALITY STYMEL Exp I piim 4 NEAREST ti PESIIM FEES OROS,ST. lfLIIACR TYT[OF FIXTUM OR ITEM FE[ QWN[R MAIL WATER CLOSET(TOILET) 0.&0 IN ADDPtK= BATH TLIS 0.60 CITY TEL Nn ■HOWIR a.Sa 1 Hp�[BY SO KNCWLED [ THAT I HAV[ READ THIS LAVATORY (WASH SASIN) [LSO AP!<LI0TT IN AND STATIC THAT THE AVX 12 DORRE13T AND AIIR[E TO COMPLY WITH ALL COUNTY C"INANO[S KITCHEN MINK • 0.6a AND STATE LAWSREOULATI PLUMSINS. ( OKFMFIY THAT I P THE ALD LOM LAUNDRY TUB OR TRAY 0:60 ANSELES COUNTY C I " OWN R OF THE Rl P P DESO ANDVE. OAS SYSTE m n UT'L[TS 0.6C ■IONATLRE CF WATER HEATER [Lisa PEIlMI SLOP BINK • 0.60 DMECTI°N RECORD FLOOR BINK • man ^. FLOOR DRAIN 0.50 DISHWASHER _ 49 C.513 DRINKIND FOUNTAIN [L6O URINAL O.KO r NOUS[ HEWR [Lisawt MIaCELLAN OUS G 1 ROUGH PLUMBING CAS PIPIND GAS VENT CESSPOOL 0 1.00 DESUPOOL S[PTIa TANKS 9EPTIa TANK DRAIN ( ) PIT ( 1.00 ■K%VKR PERMIT 1.Oa MAM T=NT UTILITY Co.NOTIFIED TOTAL FEE R FINAL