HomeMy Public PortalAbout10038 GREEN ST_Plumbing__ 7GA667 OBS 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
F❑R APPLICANT TO FILL IN
DISTRICT GROUP ONE PERMIT
PLUMBER °i-(_ '� ! RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
3 ,
e BUILDING
CITY TEL No. _ ADDRESB
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) ! 0.50 $ ADDRESS
BATH TUB 0 0.50 CITY a TEL. No.
SHOWER 0 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGXLEB COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
Of THE RESIDENTIAL PROPERTY DEI�CRISED AIBOVE.
GAB SYSTEM OUTLETS 0 0.50 \ l'
SIGNATURE OF ._.
WATER HEATER (w 0.50
PERMITTEE
SLOP BINK 0.50 PECTI N RECORD
FLOOR SINK 0.50
FLOOR DRAIN t)Q 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50
HOUSE SEWER 0.50 A/ I y. PEA dv.0 _Z
(7
MISCELLANEOUS
O
J rf
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CEBSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT . . . . 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ CYC
�-''� FINAL
D.B. 17 25M SETS 12-43
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT�����'��
COUNTY OF LOS ANGELES
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP zo E PERMIT NO.
C,
ROUGH FIXTURES COMPLETE i I �-j / Lf
T
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION ` 1�
GAS- MISCELLANEOUS -
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
W
M
ADDRESS LOCALITY
g
NEAREST
IL CITY TEL.No. CROSS ST.
IL
COUNTY
CERT.No. EXPIRES E NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH0 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.
a
1 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE 17
SHOWER DISHWASHER C3
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER_ GA9 SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I I
CESSPOOL I I
TOTAL NUMBER OF FIXTURES - L _ SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
S
TOTAL FEE UTILITY CO.NOTIFIED
�/�� (� � +S�
FINAL
D.B.S.17 25M SETS 10-47 APPLICATION FOR PERj=
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM.J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT O.
r�
ROUGH FIXTURES COMPLETE s
HEATER CE3SPOOL I-I SEPTIC TANK RECEIYTDISYREADY FOR DATE ISSUED
FIRST INBPECTION
GAS MISCELLANEOUS
P CANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME4/Z ADDRESS ()
W
m
ADDRESS� LOCALITY !
NEAREST
IL CITY TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES "I NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH 0
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMEER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
y� ABOVE.
H7 D _
OWNER
i
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 DATE INSPZCTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CEB3?OOL
TOTAL NUMBER OF FIXTURES f'�
SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER II
S 1
TOTAL. FEE UTILITY CO.NOTIFIED
FINAL
76A667-CE#817 2-62 a NI L(;zyl I yv4
APPLICATION FOR PLUMBING PEF IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 7 t
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 �ADD
AIL p�
BATH TUB 1.25 ESS ®,e�!i O
SHOWER 1.25 ITY l' TEL. N
LAVATORY1.25 CONTAA� O
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY
TEL. NO
LAUNDRY TUB 1.25 CONTRA 'S STATE
AEGISTA ON NO. 0 • COUNTY ❑
CLOTHES WASHER 1.25 DISTRI T NO. GRO NE ESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYS EM .30 INSPECTION RECORD a
L� t0.7
I
0
F
u
W
d
N
Z
i SG APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING - r
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUM ING FIXTURES
LICENSED AS REQUIRED BY OS GELES COUNTY AND STATE OF G TEST
CALIFORNIA OR THAT 1 AM HE EGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DE 1 RESIDE NTI PROPERTY, UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
VALIDATION ROBERT A. WOOD
CK. M. 3, c CASH SUPERVISING MECHANICAL ENG'R
u11,0 5 6 5 8%-AD FEB 1. 8 D ;�,5 C)"
78A867-CE#817 9/63
APPLICATION FOR PLUI I G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS v L
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST oe
�y
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
EATH TUB 1.25 ADDRESS - a
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 C
SINK 1.25 3 ADM4 E. Whitmore St. AT 8-4283
DISHWASHER 1.25 CITY an G�A&,.Calif.
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 Z REGISTRATION NO. Ism COUNTY STATE 0
CLOTHES WASHER 1.25 DISTRICT NO. G p ZONE PRO SSED BY
WATER HEATER 1.50 ,�
}
50 INDUSTRIAL d
GAS SYSTEM OUTLETS 1. WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
Ix
O
H
U
W
O.
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING .'
TOTAL FEE GAS PIPING
I LI
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP GATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
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 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,THE ABOVE D RIBED RESIDE NTIA P ERTY, UTILITY CO. NOTIFIED
SIGNATURE ? �].j�'}-�1•�
OF PERMITTEE v y(
FINAL '�� ',� ♦'j....�.
C j-"LIDATION ROBERT A. WOOD
M.O. CASH SUPERVISING MECHANICAL EWG'R
HALO 1 1 0 ?`) APR 8 5 D 4,5 Q
76A667 17 15-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
����'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE. PE MIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL. NO. ADDRESS
COUNTY EXPIRES
LOCALITY
LICENSE NO. /�
NEAREST / r
PERMIT FEES cRosS ST.
NUMBER TYPE OF FIXTURE OR ITEMFEE OWNER
MAIL
WATER CLOSET (TOILET) Q 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
- OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK Q 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50)
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
HOUSE SEWER @ 0.50 Q
Z
MISCELLANEOUS (�
0.'
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( @ 1.00 SEWER
PERMIT .
-:j,�'Y....� r�'� � � ',1.00 GAS TEST
; UTILITY CO. NOTIFIED O-.
TOTAL FEE s
FINAL _