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APPLICATION FOR PLUM BI P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �
WATER CLOSET 31.25 j
MAIL
BATH TUB 1.25 r ADDRESS Z Z ,
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 �n CONTRACTOR ,
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
CONTRACTOR'S c STATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. 7 COUNTY
CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE P OCE D BY
WATER HEATER 1.50
GAS SYSTEMC>2 OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
ix
0
I-
u
W
D_
H
Z
APPROVALS DATE nINSP,IfCTOR'S SIGNATURE
PERMIT $ 2 00
UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE � GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGI ED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNT] A D STAT OF GAS TEST
CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF,A D IN TO
RESIDE IN,THE ABOVE DES REBID TIALPROTY. UTILITY CO. NOTIFIED 7111
SIGNATURE _
OF PERMITT
FINAL �!
(ALIDATION ROBERT A. WOOD
CK. M,O. CASH SUPERVISING MECHANICAL ENG'R
LL03 6 3 1--:3 JUL 21 5 D 21.25-
76A667- J PPLICB' TI®BY FOR _PLU�Cf■.B.dB ,�9G PERMIT
-DBS-17 3.55 7
DIVISION OF BUILDING AND SAFETY 1
Department of County Engineer
County of Los Angeles
WM.J. FOX, BUILDING
COUNTY ENGINEER ADDRESS 6 G' < •GGLTC/BGG(
CASSATT D. GRIFFIN, SUPT OF BUILDINGow
LOCALITY
FOR APPLICANT TO FILL IN NEAREST �/a, �/�J
CROSS
OWNER [I `� /// ,.y DISTRICT O. GROUP O READY FOR INSPECTION
MAIL 7 G/'�. _ L�1.'�i 4-� I.
ADDRESS 3
�LGGc INDUSTRIAL
CITY GL )TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
(1 '7'-;- ,E
ADDRESS 'Z1 S , -rc�
CITY 5X'l L GG' ti��( TEL.N
LICENSE NO. 6• L 2.)-,.1 VL t:�, B��',�,h,✓-�1+�6.y.t9 h>'o.�,�
—'Z
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER 0717
LAVATORY (WASH.BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.e0 APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
UNDER SLAB WORK
WATER HEATER � @ 1.00
ROUGH PLUMBING.
PERMIT g, 1 00
GAS PIPING
TOTAL FEE 10 19 GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. - -
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE ,LEGAL OWNER OF THE ABOVE - UTILITY CO. NOTIFIED
DESCRIBED RESIDENTI vPROPERTY.
SIGNATURE 'h Z"L
OF PERMITTEE �L'(• FINAL '
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR
D.B.S.17 25M SETS 412.44 - - - 'APPLICATION FOR PERMIT
IDEPARTMgNT" OF BUILDINGAND SAFETY
COUNTY OF LOS ANGELES , PLUMBING
Wm..J. FOX". CHIEF, ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO.
_ -��
' ROUGH FIXTURES "COMPLETE
HEATER 'CESSPOOL -I SEPTIC TANK. CEIVE BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL.IN HEAVILY, 'OUTLINED PORTION ONLY
'JOB
ADDREBBJ' ali
W
B ADDRESS D D LOCALITY-x$ 7i
- - NEAREST "
"I ,...CITY. jf' , EL NO CROSS ST. -
a _ vv
COUNTY
CERT.No. .EXPIRNOV NAME- J?s :'
LOCATION OF SEPTIC TANK,OR CESSPOOL. z ADDR B �
CZ l;L S7
NORTH p ..
- _ - - CITY- -TEL.NO.
` i AM '.THE LEG' L P088EBSOR OF THE. ABOVE L08
J ANGELES COUNTY CERTIFICAS OF UALIEIEAY1bN.
PLUMBER
I AS11 THE LEGAL OWNER OF.THE PROPERTY D CRISED
ABOVE.
- - OWNER - ..
CORRECTIONS
SOUTH, a
DESCRIPTION OF'BVORK
BATHTUB' -FURNACE
O
SHOWER. 'DISHWASHER
LAVATORY REFRIGERATOR.
KITCHEN-SINK WATER SOFTENER
FLOOR SINK QAND TRAP
aLOP'SINK- FLOOR DRAIN
WASH TRAY —URINAL, AhPROVALSv _
WATER CLOSET DRINKING FOUNTAIN' DATE 1NspEcroR's NAME
WATER HEATER DENTAL LAVATORY bb ,may g�.h,. 'r /f'" ;'
ROUGH.PLUMBINf3 I y �ic,� 7* Il/ Pte;
METER GAS - aODA FOUNTAIN_ - -
OUTLGAS PIPING "—
. GAS VENT I 'I
CESSPOOL
TOTAL-NUMBER OF FIXTURES
K� �-+� SEPTtC TANK
\���• QESSP001- REPTIC TANK - - SEWER
.S .UTILITY CO.NOTIFIED✓1/ �Il.
L -------------TOTAL
'Fizz- 7 `'
n,... FINAL
D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES p`u�B' '
WM. J. FOX. CHIEF ENGINEER
NG
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATR ISSUED
FIRST INSPECTION �-
' GAS MISCELLANEOU
Zlk
lm
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
It NAME ADDRESS < . -c.-
w
D ADDRESS LOCALITY
O NEAREST
.J CITY TEL.No. CROSS ST.
0.
COUNTY
CERT.No. EXPIRES K NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
W D
3 i OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK _
BATH TUB FURNACE
N
SHOWER DISHWASHER C3
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 SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
Q O CE.SSPOOL
TOTAL NUMBEROF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER I II
SI 1
TOTAL FEE O UTILITY CO.NOTIFIED
FINAL
L_ i
D. B. 17 4-40 IoM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT No.
ROUGH I � ��
PLUMBING FIXTURES I COMPLETE REIV BY READY FOR 1 DATE ISSUED
HEATER CESSPOOL (SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
I-W
.IOB /
NAME A ADDRESS �
W
ADDRESS 114 2 tj LOCALITY
J NEAREST V
IL CITY TEL No CROSS ST.
COUNTY / gg��
CERT. NO. / S-3 EXPIRES //-ems9
®� W NAME 1-4
MAIL
LOCATION OF SEPTIC TANK, OR CESSPOOL O ADDRESS
NORTH
CITY TEL No.
IAM THE LEGAL POSSESSOR OF THE-ABOVE LOS
ANGELES COUNTY CERTIFIC! V QU%AIA'F'ICATjlON(I?%
_ 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
r- m
m a
W (p
3 i OWNER
CORRECTIONS
i
SOUTH J
a
DESCRIPTION OF WORK _ Z_
/ G
BATH TUB —FURNACE m
SHOWER DISHWASHER 0
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
/ WATERH/g ATER DENTAL LAVATOhY ROUGH PLUMBING
�METER-S6�-GAS SODA FOUNTAIN GAS PIPING
OUTL �
/ Mb'
GAS VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
$ UTILITY CO. NOTIFIED
��I TOTAL FEE I ®® FINAL /1 -4vol yv 44
o. B. 17 4-40 IOM APPLICATIONFOR PERMIT
DEPARTMENT OF. BUILDING AND SAFETY PLUMBI1�1�1G
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO.. GROUP ZONE PERMIT No.
PLOUMBING I' 'FIXTURES I UGH
COMPLETE I - ) :? (
-
RECEIVED BY READY FOR DATEISSUED
HEATER = CESSPOOL ;SEPTIC TANK FIRST INSPECTION y c�
GAS MISCELLANEOUS
APPLICANT FILL IN -HEAVILY.OUTLINED PORTION ONLY �ll.Ar
Jo
NAME s Gl'.fr„f(,rtG �I� ( -ADDRESS -
III 'ADDRESS e pP, ae _. LOCALITY
� r
.=J - a f. - NEAREST a.
4. CITY TEL' NO. CROSS ST. srt e+-� $o a.
COUNTY ��11,,rri� -
CERT. NO. L/fc't + 4 EXPIRES W NAME'
MAIL '
LOCATION OF
SEPTIC TANK, ®R-CESSPOOL .'_o ADDRESS .
:NORTH
CITY TEL No. '
' - 1 AM THE LEGAL POSSESSOR OF-THE ABOVE LOS
ANGELES -COUNTY CERTIFICATE OF QUALIFICATION.
mfr .
- ..
AAM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
•
ABOVE.
w
OWNER
CORRECTIONS
.••SOUTH .J
DESCRIPTION. OF WORD z
t�
BATH TUB FURNACE -
SHOWER DISHWASHER
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 PLUM BING
METER GAS. SODA FOUNTAIN_ GAS PIPING'
OUTL
- . GAS VENT -
• CESSPOOL
TOTAL NUMBER.OF FIXTURES SEPTIC TANK - - - -
__CESSPOOL SEPTIC TANK SEWER
`• UTILITY CO. NOTIFIED
TOTAL FEE
FINAL
D.B. 17 10-41 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
����I�T�
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP I ZONE PERMIT NO
ROUGH FIXTURES COMPLETE
RECEIVEDREADY FOR
HEATER I— CESSPOOL I—I SEPTIC TANK — �/ABV FIR STINSPECTION DA//y'EISSUED
GAS MISCELLANEOUS ' �� /
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
loe "
E NAME 1 • - DRESS02-
W
m ADDRESS - „LOCALITY ,
O JJP EAREST
CITY EL.No. 4. . NaOSS ST;
IL
-I
COUNT
CERT.No. EXPIRES ( K NAME
Id MAIL
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSS�fE
OR OF THE ABOVE LOS
ANGELES COUNTY CERT F /Ld 0I6PICATION.
PLUMBEI
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
F m
ABOVE.
1JI
3 i OWNER
CORRECTIONS
=I
SOUTH Q
- Z
DESCRIPTION OF WORK —
a
BATH TUB FURNACE Q
SHOWER DISHWASHER —
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
METER GAS SODA FOUNTAIN GAS PIPINGU
OTL
GAS VENT
Orr CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
SEWER
__.CESSPOOL SEPTIC TANK —
$ UTILITY CO. NOTIFIED /
TOTAL FEE , FINAL