HomeMy Public PortalAbout6227 IVAR AVE_Plumbing__ DBS-17 10.55 AP'PL�CATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer q r W f
County of Los Angeles ADDRIISS /� 7�, / e! to
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D,,GRIFFIN,SU PT OF BUILDING
.s LOCALITY
t,..,, ...�W...... --.
FOR APPLICANT TO FILL IN NEAREST
�• CROSS ST. �� IJ L-
OWNER /q'r 194
ICS17-31� DISTRICT NO. GROUP f�ZONE READY FOR INSPECTION
Al
S ADDRESS (.9 X A 7 41Z !1CITY c'-r TEL. NOD TH APPROVAL
PLUMBER 1-y INSPECTION RECORD
ADDRESS
CITY TEL. NO -
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE -
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB -@_ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
µ DISHWASHER @ '$1.00
LAUNDRY TUB OR TRAY @ $1.00 .Y
CLOTHES WASHER .@ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
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APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 0(>
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. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGPSTERED AND/OR f GAS TEST '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA RTHHAT I AM T LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PRO RTY.
'+ SIGNATURE t
OF PERMITTE5(k- .FINAL
JOHN A. LAMBIE. COUNTY ENGINEER LIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. B.0. CASH
' '&6 6 5 ? PRAY 31 3 2.0 U �
- O� I
76A66
DBS-17 T
Da9 -�d LI�VA d IO A FOR Y�: L�9 {hamING PERMIT...
BS•17 12.54 ••' - .
DIVISION OF BUILDING AND SAFETY ,.
Depamtment of.County Engineer
County of Los Angeles BUILDING
WM.J..FOX, COUNTY ENGINEER ADDRESS, / ��
CAT D. GRIFFIN, SUPT OF BUILDING
;pp
W&w
FOR APPLICANT TO FILL IN - NDEAREST' ���
CROSS ST. G. I
OWNER VM
q 2�L .,d DISTRICT NO. - GR ZONE ZONE READY FOR INSPECTION
MAIL
ADDRESS A o
C � /lt-" ttd/TEL• NO. -#! -7 l`7INDUSTRIAL
ITY m/0
I -
WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS S. _401
CITY TEL. NO. .� 1210C C O
LICENSE NO. vs Opw AT 77 c• 6 00 /99 L ArV "So V q I.
NUMBER TYPE OF FIXTURE OR ITEM FEE �'e P,17 OTIC- 4091120" r,7 1p"
I WATER CLOSET (TOILET) $ -' ' J!rSl
G' p1L�:./OyY
BATH TUB 0 JIV I
® SHOWER _
LAVATORY (WASH BASIN) U �� ' OA4S � 4'
KITCHEN SINKI—vim If ��ry L L T/ A✓�pa�l vS�',�
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.80 O APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1,00 _L
/ UNDER SLAB WORK
WATER.HEATER @ 1.00
ROUGH PLUMBING
PERMIT , $ 1 00 GAS PIPING
TOTAL FEE GAS VENT
c
I T HEREBY-ACKNOWLEDGE THA1 -HAVE READ THIS APPLICATION HOT WATER HEATER _ /1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ PLUMBING FIXTURES
PLUMBING.
1HEREBY CERTIFY THAT .1AM PROPERLY REGISTERED AND/OR GAS TEST •JJ -.t;.._,,,,/
LICENSED AS REQUIRED"BY LOS ANGELES COUNTY :AND STATE OF � UTILITY CO. NOTIFIED
M -
CALIFORNIA OR THAT 1 ATHE LEGAL OWNER OF THE ABOVE
DESCRIBED.RESIDE NTI PROPERTY:'
SIGNATUREITTEE��
OF PERM � i FINAL - .3 -..5 '
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
.Q
:1.3:u' v4m2 8 3
5.410
DEPUTY
s 1 �
0.9.9.17 19M 9[T1 12.44 APPLICATION FOR PER&fIT
DEPARTMENT OF BUILDING AND SAFE
COUNTY OF LOS ANGELES
-WM.J. FOX. CHIEP wNGINEQR
NATURE OF INSTALLATION DIST C O. GROU 20179 PERMIT
ROUGH FIXTUREO COMPLETQ O T+
HQAYER CEDOPOOL DEPTIC TANK RQCQIVQD DY RCADY FOR DATA IODUMP
FIRO'K INOPltCTION
Afl MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTIONONLY
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NAME ADDREDH i �.
Y AD0Rr=3 LOCALITY
O NEAREST - r r
d CITY TEL.No. CROGO OT.
COUNIII
CERT.NO. EXPIRES fly NAMQ '
LOCATION OF SEPTIC TANK, OR CESSPOOL SZ MAIL to `
3 ADDRESS
NORTH O r -�;
CI 111 TELy"NO•
1 AM THQ LQOAL 'PODOCBSOR OF THE AOOVQ LOO
i AHCZLZS COUNTY CEFTIFSCATE OF QUALIFICATION.
I
".. PlU1e66�
1 AM THE LEGAL OWAOOVr. `NKR.CF THE PROP wCRQlQp'
W
f�
OWN¢17
CORRECTIONS
SOUTH
DESCRIPTION OF' WORK "`—— " .
ATH TUB FURNACE (�
M
AyAOWER DISHWASHER •,
Y.l.AVATC�RY _. -_SEFRIGERATOA � �� -�•� -�_r_
KITCHEN OIHK WATER OOFTQNISA
�•• FLOOR OINK SAND TRAP
4LOP OINK` FLOOR DRAIN +•
t
WASH TRAY URINAL .. APPROVALS �'``•
WATER CLOSET DRINKING FOUNTAIN
DATA IN9PIICTO W'9 MAriII
WATER HEAYzR DENTAL LAVATORY ROUGH PLUMBING $
gTEQ GAD - 'ODA FOUNTAIN
OUTL OAS PIPING
OAA VENT
r,- CESSPOOL :r
L4rT
OTALNUPMEF OF FIXTURQ9 (y"`" SEPTIC TANK.spOOI RQPTICTANK. r' DEWQR 't4+�
�G• D uTlim cz;.JNaTirilm
TOTAL FEE
. r_' J
v+
FINAL
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