HomeMy Public PortalAbout6232 IVAR AVE_Plumbing__ D.B.S.17 25M SETS 12.44 APPLICATION' FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY'
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
'NATURE OF INSTALLATION DIST NO. GROUP- ZONE =' P�RNJIT NO. _
ROUGH FIXTURES COMPLETE
Q(/ 37
P -
HEATER _..CESSPOOL 1-1 SEPTIC TANK RECEI BY READY FOR DATE198 ED
F��INSP /l Y �
GAS MISCELLANEOUS - Vv ! /
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY .
SOB
•a. NAME (//JiA10��/.rY-.i�.G.oF��4":D�1�a.!?-.a.,, ADDRESS ���" •
M ADDRESS/_'5 1104 ����i.� B /--it' - LOCALITY
NEAREST ;011 - .
a COUNT � `�5,jlll' ,/„TEL.No. CROSS ST.
COUNTY—
"'• �1 1JL/
CERT.No. Id EXPIRES It. NAME //.L, hT7 /!� /, •1s
'LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 1/ _
3 ADDRESS
NORTH O
• CITY - .TEL.No.
I AM THE LEGAL POSSESSOR' OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLU146ER
I AM'THE LEGAL OWNER OF.THE PROPERTY DESCRIBED
ABOVE.. ..
A
i - OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
BATH TUB FURNACE ~
R;
0
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK "WATER SOFTENER.
FLOOR SINK SAND TRAP
SLOP SINK RLOOR DRAIN
WASH TRAY URINAL - - APPROVALS
WATER CLOSET. : DRINKING FOUNTAIN DATE INSPECTOR'S NAMB
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I.
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
mammuml
. CESSPOOL
•TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSP001 SEPTIC TANK / (J ✓_ SEWER
E
ITOTAL FEE / UTILITY CO.NOTIFIED I r/j Icer//I /n
I FINAL ✓/�a/ a !'1�"aI4' r
D.B. 17 z5M SETS 12-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING ANDS•SAFETY
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER PLUMBING
NATUREOF INSTALLATION DISTRIc No. GROUP ."� 11 P RMIT baa
,tL �t
11
ROUGH FIXTURES COMPLETE I ?'"•`....
NEATER CESSPOOL -I SEPTIC TANK REC IVSD BY READY FOR DATE 188UEp "
FIRS �N8 CTION d'� 1 ,4,
GAS MISCELLANEOU t' !
APPLICANT FILL IN HEAXIL, OUTLINED PORTION ONLY
JOB
L. NAME O� /'') + �'�. ADDRESS
m ADDRESS /�7 Ov LOCALITY
- NEAREST
JCIT TEL.No. CROSS BT.
IL
COUNTY
CERT.NO.,'r' �..i' ,�.j• EXPIREB� fes" W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL yam`
3 ADDRESS
NORTH O
CITY
1 AM THE LEGAL . OSSESSOR F THE ABOVE LOS°
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
J PLUMBER,'
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
(y�11ABOVE. .
- 1>/I OWNER
Y -1 CORRECTIONS
SOUTH
Q
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 INSPECTOR'S NAME
WATER HEATER - DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN GAB PIPING
OUTL;
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES / SEPTIC TANK I
CESSPOOI - SEPTIC TANK SEWER
1 S UTILITY CO.NOTIFIED I I
TOTAL FEE.
FINAL
Do
IDEPAR 'TENT OF COUNTY ENGINEER �� '
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES / 2
WILLIAM J. FOX, COUNTY ENGINEER ADD EISS (� J
uftmW :.
FOR APPLICANT TO FILL LOCALITY _ G
BUILDING NEAREST
ADDRESS CROSS ST.
� DISTRICT N9. GROUP ZONE PERMIT NO.
LOCALITY �� � 1
NEAREST �- J
CROSS ST. RECEIVED
ABY Ready for Inspection DATrE7ISSUED
OWNER i`/tf� KNOW /
aw, INDUSTRIAL
MAIL Some
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER GENERAL INSTALLATION CO.
ADDRESS 311 E. 80th Street
CITY L.A. 3 TEL.NO. PLeasant 3-2541
$ - []STATE
LICENSE NO. 787 n COUNTY J
PERMIT FEES Q
_z
V:JMSER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GASSYSTEM--------------OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
WATER SOFTENER 1 00 APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAR WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE 2 00 GAS PIPING
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE,L AL OWN-
ER OF THE AB, E DESCRIBED RESIDENTIAL PRO TY. UTILITY CO.NOTIFIED
SIGNATURE n. � �C�'�/✓� i:,. s- i 4*
OF PERMIT - -,. ,9..
_..--- ••
r FINAL
76A667 DBS 17 1 3
7 - APPLICATION FOR PLUMBING 0 L� RII{✓IlIT
DBS-17ry .
®65.110-SS g%
DIVISION OF BUILDING AND SAFETY
Depaxtment of CountyLOFBUILDING
County of Los AnBUILDING
JOHN A. LAMBIE, COUNEER 1 ADDRESS fO
CASSATT D. GRIFFIN SUP
x:.. .+..:.y._�,. LOCALITY.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
V-6 r OWNER - DISTRICT NO. GROUP ZONE READY FOR INSPECTION
' MAIL
ADDRESS .^
r INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS ry t' f
CITY TEL. NO. /^.:J (`
LICENSE NO.-
NUMBER TYPE OF FIXTURE OR ITEM, FEE
WATER CLOSET (TOILET) @ $1.00 $
BATHTUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN). @ $1.00.
KITCHEN SINK @ $1.00
rj DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY .@ $1.00
:e
CLOTHESWASHER @ '$1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 -
•s
I
���
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT 1 . 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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 -
IHEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER- OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
-
SIGNATURE
OF PERM TTEE - FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. Id.6.. CASH
C4 2 3 9'U'R ?�J4R19 3 2.0 0 �'