HomeMy Public PortalAbout10052 LA ROSA DR_Plumbing__ c
16A667 ORB IT 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT
FOR APPLICANT TO FILL IN . O. GRO P P
PLUMBER ` L 0 RECE BY READY FOR DATE WSUED
FIRST INSPECTION
ADDRESS
CITY e TEL No BUILDING/ ®D I .�
Ap DREHB /� IC/1'1/-) / �l.Tl��
CO - 2 O� \ LpCALITY rH mLG /}�L(
1,10!=1E NO. EXPIRES OL J
NEAREST
PERMIT FEES cRpss sT. d fl�N -,-/y/� //��
NUMBER TYPE OF FIXTURE ON ITEM FEE OWNER C �TTP.oSAC Te ,
WATER CLOSET(TOILET) @ 0.50 $ MAILADDRESS ,� ��SA.
BATH TUB @ 0.50 CITY %A( t TEL No.
SHOWER @ 0.50 I HEREBY -XICIONOWLED131k 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
KITCHEN SINK @ 0.50 AND 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
GAB BYBTEM_OUTLET9 @ 0.50 OF THE RESILD6 IAL t�p ERTY ESCRIBEO ABOVE.
SIGNATURE W
WATER HEATER @ 0.50 PERMIT
GLOP BINK @ 0.50 SPECTION RECORD '
FLOOR SINK @ 0.50
FLOOR DRAIN @ O.SO
DISHWASHER @ O.SO
DRINKING FOUNTAIN @ 0.50
URINAL @ O.SO J
Q
HOUSE SEWER @ 0.50 Z
MIBCrjLLAMxaUB L7
m
O
APPROVALS
DATE INSPECTOR'S NAME
R GUSH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTTO TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ :.00 SEWER
PERMIT • I 1.00 GAS TEST
/ UTILITY CO.NOTIFIED /.
TOTAL FEE $ —
FINAL L/7Z
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDINGAND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM.J. FOX.CHIEF ENGINEER "
NATURE OF INSTALLATION DISTRICT N . GROUP ZAO E (J� P RMI�TnNO.
ROUGH FIXTURES COMPLETE V � Y '' a � o I
HEATER _I CESSPOOL I—I SEPTIC TANK _— RECEIVFID BY READY FOR DATE ISSUED
FIRST INSPECTION
AS' M18CELLANEOUH lr r -
7-APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY _
! NAME B1{i E.R SEPTIC TANK CO. JOB
't' Z
m 223 E. HNNTINGTON DRIVE n4
ADDRESS LOCALITY
ARCADIA. CALIFORNIA NEAREST v /
C CITY TEL.No. CROSS ST.
COUNTY
LICENSE NO. EXPIRES W NAME L
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No,
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
SBAL3i3.FCnD��
PLUNEER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK _Z
BATH TUB FURNACE O
O
-----SHOWER DIBHWASHfiR D
- LAVATORY REFRIGERATOR
-KITCHEN BINK WATER SOFTENER
FLOOR BINK SANDTRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IN$PiCTOR'$NAME
WATER HEATER DENTAL LAVATORYkROUGH PLUMBING
METEII OAS SODA FOUNTAIN IPING
OUTLENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK +I
L_CESSPOO SEPTIC TANK SEWER I I
e �
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL - r—
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