HomeMy Public PortalAbout10115 LA ROSA DR_Plumbing__ DBS1I7°B - APPLICATION FOR PLUMBING PERMIT 1
T( IVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of LosAngeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUP'T OF BUILDING
LOCALITY
F
OR APPLICANT .TO FILL IN I NEAREST A
n CROSS ST.
V // / AI L[� I� / i r�'T�b DISTRICT NO. G UP ZONE
(/VR5ADY FOR INSPECTION
MAIL I�1 f S Ir L /-! 1� O_J e�rfa/ /`
INDUSTRIAL
M N F. G I T TEL. NO. eO'.] O Q Z WASTE APPROVAL Tl
O /V I- r INSPECTION RECORD
TEL. NO.
NO.
TYPE OF FIXTURE OR ITEM FEE
ATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
HOWER @ 31.00
LAVATORY (WASH BASIN) @ S1.00
ITCHEN SINK @ 31.00
ISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ SI.00
CLOTHES WASHER @ S1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
r
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT 3 1 00 ROUGH PLUMBING
/ eivTOTAL FEE GAS PIPINGGAS VENT
1 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. /
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TESTLICENSED r��• /
CALIFORNIA ORREO HIAT OI BAMLOS
HE NLEGAL OWNER FTHE N AASOVE UTILITY CO. NOTIFIED q <41
DESCRIBED RESIDENT] PROPERTY.
SIGNATURE ,(••N'-1/ -
OF PERMITTEE FINAL r(
JOHN A. LAMBIE, COUNTY ENGINEER'- VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. V.•. CASH
i;jC 6 4 6 41n MAY 2 9 3 1 .0 0
D.B.S.-17 zsx[SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
Wm..J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP O E JR
NO.
ROUGH FIXTURES COMPLETE 2HEATER CESSPOOL EADYFORSEPTIC TANK RECEIVHDBY, FIRST ISPECTION SUEDGAS' MISCELLANEOUS —��APPLICANT FILL INHEAVILY OUTLIN.E(D PORTIIOONON//LLY
JOB
NAME / F/ ADDRESS_ :C 7JJ At T fl1/ 2ADDRESS I LOCALITY 'L 'NEAREST � e
CITY TEL.No. CROSS �fCOUNTY � �CERT.No. EXPIRES NAME( /L<+ t J L . OLOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL3. ADDRESS �1-G^�� t'GNORTH O
CITY TEL.NAM THE LEGAL POSSESSOR OF THE LOSANGELES COUNTY CERTIFICATE OF QUALIF .PLUM1 AM THE LEGAL OWNER OF THE PROPERCRIBEDABOVE.
OWN
CORRECTIONS
SOUTH1--.
DESCRIPTION OF WORK / / i
BATH TUB FURNACE 13
G
SHOWER —DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
[;—FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
/ WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
—DATE INBPHCTOHb NAM!
WATER HEATER DENTALLAVATORY
ROUGH PLUMBING
METER GAB SODA FOUNTAIN I ) I ( l
OUTL GAS PIPING
GAS VENT I I
CESSPOOL
•^ TOTAL NUMBER OF FIXTURES ,,.e/,
l V L•-� SEPTIC TANK
(�•.y�
��.X
CEBBPOO EPTIC TANK � a/ U SEWER
S UTILITY CO.NOTIFIED
TOTAL FEE FINAL / �--
U