HomeMy Public PortalAbout10225 LA ROSA DR_Plumbing__ 76A667-CES17 SS9 -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES "
DEPARTMENT OF COUNTY ENGINEER "
BUII.DING AND SAFETY DIVISION SUIT DING / ^ n C A
]OHN A. LAMBIE, County En nm ,ADDRESS a7�,f `/y /L(�.J /7' -
CASSATT D. GRIFFIN, Sup 1 oIt
Buildig LOCALITY
L car
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER Z U�E S
WATER CLOSET IL
ADDRESS . N E
BATH TUB ,
.CITY TEL. NO.
SHOWER tI
LAVATORY CONTRACTOR y$11 V
SINK ADDRESS 442 d
DISHWASHER CITY GlendoraTEL NO.
CONTRACTOR'S S TE
LAUNDRY TUB REGI57AATI0 NO. 16O COUNTY ❑ `
CLOTHES WASHER DISTRICT NO. GROUP ZONE PRO EBBED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTIOON RECORD
A/- 7
of G J St=�.>•c'o[ C'o ti—r.
® SLDO PER ITEM
3- OR FIXTURE S e-r) APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE a.b ROUGH PLUMBING
GAS PIPING
i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 - M T E LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OP TY(/�� / UTILITY CO.NOTIFIED
SIGNATURE
OF PERM]TTEV
NAL
® VALIDATION ROBERT A. WOOD,
cK. R.0. CASH SUPERVISING MECHANICAL ENG'R
LACO7 5'-7 2MAR,-1 0 5 A 5.0 90 %
TSASST IV 2SM SETR 9-4E APPLICATION FOR PERMIT
".DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
' WILLIAM J. FOX, CHIEF ENGINEER -
D R . RMIT NO.
FOR APPLICANT TO FILL IN
PLUMBERREC EIVEBj/" READY FOR ATE ISSUED
FIRST INSPECTION
ADDRESS �.._�
CITY TEL. No. JOB- 1 _
ADDRESS
COUNTY
LICENSE NO. EXPIRES LOCALITY
1 CERTIFY THAT i POSSESS THE ABOVE VALID LOS NEAREST
ANGELES COUNTY LICENSE. CROSS ST.
OWNER
MAIL
FLUMOER ADDRESS
PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR DITY TEL. (Iv
ITEM LISTED BELOW. PLUS 5Oo FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR GRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
CWNEq
NUMBER TYPE OF FIXTURE OR ITEM
CORRECTIONS
WATER CLOSET (TOILET)
V
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
GAS SYSTEM-OUTLETS
WATER HEATER
SLOP SINK J
Q
FLOOR SINK 2
FLOOR DRAIN - L_9
DISHWASHER - m
O
DRINKING FOUNTAIN " -
URINAL
MISCELLANEOUS
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT I I
CESSPOOL
SEPTIC TANK - DRAIN ( ) PIT ( $ SEPTIC TANK
SEWER
CESSPOOL $
HOUSE SEWER $ UTI GASTEST
�\ UTILITY CO. NOTIFIED -
TOTAL FEE $
FINAL
7SA667 17 25M SETS 7-49 t APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY `
COUNTY OF LOS ANGELES �L������
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP O E PERMIT NO.
ROUGH . FIXTURES —I SEPTIC TANK / A 3
HEATER CESSPOOL RECEIVED BY READY FOR DATE.ISSUED
OW FIRST INSPECTION
GAS MISCELLAN OU �(
A�P/JPLICCAANNT FILL IN HEAVILY OUTLINED
>PORTION
� ONLY
JOB
E NAME //�I�PLrI /.fes ��1�.✓/�(�A' ADDRESS d-/ 71 f,-, 7L�O.'.L6t_ '
I* ADDRESS
/�9�x,�� 7�/Y�lr.�'✓WR� LOCALITY
RAREMM
y CITY %UillA. t!/i_� TEL.No. �,1%/f� CRO ST.
COUNTY/
LICENSE NO. y3 7� EXPIRES -30 SO m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL p
3 ADDRESS
NORTH 0
CITY TEL.NO.
IAM TMH LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
C.G�Yflladl/ti e�
C PLUMBER X7
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK i
BATH TUB FURNACE
ROWER DISHWASHER D
LAVATORY REFRIGERATOR
MITCHEN SINK WATERSOFTENBR
FLOOR SINK SANOTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INZ"E R'B NAME
/ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ZU
7 METER GAB SODA FOUNTAIN GAB PIPING I
OUTL
GAB VENT I I
CESSPOOL I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESBPOOI REPTICTANK SEWER I
S COW UTILITY CO.NOTIFIED.
TOTAL FEE FINAL