HomeMy Public PortalAbout9219 LA ROSA DR_Plumbing__ -. D.B.S.17 2SM BETS 7-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLO EMBING
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRI O. GRO P ZONE PER 1 O.
_ � 6o-/
ROUGH FIXTURES COMPLETE
R CW D BX READY FOR DATE ISSUED
HEATER _ CESSPOOL SEPTIC TANK FIRST INSPECTION Z ^G!
AS __,_-___lMISCELLANEOUS 7
APPLICANT FILL IN HEAVILY O TLINEDS�P'+O�R+TION ONLY
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CERT.No. EXPIRES WZ MAIL
NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL, 'Six
ADDRESS �_, ( A / r _ 4m S C m 1,
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I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
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I AM THE LEGAL OWN ROF THE PROPERTY DESCRIBED
ABOVE. �,�,� 1
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CORRECTIONS
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SOUTH r,.
DESCRIPTION OF WORK z
BATH TUB FURNACE 2
R'
SHOWER DISHWASHER O
y�—LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK - SAND TRAP
SLOP SINK FLOOR DRAIN
/ WASH TRAY URINAL APPROVALS
J WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER- TRENTAL LAVATORY ROUGH PLUMBING I�� `� I �. Cf 17 S
METER E�GA8 SODA FOUNTAIN
OUTL GAS PIPING I 1j
GAS VENT ,I _
d CESSPOOL
TOTAL NUMBER OF FIXTURES �jT �� SEPTIC TANK I I
8�
CESSPOOL-------SEPTIC TANK SEWER II
TOTAL FEE d UTILITY CO.NOTIFIED 1
O - FINAL -......,
76A667 D9917 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
D R .
/FOR APPLI12ANT TO FILL
IN p `;r-7 �/ Z3 3a
PLUMBER�+' `' - "z. R EIVED "READY FOR DATE ISSUED—
FIRST INSPECTION
ADDRESS / • /
BUILDING
L
_CITY TEN04ADDRESS
COUNTYI
LICENSE NO. [ EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL 3 v Q.
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB 0.50 CITY j•'�i TEL No. / ✓
SHOWER 0.50 1 HERE®Y ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ ❑.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.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.SO ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPE DESCRIBE ABOVE.
GAS SYSTEM OUTLETS @ 0.50 //j�7 �
SIGNATURE OF ���i /��r+ i,.�.
WATER HEATER @ 0.50 PERMITTEE r
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEDU L7
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING y'
GAS PIPING �//A
GAS VENT Vi
CESSPOOL @ 1•pp CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 I SEWER
PERMIT . . . . . I 1,00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE ��� 2
FINAL
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