HomeMy Public PortalAbout9955 LA ROSA DR_Plumbing__ DEPART311ENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES I BUILDING
WILLIAM J. FOX. COUNTY ENGINEER ADDRESS
FOR APPLICA TO F NEAREST
IN LOCALITY t 1
BUILDING
^ ?SSc n
ADDRESS G.J CROSS ST. Cl Vl� V`
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY C A E?
CROSS ST.NEAREST a ECEIVED BY Ready for Inspection DATEISSUED
OWNER L La_�
MAIL n INDUSTRIAL
A'L 3 /f WASTE AP OVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER ✓
ADDRESS
CITY /juV/ TEL NO.-
❑STATE
LICENSE N0. ❑COUNT\' J
PERMIT FEES a
z
NUMBER TYPE OF FIXTURE OR ITEM FEE ue
WATER CLOSET(TOILET) @ 0.80 i Ft
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.00
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 @ O.BD
URINAL - @ 0.80
GAS SYSTEM.-----.----..OUTLETS @ 1.00
WATER HEATER @ 1.00
M ISCELLANEOU
� APPROVALS
OO DATE INSPECTOWSSIGNATURE
UNDER SLAB WORK
PERMIT S 1 00 ROUGH PLUMBING
TOTAL FEE42 pp GAS PIPING
1HEREBY ACKNOWLEDGE THAT I 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 LEGAL OWN.
ER OF THE ABOVE DESCRIBED RESIDENTIAI, PROPER T UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE.....,...V�'1.:.1 ........_L........._......_... ..._. -
FINAL
76A667 DBS 17 1/53 V
D.D.S.-17 25M SETS 6-46 APPLICATION FOR.PERMIT
DEPARTMENT OF�BUII.DING AND SAFETY ' �� �'
COUNTY OF.'.LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP - ZO E PERMIT-NO.
ROUGH FIXTURES COMPLETE . � �� 7
'HEATER - CESSPOOL I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
GASMISCELLANEOUS { FIRST INSPECTION
/ APPLICANT
FILL IN HEAVILY OUTLINE�JD XOI RTIO/NONLY
NAME
E NAME �/ 1 % ✓/,/ _i-/Yl J 'M//i/✓yy/.. ���� ADDRESS
q ADDRESS75 % ?%7 —,TEL.
.�/.D:I�I - LOCALITY
NEAREST
y CITY.�' /� /,An l EL.No. / CROSS ST. /1
COUNTY
CERT.No. EXPIRES 11 W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 ADDRESMAIL �
S ..(
NORq///1yY�if LAY V�/t
TH 0 CITY 'rbd�Nl LliLr i TEL.NO.
' 1 AM THE LEGAL POSSESSOR OF THE ABOVE LO
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 ym
OWNER
CORRECTIONS
SOUTH '
J
DESCRIPTION OF WORK i
BATHTUB FURNACE E9
SHOWER DISHWASHER ❑
LAVATORY -r REFRIGERATOR
KITCHEN SINK WATER SOFTENER _
FLOOR BINK BAND TRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS "P
WATER CLOSET DRINKING FOUNTAIN '
DATE INSPECTOR'S NAME.
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER -GAB RODAFOUNTAIN GAB PIPING II
OUTL
GAS VENT I I
CESSPOOL
� TOTAL NUMBER OF FIXTURES , SEPTIC TANK I I
j C SSPOOI REPTICTANK � SEWER
S UTILITY CO.NOTIFIED I I
TOTAL FEE
FINAL
I
76A667-CE8I7 6-60
C>L f
APPLICATION OR PLUMBI `G PERMIT
DEPARTMENT OF LOS ANGELES
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS El eA
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY ,
FOR APPLICANT TO FILL INNEAREST ]COUNTY
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNRWATER CLOSET MAIL !�ADDRESS I 4 BATH TUB CITY eTEL. NO.
SHOWER LAVATORY- CONTRACTORSINK ADISHWASHER CITY TEL. NO.6tt61CONTRACTOR'S LAUNDRY TUB REGISTRATION NO.
CLOTHES WASHER DISTRICTNO: I GROUP ZON/E. /SPR SSED BY
WATER HEATER !D 5, I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Y
r NC U
O7 O
H
V
W .
a
w '
®
OR 0 P AE $ I I
III '/ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE 1 ROUGH PLUMBING
GAS PIPING J
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND .STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 REQUIREDABY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFOflN'A OR THAT THE LEGAL OWNER F THE ABOVE �-
DESCRIBED RESIDENT RO RTY. UTILITY CO.NOTIFIED
SIGNATURE �C�J
OF PERMITTEF � FINAL
®P ' VALIDATION ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG-ft
Y':t 0 7 3 3 JUL 2'8 5 0 3 .0 0 M .