HomeMy Public PortalAbout8825 1/2 LAS TUNAS DR_Plumbing__ D.B.S.-17 '511 SETS 12-45 APPLICATION FOR PERMIT'
DEPARTMENT OF BUILDING AND SAFETY cm
COUNTY- OF LOS ANGELES . PLUMB ImG I
WM. J. FOX, CHIEF ENGINEER •,j
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ..
ROUGH FIXTURES COMPLETE moi— l ` + r
` HEATER }_ CESSPOOL (—I SEPTIC TANK RECEIVED.BY READY FOR DATEISSUED -
�q I FIRST INSPECTION _
GAS MISCELLANEOUS •��'�'�– -� ,^V ��,
APPLICANT-FILL
I/N® HEAVILY OUTLINED PORTION ONLY '
C- NAME //IGP�A�fiA�)O.11///Y6� ADDRESS/Y` '7// '_.I�y,��A/a'J �' /lN�.i//+✓.h
ADDRESS '� //� �//f V[/ ,C _ LOCALITY !_�...esf...,I��'�,I✓/ ./
J. / NEAREST J i
y. CITY J,/N� J'.I,.f1 TEL.No. _ CROSSST +u[//] /+�{ill ^ ~
CERT.No. F • EXPIRES I NAME ld1J (Allo l :d"A JJ
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL / Y :—
ADDRESS
NORTH O
CITY TEL. NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS'
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
61-641 1,
� �LUME[R
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
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B - owNEB
HSEEMS
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK '
BATH TUB FURNACE [h
6
SHOWER DISHWASHER C)
LAVATORY REFRIGERATOR '
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY .ROUGH PLUMBING
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I
CESSPOOL �� I
TOTAL NUMBER OF FIXTURES ``� . SEPTIC TANK I
/ CESSPOOL— SEPTIC TANK , V (J SEWER
R
UTILITY 60. NOTIFIED
TOTAL FEE
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76Ae67 DBR 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 2
COUNTY F LOS ANGELES
WILLIAM J.. FDX, CHIEi ENGINEER
FOR APPLICANT TO FILL IN DISTRG 3 S
READY fOR
PLUMBERM. G. ° 0 Rp,1/IV��[[��pp��BY DATE,IpU[y
7,Tjy FI RST INSPECTION
ADDRESS 5933 N. CLOVERLY AVE. '�'/
TEMPLE CITY, CALIF. BUILDING +-
CITYT[L No. ADDRESS
COUNTY
LICENSE NO. J f EXPIRES' - LOCALITY
NEAREST
PERMIT FEES CROSS ST.
.U.NER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) Q 0.50 a ADDRESS
BATH TUB Q 0.50 CITY TEL No.
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH SABIN) ® 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK ® O.SO AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS ® O.SO SIGNATURE OF
Q
WATER HEATER 0.50 PERMITTE
SLOP BINK Q 0.50 INSPECTION RECORD
FLOOR SINK Q O.SO
FLOOR DRAIN Q 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN Q 0.50
W
URINAL Q 0.50 L)
HOUSE SEWER Q 0.50 U
MISCELLANEOUS J
0
7
O
E
APPROVALS
DATE INEPEOTOR'R NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 ESEWER
PERMIT 1.00 GAB TEST
- - UTILITY CO. NOTIFIED
TOTAL FEE >p . -
FINAL