HomeMy Public PortalAbout9082, 9082 1/2 LAS TUNAS DR_Plumbing__ 70AC57 A(C E8 17A) - 8/78 -
APPLICATION R PLU ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS•PAYABLE TO, BUILDING ��
ADDRESS
HARVEY T.BRANDT, COUNTY ENGINEER LOCALIT
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER' FIXTURE OR ITEM @ FEE CROSS ST.
OWN
WATER CLOSET
MAIL
'BATH TUB ADDRESS Sz:v .Zak
SHOWER' CITY TEL NO
LAVATORY CONTRACT
,f ,
SINK U ADDRESS
DISHWASHER y
CLOTHES WASHER STATE LIC �O
LICE E NO CLASS Cr fO
SWIMMING POOL RECEPTOR
DIST NO GPQJ.1P ZONE P CESSE BY
LAWN SPRINKLER SYSTEM
WATER HEATER INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETSd
INSPECTION RECORD
OUTLETS OVER 0
5 PER SYSTEM V
O
F
V
W
CL
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
' APPROVALS DATE INSPECTOR S SIGNATURE ,
Plan Check applicant UNDER SLAB WORK
.Name ROUGH PLUMBING
Address GAS PIPING
City Tel,NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY •PLUMBING FIXTURES '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING` GAS TEST
PLUMBING
I HEREBY CERTIFY ,THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT,I AM THE LEGAL OWNER OF, ND INT 0 l7
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL RTY.
FINAL
SI G N A TU RE
OF PERMITTE '
PERMIT VALIDATION cK M.O CASH
PLAN CHECK VALIDATION, CK M.0 CASH �;•_
A f _ 4.5 9rntts 1'0.5'0 A&
Y / Q ✓�
• S.,17.25M SETS 12.44 ' APPLICATION' FOR,PERMIT
DEPARTMENT OF BUILDING AND SAFWff .
COUNTY OF.LOS=,ANGELES �L�
WM. J. FOX, CHIEF'ENGINEER I
NATURE OF,INSTALLATION- DISTRICT NO. GROUP ZONE:, PERMIT NO.
71
ROUGH FIXTURES• COMPLETE'
HEATER CESSPOOL -- I*SEPTIC
TANK' EC61VED BY- READY FOR DATH ISSUED
�,.�,�y•�a�� FIRST INSPECTION
GAS ' MISCELLANEOUS
APPLICANT FILL IN.HEAVILY OUTLINED_PORTION ONLY
�f' .- JOB '
K NAME .�pti �'fAt, ♦An.►� .ADDRESS °6� .�f •
B ADDR S � (/ ' ,a�Alf l �wr?r •LOCALITY
E
7r �} �xf NEAREST
•,L -CITY _ �/.12�.r Y"'°w T,EL.No. CROSS ST. °
z -COUNTY' ��1
,'CERT.'NO. - - '�'. ,w °' �EXPIRES NAME• Yom♦ :� �11 ,a:,�'
LOCATION OF`SEPTIC TANK, OR CESSPOOL 3 MAIL
_ - An
•-. ,n
' ;NORTH 0
CITY
r - I AM -THE LEGAL.POSSESSOR OF THE ABOVE LOS
'ANGELES COUNTY CERTIFICATE OF QUALIFICATION. �
_ - . t� l� - , .. _• L `- PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY,DESCRIBED
's _ P h��wf�' ..''. .a _ , `1• °ABOVE.'
_ tet• - _'� '� �Ir(- _ •I. '�,��`.f� - .. • OWNER
:CORRECTIONS"
SOUTH'i 6 �i
DESCRIPTION"OF.WORK _
*ATH TUB, FURNACE * y l ~
SHOWER ' 'DISHWASHER
VATORY. -REFRIGERATOR 2
ITCHEN SINK. - WATER SOFTENER - !.
1 ~'FLOOR SINK Y pANDTRAP
LOP SINK - • FLOOR DRAIN Cf
WASH TRAY i ' - URINAL ' - - -APPROVALS _ •-
WATER•6LO8ET' a ^RINKING FOUNTAIN
•¢° s - _ t DATE INSPECTOR'S NAME'-'
WATER HEATER• r DENTAL LAVATORY - I, - ti�•v'"-
_ ROUGH PLUMBING
SODA FOUNTAIN
-- _ `' ,• OUTLk GAS PIPING _
�,i v �ti. • - Y CESSPOOL
•TOTAL NUMBER OF FIXTURES SEPTIC TANK',', - I• '�'�'" 'f y'`I r - ' --- _
- - � - CESSPOOL-� SEPTfCTANK� „SEWER - �- '•��- '� ./� -
x TOTAL FEE r UTILITY CO.NOTIFIEDI
D.B.B.17 25M SETS 12.44 APPLICATION FOR PERMIT \
DEPARTMENT OF BUILDING AND-SAFRTY
COUNTY OF LOS-ANGELES pL��B'�� '
WM. J,. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRI NO. GROUP ZONE PERMIT•NO.
ROUGH FIXTURES COMPLETE
HEATER _ CESSPOOL -I SEPTIC TANK RECEI{� BY READY FOR DATE ISSUED r
F1R INSP TION
GAS :MISCELLANEOUS+ L ^ •
APPLICANT FILL M HEAVILY OUTLINED PORTION O n Y
i JOBowl
'
� NAME Y ADDRE88 71�/f/fi��V
m ADDRESS SAP ft LOCALITY
NEAREST '
J CITY TEL.N �/ CROSS ST.
d _
COUNTY
CERT.NOS BXPIRHS / 6' NAME
LOCATION-OF'SEPTICTANK, OWCESSPOOL Z MAIL `
3 ADDRESS
NORTH > O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THB ABOVB att08.
ANGELES COUNTY CER ICATE OF QUALIFICATION. s
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIS[D,
ABOVE.
OWNER 1
CORRECTIONS f
` } y -•!_If,IV
SOUTH 1 ! a
DESCRIPTION OF WORK
v
—BATH TUB FURNACE a
O
ROWER DISHWASHER
VATORY REFRIGERATOR
—KITCHEN SINK WATER SOFTENER
IMLOOR SINK* 'NAND TRAP
+SFLOOR
LOP SINK F OOR DRAIN � T
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE( INfP[CTOR'e NAME
V '
WATER HEATER --S ENTAL LAVATORY
- r• ROUGH.,PLUMBING
METER_.2—GAB "_.SODA FOUNTAIN
OUTL 8A8 PIPING I.�/ � //�• `�
GAS'VENT-
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK y
CESSPOOI__SSEPTIC TANK �+ SEWER- ,
UTILITY CO.NOTIFIED' nom' os
TOTAL FEE6
I 1 FINAL ,l7' 1 /, .Jr L.