HomeMy Public PortalAbout9167, 9167 1/2 LAS TUNAS DR_Plumbing__ ADPL
76A667�Des,7 „ so - 'KATION FOR PERMIT
DEPARTMENT OF`BUILDING,,.AND, SAFETY !��;
COUNTY,OF LOS ANGELES P'Lt.11 1111�B��N G i"
WI,LL'1AMtJ.,_FO)k"-I¢F
DISTR < P PERMIT
F R APP'=ICANT TO FILL IN y /
PLUMBER R READY FOR
DATE ISSUED
HIVED BY
FIRST INSPECTION r
ADDRESS
CITY _ TEL No. ADDRESSqzA
r
COUNTY / !, LOCALITY
.LICENSE-NO. '�W � EXPIRES / -
NEAREST
PERMITFEES cRDsa ST. OL
NUMBER i TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER,CLOBET(TOILET) @ 0.50 111 ADDRESS
BATH TUB - @ O.So 1 CITY TEL. NO.
SHOWER @ 0.50 I� 1 HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS
LAVATCRY (WASH BASIN) @ 0.50 D APPLICATION AND STATE THAT THE ABOVE IS CORRECT .
AND'AOREE TO:.COMPLY WITH ALL COUNTY ORDINANCES
'KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY, M THAT I POSSESS THE 'ABOVE VALID LOS
ME .
LAUDRY TUB, OR TRAY @ 0.50 (� ANGLES`-;:COUD,ENTY LICENSE, OR I ATHE . EGAL OWNER
,,\\ OF THE"REBINTIAL PROPERTY DESCRI OVE.
GAS SYST.EM�OUTLETS @ 0.50 V
SIGNATURE OF,
'WATER HEATER @ D.50 P¢RMITTE '-
. :BLOP'SI`NK @ o.so (INSPECTION RECORD
FLOOR SINK @ 0.SO
FLOOR-DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ O.SO
URINAL - @ 0.50
HOUSE SEWER @ 0.513 ./. �a ( Q �L 6- Z
MISCELLANEOUS
Bid 2. Z►t �T , 6' 1] A�
c _P-rAw Z CAP.D
0-- SRO—Y /i f,kgiA f
ryDATE INSSPECTORIS NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @.. 1.00 SEWER
PERMIT. I 1.00 OAS TEST �/ /�l✓ ` �� /7Y`H
5 UTILITY CO.NOTIFIED
TOTAL FEE IQ
FINAL
D.S.S.17 25M SETS 10-47 APPLICATION FOR PEnff
DEPARTMENT OF BUILDING AND SAFETY ��� '
COUNTY OF LOS ANGELES
Wm.J. FOX. CHIEF ENGINEER
NATURE O INSTALLATION!NSTALLATION DISTRICT ov u O PERMIT o.
ROUGH FIXTURES COMPLETE F 1 ?-- 2-3
HEATER CESSPOOL H SEPTIC TANK RECEIVED,13Y READY POR DATB ISSUED
�y � PIRST INSPECTION ��� � 1,��
AS MISC LLANEOUS / `�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
S NAME ADDRESS 4,4
1�-?*/ If
W
m ADDRESS 4 LOCALITY
NEAREST
CITY TEL.N..A-, ,>GS CR
ST. /
6
COUNTY 01
CERT.No. EXPIRES i 4 E NAME
LOCATION OF SEPTIC TANK, OR, SW6d
3 MAIL
ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THU ABOVE LOS
ANGELES COUNTY CERTIFIC OF QUALIFICATION.
" PLUNDER
I AM THE LEGAL OWNER OF THU PROPERTY DESCRIBED
ABOVE.
D
OWNER
CORRECTIONS
SOUTH J
Q
DESCRIPTION OF WORK Z
BATH TUB FURNACE
ROWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK' SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
—WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METE GAS __SODA FOUNTAIN
OUTL GAS PIPING I
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURESF_ SEPTIC TANK I
CESSPOOL__SSEPTIC TANKSEWE57R i
$ UTILITY CO.NOTIFIED
TOTAL FEE /
FINAL