HomeMy Public PortalAbout5749 LOMA AVE_Plumbing__ D.B.IIs-4I 23M - APPLICATION FOR PERMIT
DEPARTMENT OF BUILIDING AND SAFETY
COUNTY OF LOS ANGELES'
WM. J. FOX, CHIEF ENGINEER jrLUMBINU
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH
PLUMBING FIXTURES _COMPLETE
RE IVSD Y READY FOR DATE ISSUED
HEATER' CESSPOOL SEPTIC TANK FIRSTINSPECTION
...
GAS `MISCELLANEOUS~
APPLICANT FILL IN-HEAVILY OUTLINED PORTION ONLY.JOB /
NAME _ -�1..'.i^ �:"!� /� �`Yfr �:�1 ADDRESS '6
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ADDRESS f to 1�,_ U *�"_'"�~' - LOCALITYNEARE
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Cy1TY ;•.. - r. t�- �_.Y' TEL. No.. ��t9✓! CROSSSST. ,d£-
CE X No: e't x+14! �,;,) EXPIRES NAME
LOCATIOON OF SEPTIC TANK, OR.CESSPOOL 3 Aoo Es
NORTH - 0 -
CITY TEL.No.
I AM THE LEGAL POSSE�190111OF THE ABOVE .LOS
- ;ANGELES COUNTY CERTIFICATE FJ^�QUALIFICATION. _
/PLUMBER
I AM.THE LEGAL OWNERR'OFTHE PROPERTY DESCRIBED -
ABOVE.
W - <�
'-.. OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF W,ORKf z
BATH,TUB - ,FURNACE _
SHOWER DISHWASHER
LAVATORY REFRIGERATOR-
KITCHEN SINKWATER SOFTENER
V 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 I.
METER - GAS SODA FOUNTAIN GAS PIPING
OUTL
- GAS VENT Q6
CESSPOOL ".b`d-
TOTAL" NUMBER OF FIXTURES SEPTIC TANK '
T/ SEWER
-_LCESSPOOL SEPTIC.TANK
UTILITY CO. NOTIFIED _ - --
TOTAL FEE FINAL
D.B.17 8-41 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND;SAFETY PLUMBING
�� �� -
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.,.
ROUGH ��
PLUMBING FIXTURES COMPLETE
REIVED B)�_— READY FOR DATE ISSUED
FIRST INSPECTION.
HEATER CESSPOOL SEPTIC TANK
GAS MISCELLANEOUS 6
A:PPLYCANT FILL, IN HEAVILY OUTLINED PORTION OT5LY
NAME -I'vi,;,`..•�cJ.�, JOB
ADDRESS
1 .,
m ADDRESS �1 ao 4.(3 D � LOCALITY
IL Q 7 P.i r—! 1 ! .� ,� NEAREST v'Z� /
IL ctTY ��✓�ii P ( TEL.NO./t ��JJ 4jt{L�• ( CROSS ST.
CO
CN-My.: 1' or lfi ff, /y
9- �i� EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 3
AMAIL
DDRESS
NORTH 0
CITY TEL.No. -_
IAM THE LEGAL POSSESSOR /OF THE' ABOVE LOS
ANGELES COUNTY CERTI'FICAT'E OF f.1 UALIFICATION.
n
((((((//////"� .PLUMBER
1 AM THE LEGAL OWNER(F THE PROPERTY DESCRIBED
ABOVE. •
N
F..
[� °•
W
3 m OWNER
1
CORRECTIONS
Ap
SOUTH ,J
DESCRIPTION OF WORK _ Z
BATH TUB FURNACE
SHOWER DISHWASHER O
d LAVATORY REFRIGERATOR ,
KITCHEN SINK _ WATER SOFTENER
FLOOR SINK SANb TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
—WATER CLOSET DRINKING FOUNTAIN /DATE INSPECTOR'S NAME
WATER HEATER _ DENTAL LAVATORY ROUGH PLUMBING f �L��! —•--
METER GASSODA FOUNTAIN GAS,PIPING
OUTL
GAS VENT
-•�} CESSPOOL I '
+ TOTAL NUMBER OF FIXTURES SEPTIC TANK
SEWER
CESSPOOI SEPTIC TANK -
I UTILITY CO. NOTIFIED
TOTAL FEE I FINAL
CE 8'17(REV.6/78) '
APPLICATION FOR PLUMBING PERMIT
COUNTY•OF LOS ANGELES, BUILDING AND SAFETY
FOR APPLICANT TO FILLIN(PRINT OR TYPE 7 ILD NG
ADDRESS �77 YC�• l�P � /T7
NUMBER FIXTURE OR ITEM' @ FEE
LOCALITY
WATER CLOSET NEAREST
CROSS ST. Lis z cxjxs / OFE.�1b/9l�,
BATH TUB �
SHOWER OWNER LC1e./e
LAVATORY MAIL ,n
ADDRESS ��/✓,�
SINK- CITY A � TEL.N0.��,��
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY 1f EL.NO.
LAWN SPRINKLER SYSTEM. ,TATE ^ LIC. , /J
WATER HEATER LICENSE NO /J CLASS C
APPROVALS DATE INSPECTOR'S SIGNATURE
GAS SYSTEM. OUTLETS.
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT u
09
HOT WATER HEATER
- pe.
PLUMBING FIXTURES (�
GAS TEST w
Plan check fee. UTILITY CO.NOTIFIED _g
PLUMBING PERMIT ISSUING FEE$ 1
TOTAL FEE FINAL J9 v6d_4Z
i s
Plon check appli//c��ant PLAN CHECK VALIDATION "
Name. l C
Address
City Tel.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE /0,
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR.THAT I AM THE_LEGAL OWNER OF.AND INTEND TO RESIDE.IMTHE ABOVE DESCRIBED RES/III,CNTIALPROPERTY.SIGNATURE � � (� O O OOF PERM ITTEE 011 O DISTRICT NO. ESS BY Qrr °o ~o n�. p
.o a o cn n
INDUSTRIAL TL'
WASTE APPROVAL: e "