HomeMy Public PortalAbout6449 LOMA AVE_Plumbing__ 76A667 DBB 17 li-6O APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
NE ERMIT NO
FOR APPLICANT TO FILL IN DIST O. P O'/ /�/���
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PLUMBER .-�4 '� -is /e /i �� RE EIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
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ADDRESS �v o �� ..y�. A +w-�I� ,�.!.. , yy/p� -
BOLDING
�yJ A sA C ADDRESS
CITY t�f(�,.__ _1�<-.�;8 `:V.�1� TEL.No. �
COUNTY d' LOCALITY R79... i J�jt/S..>`.
LICENSE NO. S EXPIRES
NEAREST
PERMIT FEES eRoss ST. 7
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ' ' ��/ ',• •- ��'��1.�._
MAIL v
WATER CLOSET(TOILET) @ 0.50 ADDRESS
BATH TUB @ 0.50 CITY _— TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THELEGAL OWNER
OAS SYSTEM OUTLETS @ 0.50 OF THE RESIDENTIALIJBIRPIPERTY DESSCCRRII,BBE,D� ABpVIE.
SIGNATURE OF
WATER HEATER @ .0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0+50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 S� _Z
MISCELLANEOUS 13
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER ..
PERMIT I 1.001GAS TEST
r UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
a �
D.R.S.47-25M SETS 12-45 A APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 6 � ®
COUNTY OF`LOS ANGELES \� �V
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
_ ��3 1
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I SEPTIC TANK RECEIVED BY READY FOR DATEISSUED
i > FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEARTILY OUTLINEDPORTIONONLY
JOB
m NAME GES funK,Wig. ADDRESS
m ADDRESS 1010 E. GARVEY LOCALITY
D L MONTE, CALIF, NEAREST
All-
.J y r
CITY TEL.No. CROSS ST. c� c
COUNTY '/
CERT.No. 7� 40 EXPIRES E NAME C
LOCATION OF SEPTIC TANK, OR CESSPOOL Z 3 DMAIL
ADRESS PAO. AkD
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIF C T ON.
A /rY/
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
I OWNER
-i
CORRECTIONS
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VR
a
SOUTH 'a
d
DESCRIPTION OF WORK z
BATH TUB FURNACE Q!
0
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
_SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INBPECTOR'B NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN I
OUTL GAS PIPING I ^i. �': I: I`�>f✓�✓y
1
GAS VENT
CESSPOOL I II
TOTAL NUMBER OF FIXTURES a SEPTIC TANK I I
CESSPOOL8EPTIC TANK SEWER I I A
UTILITY CO.NOTIFIED I II�q J`�
TOTAL FEE FINAL �� 1 �JN✓�