HomeMy Public PortalAbout9020 LONGDEN AVE_Plumbing__ U.B.17 OM BETS 9-43 APPLICATION FOR PERMIT
DEPARTMENT OFLAND SAFETY ��������
COUNTY OFF LOS OS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GR
OUP ZONE //,, PERMIT NO.
ROUGH FIXTURES COMPLETE "�"� /
HEATER CESSPOOL I—I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
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GAS MISCELLANEOUS V I cL �'•'
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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3 ADDRESS /O i A'L 'v-c ID
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IAM TH LEGAL PO SfiSSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIF GATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNEROF THE PROPERTY.D(EES,gCCRIYED
ABOVE. fMLA442 .aN"
CORRECTIONS
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v - DESCRIPTION OF WORK Z
^BATH TUB FURNACE D
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SHOWER DISHWASHER Q
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KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
�• WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE I'NSPECTOR'S NAME
WATER HEATER - DENTAL LAVATORY ROUGH PLUMBING
METERA—GAB SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I _
mmmmi CESSPOOL p'71'f4o
TOTAL NUMBER OF FIXTURES �® SEPTIC TANK I '
_CESSPOOL SEPTIC TANK , SEWER
{ ® UTILITY CO.NOTIFIED &
I -7.7-
I TOTAL FEE l'
FINAL
D.S. 77 25M SETS 12-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ; PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX.CHIEF ENGINEER j
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE /d�PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I SEPTIC TANK REOEIVEDfBY READY FOR DATE ISSUED
p.- i � &j FIRS gNSPECTION r
A9 MISCELLANEOUS /�� 6RJ
APPLICAN,T FILL IN HEAVILY OUTLINED PORTION_ ONLY
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a, NAME A Com/, . �� DDREBB CO � IJ1.% 1•.i..��' /-r�svr
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ADDRESA / LOCALITY
NEAREST
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COUNTY ®
CERT.NO. / EXPIRES
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS s1
NORTH O ¢�+
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICfAATT�E('OF
QUALIFICATION-y
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
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3 (/I OWNER
'1 CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Z
_z
BATH TUB FURNACE 5
Q'
4HOWER DISHWASHER Q
_LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTORS NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS ODA FOUNTAIN GAS PIPING I I
OUTL
GAS VENT
CESSPOOL G r
TOTAL NUMBER OF FIXTURES SEPTIC TANK I i
CESSPOOLI EPTIC TANK SEWER
$ UTILITY CO.NOTIFIED
TOTAL FEEFINAL
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TEMPLE CITY `
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APPLICATION FOR PLUMB INGePERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AN��,S FETY. IVISION 7�ADDRESS
JOHN A. LAM I OUNTY NGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING .?F
FOR APPLICANT TO FILL IN .
NUMBER FIXTURE OR ITEM
WATER CLOSET MAIL
ADDRESS O ��
BATH TUB r
CITY . NO
SHOWER
LAVATORY CONTRA OR !r
Y�
SINS ADDRESS
DISHWASHEB
CITY T TEL. NO. '( (
CO TRA OR'S J 7 STATE
LAUNDRY TUB REGIS • TION NO. /d�/ COUNTY ❑
CLOTHES WASHER DIS TRICT N(O.. GROUP ZONE CESSED BY
WATER HEATER Q�T LS
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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$1.00 PER ITEM
OR rIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 1 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT ,� 0
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES P
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y{S TEST
CALIFORNIA OR iHAi 1 M TH LEGAL ER T ABOVE
DESCRIBED RESIDENTIAL ROP 1 UTILITY CO NOTIFIED
SIGNATURE ( l
OF PERMITTE FINAL
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VALIDATION---, ROBERT A. WOOD,
Cs. M.0. CASH SUPERVISING MECHANICAL ENG'R
Lt107 02 51-8 12 5 D 3 .00