HomeMy Public PortalAbout9618 LEMON AVE_Plumbing__ D.B.S.17 25M SETS 12.44 - - - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING-AND SAFETY •
COUNTY OF LOS ANGELES I �L� �' �'
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP JZ/�O{{NE PERM NO.
"''
ROUGH FIXTURES COMPLETE
READY FOR
HEATER CESSPOOL I I SEPTIC TANK RECEIVEEEDDD,,,BY DATE ISSUED
f B; P CTION 19 �r
GAS MISCELLANEOUS low
APPLICANT FILL IN HEAVILY OUTLINED PORTION PNLY -
JOB !
K NAME ADDRESS
W f jj
m ADDRESS - � ht.S +� LOCALI
D
NEAREST
-
A CITY 1 0. �/✓ CROSS ST.
COUNTY
CERT.No. E REB - K NAME -
LOCATION OF SEPTIC TANK, OR CESSPOOI;l, Z MAIL
_ NORTH O ADDRI,S �_�me,;,
- CITY TEL.No.
I I AM TJJJr333 LEGAL PO ESSOR OF THE ABOVE LOS
ANGELES 7bU TSF CERTIFI TE OF;QUALIFICATION.
/J /�� _
PLUMBER
• _ • i AM THE LEGAL O�ER OF-THE PROPERTY DESCRIBED`
ABOVE.
3 ' OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK :z
BATH TUB FURNACE
—SHOWER '. DISHWASHER - - O
LAVATORY REFRIGERATOR 4 '
KITCHEN SINK WATER SOFTENER
FLOOR SINK QAND TRAP
LOP SINK FLOOR DRAIN '
—WASH—TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAINS DATE INSPECTOR'S NAME
WATER HEATER - DENTAL LAVATORY ROUGH PLUMBING'
METER GAS -----SODA FOUNTAIN � I -
OUTL GAS PIPING, _
GAS VENT-••
CESSPOOL-
TOTAL NUMBER OF FILEPTICTANK
ES SEPTIC TANK I I Y Y
CESSPOOL- _+= SEWER I I -
TOTAL FEE 8 UTILITY COi NOTIFIED
I FINAL
7BA-17 APPLICATION FOR PLUMBING PERMIT
DBS-17
OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles - BUILDING �% -
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING _
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL
ADDRES
INDUSTRIAL
CITY TEL- N 4�4WASTE APPROVAL
PLUMBER CGI/' INSPECTION RECORD
ADDRESS z
CIT TEL N 2
LICEN N
NUMBER TYPE OF FIXTURE OR ITEM FEE
r
WATER CLOSET (TOILET) @ $1.00 $ /C�/V 7r A'o
BATH TUB @ $1.00 UJf
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00 /I�J� Cn�,�d'l �r?1e
DISHWASHER @ $1.00 _ J
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $100
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT ITH EGAL OWNER OF T ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL OP irTy.
SIGNATURE S '
OF PERMITTEE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. M 0. ASH
3 3 2 4 -OCT 1 5 3 2.0 0 8
DBS-17 25M SETS 12-45 i APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ��� ��
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
ONEG
L�. A - 2-t4- -7 8 j
ROUGH FIXTURES COMPLETE ✓� /
HEATER CESSPOOL I
-I SEPTIC TANK RECEI11 ED�BY READY FOR DATE ISSUED
FIRSSTT 1^NSPECTION �
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
K NAME �y/�!A/d ���/� d ADDRESS
D ADDRESS9 33 �,/,$ .�,Q`.®/ LOCALITY /9.'vc v a/ie
m NEAREST c
CITY �/4/ql �fj/,9/p/�� TEL.No A�"I�6�A CROSS ST.' T
IL
.J _ L'
S CERT No. B 7 EXPIRES Claoly7 W NAME A S
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 0 ® S
ADDRESS °('LL.
NORTH O
CITY 1"e(fA,0/19 TEL No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
• ANGELES COUNTY CERTIFI TE OF QUALIFICATION
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
3 d OWNER
CORRECTIONS
0
SOUTH
' a
DESCRIPTION OF WORK yq�
-BATHTUB 2 FURNACE (,y
►r
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK RAND TRAP
SLOP SINK - FLOOR DRAIN -
WASH TRAY URINAL APPROVALS
DWATER CLOSET DRINKING FOUNTAIN DATE -INSPECTOR'S NAME
y WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
a 11
METER_65 GAS +;ODA FOUNTAIN GAS-PIPING (I d � x I '"1l'I VA
OUTL
GAS VENT
CESSPOOL
-TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOT SEPTIC TANK SEWER
TOTAL FEE I J
I S UTILITY CO.NOTIFIED
��� ;,-;,- !'Q
���� FINAL 7 I .CiC..CJ
D.B'S.17 28M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING ,WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALL TION DISTRyIICCTT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE T
HEATER CESSPOOL I SEPTIC TANK RECEIYW BY READY FOR DATE SSUED
FIRST'pi3 CTION ),
GAS MISCELLANEOUS �.�,L
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB Z
K NAME _ ADDRESS
W � -
t0 , i� Old
ADDRE I LOCALITY
y3 NEAREST 17
CITI' TEL No V"Al l --CROSS ST.
COUNTY 1 ai
CERT.No131
. sr EXPIRE NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL- z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE .ABOVE LOB
I ANGELES COUNTY CERTIFICAT OF ALIFICATION.
1
{ - PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
_ ppqq -ABOVE.
3 - OWNER
CORRECTIONS J
SOUTH
►a •
DESCRIPTION OF WORK ,
BATH TUB FURNACE G5
} Q�+
— SHOWER DISHWASHER
YATORY REFRIGERATOR'
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN '
WASH TRAY URINAL APPROVALS
WATER CLOSET - DRINKING FOUNTAIN uv <
DATE
��'�l it C IN9PHCTO�R-9l,'4NXAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
�METER�GAB SODA FOUNTAIN GAS PIPING-- I /
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES DO -
SEPTIC TANK'- _
CESSPOOL- SEPTIC TANK SEWER
S UTILITY CO.NOTIFIED
I TOTAL FEE I FINAL