HomeMy Public PortalAbout9133 LONGDEN AVE_Plumbing__ D.B.B.17 25M BETE 1-48 •�t*w-
DEPARTMENT.OF BUILDING AND SAFETY APPLICATION
FOR
PERMIT
COUNTY OF LOS ANGELES �`� �� �
WM.J.FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT o f !—PEWMIT No.
ROUGH RIXTUREB I�COMPLETE 5 �o
HEATER __CESSPOOL_ SEPTIC TANK Rlmcfffwb BY FIRST ON READY FOR DATE ISSUED
1NBPEC n
AB ISC LAN UB .
APPLICANT Tj��/F`ILL`IN gLY OUTLINED PORTION ONLY '
0• NAME
C. 1l�OT d Alr GRAN coE "E■ ADDRESS
JOB
W y �-
ADDRESS 123 .No. ClOyi-rhTY
7�,( a Ave. LOCALI
- NEAREST.
7�
CITY TEMPLE�� �ITVEL;hco• CROSS ST. �� Q
COUNTY
CERT.No. EXPIRES m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL a MAIL
NORTH O ADDRESS
CITY TEL.No'.
I AM THE LEGAL POSSESSOR OF`THE ABOVE LOB
ANGELES COUCERTFI mA(L{Ri ON.
t_
PLUM=
�THELEGAL OWNER OF THE PROPERTY DESCRIBED
A E
OWNER
CORRECTIONS
SOUTH _ J
DESCRIPTION OF WORK z
ATH TUB FURNACE
R'
ROWER DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR BINK SAND TRAP
.SLOP SINK FLOOR DRAIN
LWAH TRAY URINAL APPROVALS
ER CLOSET DRINKING FOUNTAIN
DATE- INBPECT0R'9 NAME
ER HEATER DENTAL LAVATORY ROUGH PLUMBING I
ER OUTL SODA FOUNTAIN GAS PIPING I I I(
GAS VENT I
CESSPOOL �� .► /
L NUMBER OF FIXTURES :SEPTIC TANK ( '
POO SEPTIC TANK ) V SEWERUTILITY CO.NOTIFIEDE
FINAL
78A887-CEN
817 4-64 + L ,
1
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOrS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUII RD AND SAFETY DIVISION BUILDING 3.� -
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST...
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 NAM
BATH TUB 1,2 ADDRESS
SHOWER 1.25 CITY .N04;K
LAVATORY 1.25 CONTRAC OR
SINK 1,?5 ADDRESS
DISHWASHER 1.25 CITY TEL.NO.
LAUNDRY TUB 1.25
CONTRACTOR'S
NO. COUNTY STATE STATE p
CLOTHES WASHER 1.25 DISTRIOr NO. GROUP ZONE P,OE�SSED BY
WATER HEATER 1.50 J ���(��
GAS SYSTEM OUTLETS 0
1.SO WII�ASTB�AP INDUSTRIAL.
06
O
OUTLETS OVER 5 PER SYSTEM .90 INSECT N RECORD V
W
- D-
N
. Z
a _ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2' 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS'VEIVNT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER✓
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUq?ED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER.OF AND INTEND TO .�
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE - FINAL
GWALIDATION
ROBERT A. WOOD
M.0. CASH SUPERVISING'MECHANICAL ENG'R
LrILo
1042-2>0 1029 5 D
761.667-CE#617 6-65
APPLICATION FOR PLUM PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
q113 I-P164-
COLEMAN W. JENKINS. SUP'T. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST T. l
NUMBER FIXTURE OR ITEM EACH FEE
WNER
WATER CLOSET $1.25 MAIL
BATH TUB 1:25 ADDRESS
SHOWER 1.25 CITY �" , TEL. NO.
r
LAVATORY 1.25 CONTRACTORAlf 0-0
SINS 1.25 ADD
DISHWASHER1.25 CI ' TEL. NO.
STATE �.LIC /� 9
LAUNDRY TUB 1.25 LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE
WATER HEATER 1.50
GAS SYSTEM-OUTLETS- 1.50 INDUSTRI a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
0
V
W
d
Z
APPROVALS DATE I E R's SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK -/
ROUGH PLUMBING
TOTAL FEE1 42100GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED 1 ENTIAL PROPERTY. UTi LITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATION .�
CK. M.0. CASH
L -.0 0 3 8 6"' MR 11 5 6.00�