HomeMy Public PortalAbout9616 LOWER AZUSA RD_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County EngineerPLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engloser
FOR APPLICANT TO FILL IN DISTR NO. GROUP I ZONE PERMIT "I",
L Z
PLUMBS • RE`CEJIII D BY READY FOR A 1 UED
FIRST INSPECTION
ADDRESS " �/ S
B40FUILDING
CITY TEL No ADDREB
COUNTY _&0--
' L
LICENSE NO. E'XPIRE9 �7O- OCALITY
NEAREST
PERb= FEES CROSS ST. )
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER I� Y
MAIL
WATER CLOSET(TOILET) a a O $ ADDRESS
BATH TUB a CLAD TEL No
SHOWER a O AI
HEREBY ACKNO EDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 O B APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK p AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 P SEGS BOVE VALID LOB
LAUNDRY TUB OR TRAY 0 O 50 ANGELES COUNTY ICE E, O 1 AM HE LEGAL OWNER
OF THE RESIDENTI OPER DE RISED ABOVE.
GAS SYSTEM OUTLETS Q O O
WATER HEATER a O SIGNATURE
RITTEF
SLOP SINK a? DAD INSPE ON RECORD
FLOOR BINK SO
FLOOR DRAIN 50
DISHWASHER 11 SO
DRINKING FOUNTAIN BO
URINAL ctso 4
HOUSE SEWER ® SO _Z
MISCELLANEOUS Im
Ix
APPROVALS
D E INSPECT '9 NAME
ROUGH PLUMBING
OAS PIPING
GAB VENT
CESSPOOL t,pp CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) t 00 SEWER
PERMIT t.oD BAs TEST
TOTAL FEE S �v UTILITY CO.NOTIFI6
IN
7"067 11118#17 10/U,
D RS-17 26M SETS 19-46 APPLICATION F�R PERwr
DPARTNT OF BUILDING AND SAFETY
CO PLUMBING
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COUNTY OF LOS ANGELES
Wu.J. FOX, CHIEF ENGINEER
NATUREOF INSTALLATION8T O. R (�O GP RMI
ROUGH FIXTURES COMPLETE v � � #745
NEATER CESSPOOL H SEPTIC TANK R B ®BY READY FOR DATE ISSUED
FIRST INSPECTION
MIBC KOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME a4LAA69.4 L ADDRESS •
ADDRESS LOCALITY
jNEAREST
6 CITY TEL
--A CROSS ST
COUNTY
CERT No ®CPIR NAME
AM At,
LOCATION OF SEPAC TANK, OR bMW06L MAIL
ADDRESS '
NORTH O
CITY TEL NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI4iMU PIC N.
ILYMBSR
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
. C+INMEI
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
TH TUB FURNACE `
ROWER DISHWASHER
VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
R SINK D TRAP
P BINK FLA)OR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INsPRCTOR•s MAMs
WATER NEATER DENTAL LAVATORY ROUGH PLUMBING
ttJ
ETER4 AASOUTL RODA FOUNTAIN GAS PIPING t
GAS VENT
}� CESSPOOL i
TOTAL NUMBER OF RIXTURp SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
s
TOTAL FEB UTILITY CO.NOTIFIED
1114
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COUNTY OF LOS ANGELES V
APPLICATION FOR PERMIT
Departlgienfof County Engineer IY
DIVISION OF BUMDING & SAFETY PLUMBING '
WILLIAM J FOX, County Engineer
ZONE FERRIT NO.
FOR APPLICANT TO FILL IN DIBTI:?��. GROU,' C—
PLUMB I4 / ECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS �LLIL� , —am
/BUILDING
ADDRESS 116
CITY TEL No. .j
C CENTM O Q� 1 E 7 Q LOCALITY ��&Ce/'(/�
PERMIT FEES
NEAREST
C O ST. E re 4/61411
NUMBER TVP[OF FIXTYR[OR IT[M FHE OWNER
MAIL l'I�
WATER CLOSET(TOILHT) aD.SO m ADDRESS '
„ r
BATH TUB t 050 CITY TEL. No.
SHOWER 0 13130 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0 050 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO a Y WITH ALL COUNTY ORDINANCES
KITCHEN SINK 13513 AND STATE LA RE EATING PLUMBING.
I CERTIFY T I , SSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 1350 ANGELES COON BE. OR I AM THE LEGAL OWNER
OF THE RESIDENT DESCRIBED ABOVE.
GAG SYSTEM UTLETB � O SO
WATER HEATER 40 O SO Q'� BIO PER IRITTEF
SLOP BINK a SO INSPECTION RECORD
FLOOR AIINK 0.60
FLOOR DRAIN O.SO Z wa Tom!
DIBNWABHER 40 O SO V NT Gtf'C
DRINKING FOUNTAIN 050
URINAL ILS13 -1
Q
HOUSE SEWER a so
AIIHCEL NEOUS
D
APPROVALS
DATE IN9PEOT0R•9 NAM[
ROUGH PLUMBING
OAS PIPING
GAB VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK' SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT .
100 GAS TEST �J
UTILITY CO.NOTIFIED
TOTAL FEE M
FINAL
76A667 DBS##17 642 t
>-daff f7 "-EO APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
L���'
COUNTY OF LOS ANGELES
WILLIAM J FOX. CHIEF ENGINEER
OR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO
�-- 66Ol�
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION _
ADDRESS
OAaBUILDING
CITYTEL ADDRESS
COUN .. 0-1/-
LICENSE N PIR LOCALITY
CROSNEARS
PERM FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) 050 8 ADDRESS
BATH TUB Q 050 CITY TEL NO
SHOWER @ O SO I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) AND
O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT A
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK ® O SO STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O SO15 EANGELES COUNTY (CDENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDNTI P OPERTY ESCRIBEBOVE
GAB SYSTEM-OUTLETS O SO SIGNATURE OF a
WATER HEATER 050 PERM17TE
SLOP SINK O SO INSPECTION RECORD
FLOOR SINK O 30
FLOOR DRAIN CrA 0501
DISHWASHER ® 0501
DRINKING FOUNTAIN O SO
URINAL O SO J
HOUSE SEWER O SO d
Z
MISCELLANEOUS
'a
0
APPROVALS
DA/13 INSPECTOR'S NAM[
ROUGH PLUMBING !w
GAS PIPING
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 100 GAS TEST
/
TOTAL FEE UTILITY CO NOTIFIED
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FINAL t C
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