HomeMy Public PortalAbout5538 MCCULLOCH AVE_Plumbing__ D.B.S.17 23M SETS 12.44 APPLICATION FOR PE..Y►1BU
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUPZONE PERMIT NO.
ROUGH FIXTURES COMPLETE 't941 � 71
HEATER CESSPOOL I SEPTIC TANK REC VED BY READY FOR DATE ISSUED
L, FI�t�/8T INSPECTION`
6 w(f� !q
GAS MISCELLANEOUS
APPLICANT FILL IN NEAVILY OUTLINED PORTION ONLY
NAME A-1 CESSPOOL COMPANY ADD RESS .��o
W t Co.oraal® I
B cD ADDRESS s ..a._a n nsiir___•ar� LOCALITY,
NEARESTii� /,
Q.
A CITY TEL.No. (R y(�ts� CROSSST. ,6S,�� 4—, U .l1g,A_
COUNTY
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL
ADDRESS (�.1" Q✓J� e r � c t.'�-�.�i. ,�,
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY AL
Egr QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
W
a
OWNER
CORRECTIONS
SOUTH
(DESCRIPTION OF WORK �
PATH TUB FURNACE p~+y
O
SHOWER DISHWASHER
-AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY I I
ROUGH PLUMBING
METER—GAS SODA FOUNTAIN
OUTL 6A9 PIPING
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
I
CESSPOOT SEPTIC TANK f��� SEWER 1
T / v
FINAL
`rte UTILITY CO.NOTIFIED
1 I /�"�' I •/ 7 .'
TOTAL FEE
.88.17,0.88
IBB.17 , APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY d-
Depariment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS G
CASSATT D.GRIFFIN,SUPT OF BUILDING ,
LOCALITY
FOR APPLICANT TO FILL IN NEARSEST.
f
CROS
ra ST
OWNER DISTRICT NO. I G I ZONE I READY FOR INSPECTION
MAIL ^ �
ADDRESS
INDUSTRIAL
CITY. TEL.NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL.NO.70
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET CTOILET) @ $1.00 $ 11 °s
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY CWASH BASIN) @ $1.00 ..y
KITCHEN SINK @ $'1.00
DISHWASHER @ $1.00
LAUNDItY TUB OR TRAY @ $1.00 w
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $.1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK p
PERMIT $ 7 00 ROUGH PLUMBING
GAS PIPING o 3 e
TOTAL FEE GAS VENT //11
1 HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS. APPLICATIONHOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ►�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES As
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST rMLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STi
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
4
SIGNATURE ®`
OF PERMITTEE FINAL
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION IkOBERT A.WOOD;CHIEF PLBG. INSPECTOR
• CE. N.0. CASH
•IC0 8 8 5 2 AUG 3 3 8.0 O N
MS. 17 2SM SETS 12-43 APPLICATION FOR PEP"
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELESp�u��'�� '
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. 'GROUP —ZONEP R NO.-
ROUGH FIXTURES _ COMPLETE,
HEATER CE68POOL SEPTIC TAN1.K RECEIVED BY READY FOR DATE ISOUED
FIRST INSPECTION ` (�
GAS- MISCELLAN U �"r%f i"(elr�tC—DENSENESS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
,ate
!
jou;
E NAME /e� ADDRESS
LOCALITYADDRE$849 J � /yD A/ �} _, � /." ,• +'�
Fes• �' ' 1
X
• ST
CITY �,,. 7� !' .. TE10/ Y'd l0 CRROSS
l,T1` OT. .
COUNTY / �
CERT.No. lI.7> f•�� " ®CPiRESa�ECO 6 NAME s�
LOCATION OF SEPTIC TANS, OR CESSPOOL, z • MAIL
3 ADDRESS
NORTH O
CITY EIE.No.
I AM THE.LEGAL B 6S O TJi�ABOV6 LOS
ANG
COUNTY CB IF 7 `IFICATION.
1
.PLUMBER
1 AM THE LEGAL OWNER,�P THE PRO16ERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS.
SOUTH J
DESCRIPTION OF WORK _Z
ATH TUB FURNACE: 0
Q'
MOWERDISHWASHER O
—LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK ' SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS /
WATER CLOSET DRINKING FOUNTAIN
DATE. /IN11PECTOR'BINAME
_WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
ETER: GAB SODA FOUNTAIN GAS PIPINd
OUTL
GAS VENT
l i
✓ ICESSPOOL
TOTAL NUMBER OF FIXTURES "' SEPTIC TANK I
�ESSPOO� SEPTIC TANK SEWER I A r.
3 UTILITY CO.NOTIFIED I \h 1
TOTAL FEE J Qj . �" RINAL - 1V
w
76A66+.A
,.,
C1361]IREV 6/761
es
APPLICATION FOR PLUMBING PERMIT
COUNTY'OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL.IN"(.PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
LOCALI 4el
WATER CLOSET 06
NEAREST 0
BATH TUB CROSS ST.
SHOWER Qo OWNER 5'-e
.r
LAVATORY MAIL
yti ADDRESS. C.
SINK CITY TEL.NO'`,P�
DISHWASHER' CO TRACTOR
CLOTHES WASHER ADDRESS )v
SWIMMING POOL RECEPTOR'
CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE N.O. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM. ROUGH PLUMBING (Q?{o. 'GC>. 1
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
.Plan Check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ �Q o
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address.
-r,.7 1 21•A
City _ Tel.No.
#¢ 00 .0005
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE.IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES q L
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 2 o 1 6 O O
I HEREBY CERTIFY THAT I AM PROPERLY.REGISTERED AND/OR LICENSED AS 'Q C C .1 L O O U
REQUIRED BY LOS ANGELES COUNTY AND ST OF CALIFORNIA OR THAT 1 AM THE. �•�'
LEGAL OWNER OF AND I NO TO RESIDE .`t ABOVE DESCRIBED RESIDENTIAL ,
PROPERTY. 1009'-79
SIGNATUR
OF PERMIXEZ1' �fp 1U
DISTRICT NO. PROCE. ED B`�
INDUSTRIAL
WASTE APPROVAL