HomeMy Public PortalAbout6211-6211 1/2 OAK AVE_Plumbing__ "wow w S-z APPLICATION FOR PERMT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX. CHIEF ENGINEER
FOR.APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE ERMIT O. %
PLUMBER a ! s� - �4w;,` 1 , RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING 1L.• - /. C,,.
CITY �.!'C c: eve--6 TEL. NC: ADDRESS
COUNTYQ ^ LOCALITY
LICENSE:NO. IJ EXPIRES .e....--'!'
Qf NEAREST !
d l!°
CROSS ST.4' fe 4 I
PERMIT FEES J�•y ��
OWNER
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL
WATER CLOSET (TOILET) Q '0.50 $ I ADDRESS %�.C� "°6•✓F •.. e'.t nr.e_ ._ .C1�
BATH TUB @ 0.50 CITY &V'. �^ r i�f9 TEL. NO.
SHOWER @ O.50I
-HERESY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES .AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK O.50 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.50 I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
' OF THE RESIDE TIAL PROPERTyY� SCRIBED ABOVE.
GAS SYSTEM--Az--OUTLETS @ O.50 .. SIGNATURE OF
• WATER HEATER•. @ 0.50 PERMITTror
SLOPSINK @ 0.501 IINS TION RECORD
FLOOR SINK @ 0.50r /
FLOOR DRAIN @ 0.50 e
DISHWASHER @ O'.SOI 0, s, �+
DRINkING•FOUNTAIN @ 0.so i /G l
URINAL @ 0.501 J
HOUSE SEWER. @ 0.501
MISCELLANEOUS -010
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH.PLUMBING s
GAS PIPING TQ
GAS VENT
CESSPOOL. @ 1.001 CESSPOOL
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT.( ) @ 1.0.0 4= SEWER
'PERMIT . 1.00 GAS TEST F/Al
UTILITY CO. NOTIFIED
TOTAL FEE s'
FINAL MAXIMUM ACC MPLISH, •D
�® ',
76A667 17 25M RETS
TE,7-413 APPUCATIION M PERWr
DEPARTMENOF BUILDING AND SAFETY
COUNTY OF LOS ANGELES - �€
Wm.J. FOX.CHIEF @NGINEER
NATURE OF INSTALLAMON DISTRUCTPERMIT NO.
ROUGH FIXTURES COMPLETE - L (n
HEATER CESSPOOL _ -I SEPTIC TANK �- RECEIVED BY READY FOR ATS IBgU�gp
FIRST INSPECTION
AS Mi CELLAN V �/'f /r
A)PPI LY OUTLINED Po' RTIION ONLY
JOB
K NAME . A a ADDRESS 6 0 V
Id
m ADDRESS 123 No;
Cloverly('� Ave. LOCALITYHKAREST '
CITY TEMPLE 11�J1d iJ���g9V�J151��e CROSS ST.
COUNTY
LICENSE NC. EXPIRES IY NAME
LOCATION OFSIEPMC TANK, OR CKWOOIL a$�� ADAl
DRESS
NORTH O
Cl TEL.NO.
I AN THE LEGAL POSSUSOR OF WE ABOVE LOB
ANGELES COUNTY CERTIFICATE Og.��,ALIFICATION.
a
PLUMBER
AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
So
OWNER
CORRECTIONS
SOUTH
IIDIESCIIBIIPTIION OF WORK z
BATH TUB FURNACE
- 2
-SHOWER ' DISHWASHER ff13
VATORY REFRIGERATOR
KITCHEN SINK WATI$R SOFTSR
FLOOR SINK AND TRAP
aLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSI37 DRINKING FOUNTAIN DATE - INOPUCTOR'o NAW16
WATER HMATER DENTAL LAVATORY, ROUGH PLUMBING I
ETER GAS 1°ODA FOUNTAIN
OUTL GAS PIPING I I
GAS VENT I
. - CENPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESBP001 szPTICTANK SEWER I
TOTAL FEE
UTILITY CO.NOTIFIED I ,
, �C�
FINAL �..�•^ �� ���:�L!�v=r-'-'fes+
D.B.H.-19 85M BETH 1"S ,
APPLICATION FOR PERM
DEPARTMENT OF .BEING AND SAF
I
COUNTY OF LOS ANGELES PLUMBING
Wmi J.F'OX..'CH1EF'ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT M
ROUGH FIXTURES - I�COMPLETE .
HEATER CESSPOOL.- SEPTIC TANK RECB BD BY' READY FOR. DATB 1880
- FIRST INSPECTION j/ ' jq Lj
GAS-
ONLY 18CELLANEOU
APPLICANT FILL IN HEAVILY OUTLINED PORTION
JOB �}
JOB
NA ..
It ADDR
68 -
ADDRESS /'~_.✓.0,1joc-
NEAREST
d CITY TEL.No.. CR088 ST. Yf3'r .�i � �� Do
COUNTY
CERT.No'. EXPIRES NAME
LOCATION OF SEPTIC TANIK,OR.CESSPOOL z MAIL
ADDRESS
NORTH. p
CITY •� -= �:+�r �/�'t /siITEL.Noo�'y:%r 'rr:
1 AM THE LEGAL
POSBESBOR OF THE ABOVE LOS
ANGELES COUNTY-CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER-OV TAX PROPERTY DESCRIIED
OWNER
CORRECTIONS A
� ..
'LrlYv7 •"�.-cO--/
SOUTH �
(DESCRIPTION OF WOE -z
BATH TUB FURNACE
SHOWER DISHWASHER O
—LAVATORY •REFRIGERATOR
KITCHEN SINK WATER SOFTENER..
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
[TOTAL
WASH TRAY URINAL ���® ALS
WATER CLOSET DRINKING FOUNTAIN DATE INB�.BGTOR'B NAME
ATER HE TER' DENT#L LAVATORY RO.UGK PLUMBING -�, .�I �ETERS esAB SODA FOUNTAIN GAS PIPING.OUTL
GAS VENTCESSPOOL1.7 TOTAL NUMBER OF FIXTURES SEPTIC TANKCE88P001 SEPTICTANK SEWERUTILITY CO.NOTIFIED FEE //� _,y _ �• -
`�/ FINAL