HomeMy Public PortalAbout9105 OLEMA ST_Plumbing__ 76ASs7 17 25M SETS 7-48 a APPLICATION FOR PERMIT
DEPARTMENT OF BUMIDING•ANID SAF W
COUNTY OF LOS. ANGELES
WM.J.FOX.CHIEF ENGINEER
NATUREO STA TI DST BCT o. D ?�
PMROUAH FIXTURESHGEPTIC
COMPLETE 7.
NEATER CE88POOL TANK EI BY READY FOR' DTE ISSUED
FIRST INSPECTION
MISCELLAN US n '' r
APPLICANT FILL. IN }!"HEAVILY OUTLINED PORTION ONLY
a. NAME a1 �%�� p� A-4.&A41/ ",4e_$J ADDRESS �. s d J ..
® ADDRESS �r✓R'5_ YAQ IF K �Q Q LOCALITY �/Y� ��
G
J NEAREST
00.. CITY •` 4EL.No. CROSS ST.
COUNTY
LICENSE NO. EXPIRES C NAME
LOCATION OF SEPTIC TANK, ORCESSP®OL c AMAIL
DDRESSNORTH
-�
CITY TEL:No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CE TIFICATE OFQ ALIT .1 ATION.
PLUMB/ER
I AM THE LEG -OWNER OF THE PROPERTY D SCRIBED
ABOVE.
OWNER
CORRECTIONS
soul J
DESCRIPTIO_ N OF WORK ��f L z
ATH TUB FURNACE
ROWER DISHWASHER Q
VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR.SINK' SAND TRAP
LOP SINK FLOOR DRAIN
WASH.TRAY -URINAL URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN_ DATE IN8P6CTOR/B NAMB
WATER HEATDENTAL LAVATORY ROUGH PLUMBING 14.4 I I! Al.
ETE QODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
f'ESSPOOL__L__SEPTIC TANK SEWER I
TILITY CO.NOTIFIED I�~
TOTAL FEE
FINAL ��/ '
76A667 OSS 17'7-5' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FORT APPLICANT TO FILL IN D R P
PLUMBER / 'REC VED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS d T �`~ .�®/ 9_ �
s � BUILDING
CITY ( TEL.Na. ADDRESS .il
OOUN LOCALITY
LICENSE NO. EXPIRES.
•NEAREST
PERMIT FEES CROSS Br.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ZA
MAIL _
No
WATER CLOSET(TOILET) ! 0.50. 6 ADDRESS
BATH TUB 49 0.50 CITY Q TEL No.
SHOWER 0.60 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN)- 0.50 APPLICATION AND STATE'THAT THE ABOVE IB CORRECT
AND AGREE T13 COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 - AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM ^UTLETB 6 0.60
OF THE RESIDENT IA ROPE TY DE C ED A VE.
Or
i
WATER HEATER 0 0.50 SIGNATURE MRMII-fE �[
SLOP SINK Q 0.50 INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN 0.60
DISHWASHER 0.b13
DRINKING FOUNTAIN 0.50
URINAL !S 0.50, A
HOUSE SEWER @ O.SO U Z
MISCELLANEOUS
L7
O -
APPROVALS
DATE INSPEOTORIS NAME
ROUGH PLUMBING
'GAB PIPING
GAB VENT
CESSPOOL 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
- 1
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT T.DD BAR TEST
UTILITY CO.NOTIFIED
TOTAL FEE V FINAL Z
70'86' 17 S-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APP (CANT TO FILL IN DISTRICT NO. GROUPZO E PERMIT NO.
PLUMBER RECEIVED BY' READY FOR DATE ISSUED
pp FIRST INSPECTION
ADDRESS U u /
BUILDING 1&1303 Q0 „
CITY TEL. NO.r ADDRESSCOUNTY
aJ V
LICENSE NO. P l I'/�Y!� EXPIRES LOCALITY Q
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �� I
MAIL A !�
WATER CLOSET (TOILET) 0.50 S ADDRESS Y �j
BATH TUB Cd 0.50 CITY I TEL. NO.
SHOWER 0.50 1 HERE ACKNOWL DGE THAT I HAVE R AD THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ® 0.50 ANGELES COUNTY Ej4SE, OR I AM THE LEGAL OWNER
OF THE RES DENT 70ERTY� ESCRI'BED ABOVE.6AS SYSTEM OUTLETS C¢� O.50 SIGNATURE OF`— ? /,� :R
WATER HEATER ® 0.50 '
Ira
�=
PERMITTEE"
4•� 32
SLOP SINK @ 0.50 INAPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN 0 0.50
DISHWASHER Q 0.50
DRINKING FOUNTAIN 0.50
URINAL ® 0.50 J
HOUSE SEWER ® 0.50 Z
MISCELLANEOUS U�
(r
O
APPROVALS
DATE INSPECTOR.•S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL -0