HomeMy Public PortalAbout9525 OLEMA ST_Plumbing__ Rs sio
DSpAB17�GW OF DUMDUM AND SAFETY APPLiCl1ZION FOR P��
Coum OF LOS momm PLUMBING 1
VVILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN D16TRIg610. GROUP 1 ZONE PERM O.
PWM■ER SupatiorPlumb. Sary, BY READY FOR PATJ ISSUED
FIR@T INSPECTION
ADDRESS
WILDING
CRY 11 Xonze TEL N0. Fo u- '' ADDRESS
COUNTY LICMe N �BEKPIN= �. _bj LOCALITY _
NEAREST
PE DW FM CROSS 11T.
Bump TYPE OR NZ UM OR ITXN PEE OWNER
MAIL
WATER CLOSET TOILET 0.80 8 ADDRE=
BATH TUB 0.80 CTM TEL.NO.
SHOWER 0.80 1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIG
LAVATORY WASH SARIN 0.80 9K APPLICATION AND STATE THAT THE ABOVE 10 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN RINK a 0.80 K STATE LAW@ REGULATING PW SING.
1 CERTIFY THAT I E ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 O.f ANGELES COUNTY LI AM THE LEGAL OWN
OR THE RKSIDEMTI @CHIMED ABOVE.
GABsysTan. UTLETS 0.80 810MATURK OF
WATER NEATER a 0.50 PERM
SLOP MINK 0.00 nqspEC7= BECCM
L OOR SI NK 0.8
FLOOR DRAIN 0.80
DISHWASHER 0.80
DRINKING FOUNTAIN 0.80
URINAL 0.80 ,J
HOUSE SEWER 0.80
Z
MISCELLANEOUS O
P
O
AMMAN
DATE INfIECrovE BAMS
ROUGH PLUMMING Wei
GAS PIPING p
WCM) GAR
CESSPOOL 1.00L
SEPTIC TANKi NK
DRAIN ( ) PIT ( ) ® 1.00 S
PERMIT . OTIFIEDTOTAL FEE f
78A887-CE#817 9463
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.APPLICATION• FOR PLUMBING- PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING ��—z �
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS'
WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN Tloss sT•
NUMBER FIXTURE OR ITEM EACH FEE
OWNERy „p
WATER CLOSET 11.25 Z : MAIL C� 3•-- C.�/ t
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY / I w TEL. NO. qG
/ .LAVATORY i.25 CONTRACTOR
�
SINK 1.25 ADDRESS
DISHWASHER 1.25. CITY TEL. NO. /
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 _
a
GAS SYSTEM OUTLETS 1.50 INDUSTRIALWASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
' U
• a'
N
. Z
APPROVALS AT.E INSPECTO *S BIGN TUf�
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH.PLUMBING
TOTAL FEE ----
50
GAS PIPING " "` ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING'
PLUMBING. HOT WATER HEATER ,
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ,It7 � f tl'• �3,�`
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TESTU�.r. 1 ------�„� �
CALIFORNIA OR THAT 1 AM THE;LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED
RRRESIDENTIAL PROPERTY. A UTILITY CO.NOTIFIED '- _..�•,,.-<-.=j-- �._. =""�"''
SIGNATURE
OF PERMITT FINAL - ? ^v �V ..
ALIDATION ROBERT A.IWOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
1. 517- JUL 18 5 0 450 - co
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