HomeMy Public PortalAbout10404 OLIVE ST_Plumbing__ , 6A667-CE#817'2.62 T PLL ,61TY '
APPLICATION FO'R :•PLUMBING PERMIT QX`
COUNTY OF LOS ANGELES-
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION F-ADDRESS 'l.
JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDINGFOR APPLICANT TO FILL•IN
NUMBER FIXTURE OR ITEM EACH FEE OWNER '
WATER CLOSET 51.25
AS
MAIL
BATH TUB 1:25 ADDRESS
l SHOWER .1.25 'CITY .. Ir- 1 =. TEL. NO_T7 9
LAVATORY1.25 CONTRACTOR
SIN$ 1,25 ADDRESS
DISHWASHER 1.25" CITY TEL.NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE p
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER •1•25 STRIC10. GROUP ZONE P OCE, D BY
WATER HEATER L90 � .�+, Q O � jI
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL /'�
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 90
1 f INSPECTION/RECORD d 0
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APPROVA(L5 _ DATE 1 INSPEC7pR;&SI GNA'[URE
PERMIT S 2. 00 UNDIil S%!, WORK r1
ROUGH PLUMBING
TOTAL FEE S GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ, THIS' APPLICATI GAS VENT ��^�"—
AND STATE THAT THE ABOVE IS CORRECT AND AGREE,TO COMPLY
WITH Al.[_ COUNTY ORDINANCES 'AND STATE LAWS REGULATING -HOT WATER HEATER ' _ra"�';'•'f
PLUMBING.
1 HEREBY CERTIFY THAT 1-AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED'-AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TEST
CALIFORNIA.OR THAT 1 'AM THE LEGAL.OWNER OF,AND INTEND TO. d -"Z..w........_�.,__._.e.�..'.
.°` RESIDE IN,THE ABOVE DE CRIBED RESIDENT I L PRO RTY. UTI-LITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL r0'9b'�'.s 4**?# .✓'.,!+~ a � -
ROBERT A.WOOOALATION
CASH• SUPERVISING MECHANICAL ENG'R
;;:B,:$ " . -D 5.75f" e-
D.B. 17 ZSMBETS 13-43 APPLICATION
PPLICATI®N FDR il&RM
IDEPARMENT OF BUILDING AM SAFH ' '
COUNTY OF LOS ANGELES t
WM.J. FOX.CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATIION ®_____�NO. GROUP O 7r PERMIT MI �.
�
ROUGH FIXTURES COMPLETE _
HEATER CESSPOOL -I 89PTICTANK RECEIVED BY� READY FOR DATE ISSUED ;
.�. FIRST INSPECTION j
GAS M18CELLANEOUt�"'!� _ ~ ��1
APPLICANT.FILL, IN HEAVILY OUTLINED PORTION ONLY =
roe +
m
ADDRESS LOCALITY
.1� r� F '�r'I't�r'! :'i'' x] LOCALITY
'k
NEAREST h �j
CITY lr'!/,fi)T `Gi--//.l`,Y�if�EL.NO. v CROSS ST.COUNTY
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CERT.No. v Y EXPIRES K NAME 10 r /1! `1"
LOCATION OF SEPTIC TANK, OR CESSPOOL. $ AMAIL V
DDREes d
NORTH O v
CITY TEL.No.
I AN THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.,
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
r.
CORRECTIONS
i
SOUTH
Q .
DESCRIPTION OF WORK
_z
BATH TUB FURNACE
SHOWER DISHWASHER 13
' .1. A
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENZR
FLOOR SINK SANDTRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE tWBP6CT'OR'9 KwR7s
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
ETER DAS SODA FOUNTAIN- GAS PIPING I I
OUTL
- GAS VENT I
'CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I
VT.TAL
E88POOo SEPTICTANK SEWERUTILITY CO.NOTIFIED FEE / rte-"^ '- /7
FINAL