HomeMy Public PortalAbout9231 OLIVE ST_Plumbing__ "'�'•� OUIliT(;,OF LOS ANGELES
APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
PLUMBING j
WILLIAM J. FOX. County Engineer
FOR APPLICANT TO FILL IN D T . GROLIP IA-1
ZONE PERMITp .
PLUMBERREADY FOR
P. glrgElVED,BY FIRST INSPECTION / DATE ISSUED
ADDRESS V�ld�/p(Y�JA{, " 0.
BUILDING
OITY TEL No. ADDRESS _
COUNTY LOCALITY �✓ J
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER GLG/tJ.vK+ / 1 .i�AA�'
WATER CLOSET(TOILET) @ 0.50 W. D AD RESH q7
L_
v
�7 / p p
BATH TUB @ 0.50 5 D CITY „ /. TEL. N /e-1
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
s LAVATORY (WASH BASIN) 49 0.50 Q f7 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK r8T 0.50 ?7 AND STATE LAWS REGULATING PLUMBING.
a 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 S V ANGELES COUNTY LICENSE, OR 1 AM THE,�LEGAL OWNER
I GAS SYSTE OUTLETS Q 0.50 5 b OF THE RESIDENTIA PROFI DESC IbEb ABOVE.
SIGNATURE OF
WATER HEATER a 0.50 5 b PERMITTE
SLOP BINK @0.50 INSPECTION REG/011DFLOOR SINK IN 0.50 r��Pcy 012-Lx, , 75 4-1.77 -
FLOOR DRAIN @ 0.50 ,C J
DISHWASHER a
DRINKING FOUNTAIN @ 0.50 ivy •�l -��
URINAL 0.50 I
Q
.HOUSE SEWER 0.50 Z�
_
MISCELLANEOUS "
O
/
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING r .
GAS PIPING
GAS VENT
CESSPOOL J)? 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
• �O
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
76A667 DBS#17 6-5E
76AH87
D83;17 5=93 APPLICATION •{FOR 'PLUMBINd PERMIT'
,i DIVISION. OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles - BUILDING '
yS WM.J.FOX, COUNTY ENGINEER ADDRESS _
CASSATT D.GRIFFIN,SUPT OF BUILDING
LNCORECAOARSLSESISTTTY
CITY APPLCANTTO FI
OWNER�D1,Ld4 (594A4PDISTRICT NO. GROUP /_.ZONE F/
DR
AMAIL
DDRESS 17A,71 L y J+r1N�SP�ECtI
ON
e,� � / a 7100
CITY I / , TEL.NO. /���+�' INDUSTRIAL
WASTE APPROVAL
PLUMBER a0A/ INSPECTION RECORD
ADDRESS `� � - `•� � �� � � 1 .
CITY TEL.'NO.
LICENSE NO. -.�a C'�\ l:=•i�.� 11 AG�I` L1'
NUMBER TYPE OF FIXTURE OR ITEM FEE ,.r.
WATER CLOSET(TOILET) $ C_ -•_�' -QED
BATH TUB (-
SHOWER
LAVATORY (WASH BASIN). .
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. 0.80 APPROVALS
��'' DATE INSPECTORS SIGNATURE
GAS SYSTEM--I.-OUTLETS @ 1.00 -
WATER HEATER
(D 1.00 i.. UNDEFt SLAB WORK
ROUGH.PLUMBING
PERMIT S 1 00
GASP.[PIN.G
TOTAL
ASPIPINGTOTAL FEE
GAS VENT
1-HEREBYACKNOWLEDGE THAT I.HAVE READ'THIS APPLICATION HOT WATER HE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY. ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAt-1 AM P •PERLYIREGISTERED AND/OR a GAS TEST
LICENSED AS REQUILRO BY LOSHE GEL COUNTY AND OF THEATE.OF UTILITY CO.NOTIFIED
CALIFORNIA OR FFff ,,,,,,rrrrrr111111������ ABOVE
DESCRIBED RE$INTI OPERTY. 11
SIGNATURE. � d
OF PERMITTEE• .C`Y ( '`' FINAL
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION R..A.WOOD,CHIEF PL'BG.INSPECTOR.
y - �'iC06 1 '0 9"S A29. '- 3 '. 3.0 0