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HomeMy Public PortalAbout5111 PAL MAL AVE_Plumbing__ D.B.S.17 25M SETS 13.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND. SAFETY . gOUNTY OF LOS ANGELES �L� BIG WM. J. FOX. CHIEF ENGINEER NATURE OF .INSTALLATION DISTRic.,NO. GROUP;ZONE ✓ PERMIT NO. ROUGH FIXTURES COMPLETE &.01 �+ HEATER CESSPOOL• -I SEPTIC TANK RECEIVED BYZ/ READY FOR DATE ISSUED s aw_�� FIRST INSPECTIONr GAS. MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED.PORTION ®NLY JOB 7-1- /f lr1i/may a NAME -ADDRESS �7� _/�d�C !d! • Id ADDRESS LOCALITY- ',�e NEAREST ' CITY TEL.No. . CROSS ST .r `���'� .COUNTY CERT.NO. EXPIRES NAME LOCATION OF SEPTIC T Z ANS, OR CESSPOOL;" Z' MAIL ADDREB NORTH ' O CITY v'ezzeo_ ",gf,a_f)°je_TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. _ PLUMBER 1 AM THE LEGAL OWNER OF THE�PERTY DESCRIBED .A _ ..• � BOVE. � • L OWNER ME f ."CORRECTIONS . r Ar ` SOUTH r,` _ . . +_,�� DESCRIPTION OF WORK . � � ,yam, !+ATH TUB � FURNACB .7j.}LXHOWER DISHWASHER VIAVATORY REFRIGERATOR . KITCHEN SINK WATER SOFTENER FLOOR SINK RAND TRAP. ' SLOP SINK FLOOR DRAIN WASH TRAY URINAL_ APPROVAL$k /� lA''WATER CLOSET DRINKING FOUNTAIN DATE `�t INBPEGTOp'E ItAYR ' _T�WATER HEATER CENTAL L AVATORY ROUGH PLUMBING 1 J� /•r, t i}6 br' METER.. GAS ' QODA FOUNTAIN OUTL GAS PIPING G �IGAS VENT CESSPOOL / I '1 y� I TOTAL NUMBER OF FIXTURES �r SEPTIC TANK �{�� \• %1 F__CESSPOOL • SEPTIC TANK /. D SEWER I FEE � .� �•°''© UTILITY co.NOTIFIED TOTAL FINAL D.e.s:Iv asM sera 7.47 APPLICATION FOR PI9BBOT DEPARTCBUILDING OFLOS ANSAFETY'AND� ANGELES �� WM.J. FOX:CHIEF ENGINEER NATLT OF INSTALLATION DISTRIC Oor, . GR OU o PERMIT O..� ROUGH FIXTURES COMPLETE �/ t./ R DYOR FIS�sru MISCELLANEUBHEATER CESSPOOL SEPTIC TANK O AB APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY i on d. NAMEM.nSZ..0.]IIJGSl1`l� PLyhd.kZ_:4 ADDRESS 26 M ADDRESS a��'�cy„ �/1 E�a�.1 C.l,Jrl4 sY"Y�� LOCALITYNEAREST 9 CITY I r,.rc Lw u,a TEL No,E)R L91n.1.Q CROSS ST. COUNTY CERT:No. EXPIRES - NAME LOCATION OF SEPTIC TANH, OR CESSPOOL Z MAIL NORTH O ADDRESS CITY TEL.No. s I AM THB POSSESSOR OR TH6 .ABOVB L09 ANGELES.'CO TY'CE 1FIC ORAUALIF[C��1: • PLUMBER I AM THE LEGAL OWNER OF THB PROPERTY DESCRlB ABOVE. 14 3 a OWNER CORRECTIONS • �F SOUTH r ••1 .] DESCRIPTION OF WORD - ~ _a A z � MATH TUB FURNACE 0 ROWER DISHWASHER O VATORY .REFRIGERATOR _KITCHEN SINK WATER SOFTENER ----- - -- - _ FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN kWA SH TRAY URINAL APPROVALS ATER CLOSET DRINKING FOUNTAIN - DAT6 ,IN aCTOR'e NAATER HEATER ^ENTAL LAVATORY ROUGH PLUMBINGETE� SODA FOUNTAINOUTL GAS PIPINGGAS VENT CESSPOOL-•OTAL NUMBER OF FIXTURES SEPTIC TANK ESSPOOL SEPTIC TANK SEWER TOTAL FEE UTILITY CO.NOTIFIED I I r7 FINAL iSA567 APPLICATION FOR PLUMBING PERMIT IBS.1.7 10-55 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of 1.08 Angeles BUILDING A� JOHN A. LAMBIE. COUNTY ENGINEERADDRESS`Jf CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY i FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER j D DISTRICT NO. I GRP I I READY FOR INSPECTION MAIL looeihr ADDRESS � Q F� CITY C INDUSTRIAL TEL.NO. WASTE APPROVAL PLUMBER lip, / INSPECTION RECORD ADDRESS p /// t�(/ CITY 6&6ti>Ca / TEL.NO LICENSE NO. 7 J zic NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 V KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @: $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK 00 PERMIT $ 1 00 ROUGH PLUMBING .0� GAS PIPING TOTAL FEE GAG VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION i HOT WATER HEATER AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. y SIGNATURE OF PERMIT T EE loer FINAL IOHN A.LAMBIE,,CqUNTY ENGINEER d VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR N Aco 8 5 1 2L, JUL?4 3 2.0 0 � J T ' t • ��' ilk