HomeMy Public PortalAbout9544 PENTLAND ST_Plumbing__ • DEPARTIVIENT OF COUNTY ENGINEER PLUMBING 1
z DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J.. FOX, COUNTY ENGINEER
/ r
FOR APPLICA LOCALITYBUILDINTO FILL IN NEAREST
ADDRESS. �-f �� /7�"�j,/'d CROSS ST.
' `�` r. DISTRICT NO. GROUP ONE PERMIT NO.
LOCALITY,/ l,r g r 1A
1 Q p/�
CROSS ST. /1J ✓ R EI jD BY Ready for Inspeotlon 1 DATE ISSUED
f / �'6���
OWNER � IRA !® __.✓?r1t®�i
MAILy+��//� �p 1 WASTE APPROVAL
ADDRE_SS�7 AcG 7�E�7T'���.�Jen
CITY 7- NO. 401;.7-4 INSPECTION RECORD
OF
PLUMBER r/� 04
ADDRESS
CITY TEL.NO.
STATE
LICENSE NO. ❑COUNTY J
PERMIT FEES z
-Jum9ER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) 0.80 $ 0:
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) df 0.80
KITCHEN SINK d) 0.80
LAUNDRY TUB OR TRAY W 0.80
SLOP SINK 0 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER df
DRINKING FOUNTAIN Q 0.80
URINAL 0.80
GAS SYSTEM..... _.....OUTLETS 1.00 QZL
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
i
UNDER SLAB WORK
PERMIT $ 1 00 5 ROUGH PLUMBING
TOTAL FEE p� ®® GAS PIPING 1 qI 53 - P at� --
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED §JESIDENTIA, PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE A
OF PERMITTEE S. :. -.....----......_.._..� FINAL
76A667 DBS 17 rd 1. 19-53 y u
76AB67 17 asM sErs 7-4e. IAPPLICATION FOR PERETP
4DEPARTMENT OF BUILDING AND SAFETY '�
COUNTY OF LOS ANGELES
WM.J.FOX.CHIEF ENGINEER
TNATURE O ATIO -.DIRT 1 O. O PERMIT NO.
ROUGH FIXTUREB COMPLETE
HEATER CESSPOOL I—I SEPTIC TANK RECEIVED 8Y READY FOR DATE ISSUE
�rE�Cy f FIRST INSPECTION r
MI CELLAN US l.1 f - `'
APPLICANT FILL IN HEAVILY OUTLINED PJOBORTION ONLY �
NAME c7�/ &A _,/v_� ,pr'J ADDRESS �J J ��J�? �f,G?Fr'iy•. -�_�
ADDRESS �// �J�/1► , !/�i/.I��/,%/! !_°J . LOCALITY G//71�/l/•
NE
CRARES
OBB BT
T.
COUNTY
LICENSE NO. EXPIRES GD 6 NAME +/ C.A
LOCATION OF SEPTIC TANK, OR CESSPOOL' bat MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIF C'!ION.
i
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE:
I
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK z
ATH TUB FURNACE D
!C
MOWER DISHWASHER I�
—LAVATORY REFRIGERATOR .
ITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WAER CLOSET DRINKING FOUNTAIN' DATE INSPECTOR'S NAME
F_/ WAl'
ER HEATER DENTAL LAVATORY ROUGH PLUMBING I. �'y7
METED GA6 -----SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CEBBPOOL I
:MAL NUMBER OF FIXTUREB SEPTIC TANK
ESSPOOL SEPTIC TANK SEWER I
$ rr�
TOTAL FEE ,s°',
UTILITY CO.NOTIFIED
FIN L .
BA867-CE817 12/59
. :n APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGIIVEER aUILDR�iG
BTOURINC�ANDESAFETY MOW ADDERS 9v'yy
OHIV A. BI COUNTY NGINEER
WILLIAM A.JENSEN,SUPT OF BuiLDING
LOCALITY
FOR APPLICANT TO FILL IN NEABEST
CROSS ST.
NUMBER FIXTURE OR ITEM
WATER CLOSET OOWNERL� �• IC'e�viv eMAIL
o�
RATE TUB ADDRESS el B.v� Cciv� CYC
SHOWER CITY TM �e Ce�V TEL NO.
/ LAVATORY CONTRACTOR
SIIvB ADDRESS .7,z/,6' L*V
DISHWASHER CITY /haM,�oit. TEL. NO. lj 3 -vrdoZ 6
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑ .
CLOTHES WASHER DISTRICT NO. GR9W I ZONE SED BY
WATER HEATER
GAS SYSTEM -INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD �.
,1 a
ON
q(AJ^ A a
U
W
PER ITEM
OR�FIRTURE $ I S.4 O
APPROVALS AT/ � INSP.CTOR'SSIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK —/I/,-Z col//J� n ,,..-
TOTAL FEE I yI ROUGH PLUMBING
` GAS PIPING r
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
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES n
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ) J 11 a y
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED REAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
)F VALIDATION ROBERT A.WOOD,
CK. B.0. CASH SUPERVISING MECHANICAL.ENG'R
Lr C0 3.3 6 0'%"-'o JUL g 5 D 7.0 0