HomeMy Public PortalAbout9561 PENTLAND ST_Plumbing__ 76A667 17 26M BETE 7-48
r, ,- APPLICATION FOR PERHHIT
`_DEPARTMENT OF BUILDING AND .BAFETY
COUNTY OF LOS ANGELES7
WM.J.FOX.CHIEF ENGINEER PLUiMING
v NATtJRE OF INSTALLATIONDST O. GROUP O E • PERMIT O."
ROUGH FIXTURES COMPLETE
—� RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL. I SEPTIC TANKFIRST INSPECTION- /
GAS- MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
a, NAME .ADDRESS
M
g AD S . • LOCALITY
j NEAREST
0CI TEL.N CROSS ST. •
COUNTY ® v
a
LICENSE NO. . EXPIRBS 1 NAMB •
LOCATION OF SEPTIC TANS, OR C OOL- 3 MAIL
NORTH O
CITY TEL.No..
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATEOF UALIFIC ION:
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY'DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION- OF WORK _i
ATH TUB FURNACE O
ROWER -DISHWASHER Q
—LAVATORY REFRIGERATOR
KITCHEN SINK WATER'SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR.DRAIN
WASH TRAY URINAL APPROVALS
_WATER CLOSET DRINKING FOUNTAIN
DATE
INSPECTOR'S NAME
WATER HEATER DENTALLAVATORY
ROUGN.PLUMBING
ETEAB SODA FOUNTAIN
OUTL GAS'PIPING
GAS VENT
~CESSPOOL I
TOTAL NUMBER OF FIXTURES �� SEPTIC TANK
CESSP0O SEPTIC TANK SEWER I
` �v y4:
TOTAL FEE UTILITY cc.NOTIFIED. o
FIN L•• "d.`�. //� /V�"„�L`
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Departmentof County EngineerPLUMBING
DIVISION OFFBUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APP ICA TO FILL IN D T� D. GRD I Z—N/ PERIT �.�
PLUMBER RECEIVED BY�1 READY FOR_ DAT ISSU D
� �J FIRST INSPECTION � � K_'+
ADDRESS ,°- e�
BUILDIN r
CITY TvL,NDA a ADORES
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
//% PERMIT FEES CROBS ST.
NIfMSER TYPE OF FIXTURE OR ITEM FEE ,may OWNER d
V MAIL
WATER CLOSET(TOILET) 0 0.50 111 CPO ADDRESS A/ �f-
BATH TUB Q 0.50 CITY TEL NO
SHOWER 0 0.50 1 HEREBY ACKNOWif-GGE THAT 1 HAVE READ THIS
APPLICATION r LAVATORY (WASH BASIN) @ 0.50 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
PPLICATION AND STATE THAT THE ABOVE IS CORRECT
J KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O.SO ANGELES COUNTY CEN E, OR 1 AM E LELiAL OWNER
OF THE RE8IDEN PER ES ISED ABOVE.
GAS BYSTEM OUTLETS. @ 0.50 Q
WATER HEATER 0.50
SIGNATURE
TEF
SLOP SINK 0.50 INSPECTION I&CORD
FLOOR SINK 0.50 �/(J
FLOOR DRAIN 0.50 // 1� „e. to " '' C .rvsA A Zr+
F ,
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 4D 0.50 A
HOUSE SEWER 0.50 Z_
MISCELLANEOUS 2
1]
APPROVALS
DATE INS P TORS NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL 1.00 1 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) 4111 1.00 1 SEWER
PERMIT .
1.00 GAS_TEST_
'j 44 TOTAL FEE UTILITY CO.NOTIFIED
S FINAL
76A667 DBS#17 10/58 / '