HomeMy Public PortalAbout5603 PERSIMMON AVE_Plumbing__ D.B.S.-19-85M BETS 11.46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND.SAFETY.
_ COUNTY OF LOS ANGELES PLUMBING,
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE. PERMIT O.
_J r
ROUGH FIXTURES COMPLETE' `� 1 h� � r� � !/ (f •7 `�
HEATER CESSPOOL
READY FOR
RECEIVED BY DATE 18<�UED
SEPTIC TANK r WS
INSPECTION i!�:- ��(.G � ,J
AS- MISCELLANEOU
m BE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
XUR' BLVD '. PLUMBINGR FI Ff TRIc-o^v1 ADDRESS
m
8 ADDRESS. IPS LOCALITY il
j NEAREST "�_++ /6
0. CITY �.j,..tea_rr_vr EL.NO.X`4` 7d g CROSS ST. .�� -
CERT.No. P3 EXPIRESy 4
E NAME C P�
LOCATION OF SEPTIC TANS, OR CESSPOOL z MAIL
�. ADDRESS
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COU CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIB
ABOVE.
OWNER
CORRECTIONS
i
SOUTH j
/ DESCRIPTION OF,®FORS
BATH TUB FURNACE
HOWER DISHWASHER O
/ LAVATORY REFRIGERATOR
YITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LTOTAL
SINK FLOOR DRAINTRAY URINAL r APPOVALSR CLOSET DRINKING FOUNTAIN (SATE IN61� � N'B NAME
R HEATER DENTAL LAVATORYROUGH PLUMBINGAS - RODA FOUtdTAiN GAS PIPINGOUTL
GAS'VENT CESSPOOL NUMBER'OR FIXTURESSEPTIC TANKOO AEPTIC'TANK SEWER
�® UTILITY CO.NOTIFIED1
/ FINAL • Y.�9r `y
D.B.B.17 SBM BETS 7.47 APPLICATION FOR rZJ=
DEPARTMENT OF BUILDING AND SAFETY:
COUNTY OF LOS ANGELES
WM.J.FOX.CHIEF ENGINEER
NATURE OF INSTALLATION—TION DISTRICT O. . aRo E P O.
ROUGH FIXTURES ICOMPLET6 ✓ 6
HEATER CESSPOOL Ip SEPTIC TANK RECEI . BY READY FOR DATE ISSUED
FIRST INSPECTION
AS• MISCELLANEOUS �" //
0
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME ,J y_ /J1 t A.df lS r- �t ADDRESS `-p tp
- ADDRESS r /(i,� !f/�s°e-�R.'. P~ifi�v ! LOCALITY _ A sf M r! r .
a�J14'.
) \ ' NARET b VcTY _ ►t/ `) t 77 fL: TEL.No., �L
.
"BORE ST.
COUNTY •" ) _ I I A
CERT.No. EXPIRES NAME l/v l_�- �/ 4 �"Ga 'l�f� A A
LOCATION•OF SEPTIC TANK, OR CESSPOOL a MAIL �,�
NORTH G ADDRESS
CITY r/7 TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIRICATIO
pLuMBER �I
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH_
J
DESCRIPTION.OF WORK z
BATH TUB FURNACE 0
HOWER DISHWASHER - O
LAVATORY REFRIGERATOR
KITCHEN 81 NK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
__WATER CLOSET - DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER •L
DENTALAVATORY ROUGH PLUMBING I
METES GAS SODA FOUNTAIN
OUTL CipSPIPING I.
GAS VENTINNER /� J
CESSPOOL I /Z I._/�_ s_i,✓�
TOTAL NUMBER OF FIXTURES SEPTIC TANK ( , I T,
azcES8P00L SEPTIC TANK / ) SEWER I /
S
FEE UTILITY CO.NOTIFIED X � I �� i
TOTAL
FINAL f �� �� 7,11'e,-