HomeMy Public PortalAbout5633 PERSIMMON AVE_Plumbing__ 7FA6677CCLO-
817)-4/72
APPLICATIO FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS'
HARVEY T. BRANDT, COUNTY ENGINEER LOCALI
E
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST
WATER CLOSET 1,75 OWNER�-
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTO
SINK 1.75 ADDRESS G ��
DISHWASHER 1.75 CITY ^TEL. NO ���� v
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO.� I CLA
DISTRICT NO. GROUP ONE CESSED BY
LAWN SPRINKLER SYSTEM 1.75 �Q r' '
i .lam
WATER HEATER 1.75INDUSTRIAL }
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75INSPECTION RECORD CD
OUTLETS OVER
5 PER SYSTEM .30
O
F—
C�
W
d.
h
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Ole 09
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DE BZRESIDE�NTIALPrY. FINAL
SIGNATU RE
OF PERMITT
PERMIT VALIDATI� CK. M.0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
l,a�� 2 9 373 ��►Y 2 3ID 4.7 5N R
MILS.17 RSM BETS 10-47 APPLICATION FOR PRR10T
—DEPARTMENT ENT OF BUILDING AND SAFETY-
COUNTY OF LOS ANGELES PLS
WM.J.FOX,CHIEF ENandEER
NATURE O ST TIO K)Iwrnicr NO. GROUP m
ROUGHFIXTURES COMPLETB r- F.:
HEATER CESOPOOL SEPTIC TANKREADY FOR
R EI BY FIRST INSPECTION Issuf
GAS- M18CELLAN U8 �✓
PLICANT FILL IN IRE.1�lIL`� UTI.YNED PORTION ONLY �
K NAME �E�ys'..�J7r' ,a//�� y Joe
ADDRESS. 6 eJ C� .t'9�/° •a„�T`rsLy� .
ADDRESS Jj ,�,+y� -mss_fx�7_ s-�' LOCALITY
NEAREST
CITYCOUNTY/ ✓:� !T�-Y' TEL:No. ` CROSS ST.
CERT.No. EXPIRES a . NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL. x MAIL "
NORTH O ADDRESS
CITY TEL.No.
I AM THE LEGAL. POBBESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICAT}iIdR qU ZIFICATION.
r PLUMSUR
I AM THE LEGAL OWNER.OF THE PROPERTY DESCRIBED
` W
ABOVE.
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATN TUB FURNACE
ROWER DISHWASHER 13
-LAVATOIiY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
FFTI
LOP SINK FLOOR DRAIN
ASH TRAY URINAL APPROOvALS
ATER CLOSET DRINKING FOUNTAIN /DATEtNspseTOR•e NAME
ATER HEATER DENTAL LAVATORY ROUGH PLUMBING f I
METE GAS QODA FOUNTAIN .GAS PIPING I
OUTL .
GAS VENT I
CESSPOOL
OTAL NUMBER OF FIXTURES SEPTIC TANK
E*SPOOL_. �EPTIC-TANK D *EWER
TOTAL FEE
S UTILITY CO.NOTIPI6 l/ AW",
L
- FINAL
D.B.B.17 SEM EETB 1-48 ; • APPLICATION FOR PERMIT
'DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
PLUMBINGWM.J.FOX.CHIEF ENGINEBR
NAT-U/ OF INST TION DISTRICT-NO.- GROUP E PERM-IPERM-IT Na.
ROUEN FIXTURES COMPLETE �� f
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY. FOR. . DATE ISSUED
FIRST INSPQCTION
AOM C L AN US
APPLICAW FILL IN EAVILY OUTLINED POR ON ONLY
JOB s
d. NAME ADDRESS
41 �1 ,
B ADDRESS /y LOCALITY --c 17
J ' NEAREST \
6 CITY TEL. CROSSBT. �+
COUNT
CERT.No. EXPIRESj4 d• NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
NORTH. ADDRESS
CITY- TEL.No.
1 AM THE LEGAL POSSESSOR OF THE. ABOVE S
ANGELES COUNTY CERTIRICA E OF QUAL I ATION'.
'002.d
PWMBgt
1 AM THE LEGAL OWNER OF THE PROPERTY ESCRIBED
ABOVE.
pA•
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK Z
BATH TUB FURNACE B_. •
Q'
ROWER DISHWASHER Q
—LAVATORY REFRIGERATOR
® ITCHEN BINK WATER SOFTENER
Ff OCR SINK BAND TRAP !"
LOP SINK -------FLOOR DRAIN
WASH TRAY URINAL ` APPROVALS
WATER:CLOSET DRINKING FOUNTAIN DATE 'INSPECTOR'S NAME
WATER NEATER DENTAL LAVATORY . ROUGH PLUMBING
ETES es.e QODA VOUNTAIN
OUTL GAS PIPING I I/
GAS VENT
CESSPOOL
FT.TALTl
OTAL NUMBER OF FIXTURES .,SEPTIC TANK /
E8SPO0� SEPTIC TANK SEWER. f,UUTILITY CO.NOTIFIED
EE
FINAL //