HomeMy Public PortalAbout5945 PRIMROSE AVE_Plumbing__ D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES p`u ���G
Wm.J. FOX.CHIEF ENGINEER
1 .
NATURE OF INSTALLATION DISTRICT NO. GROUP i ZONE PERMIT NO.
ROUGH FIXTURES _I COMPLETE ,
READY FOR
RECEIVED BY DATE ISSUED
HEATER _ CESSPOOL SEPTIC TANK _ � L ti FIRST INSPECTION. _ 7
GAS MISCELLANEOUS � / -
,APPLICANT FILL IN HEAVILY-'-OUTLINED PORTION ONLY
JOB �q
C NAMED
C/�//►LG•• ft�i>�t%"•�C�CiI� DRESBL/
in ADDRESS �// /�G��v��y:b'•'t,ZA— LOCALITY (LNEAREST
�_�l✓'.'L
CITY `✓� �rJfc�i� � 1 TENo. CRO 88T.
�i �t i
CB T.N �JoG I/ EXPIRES NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL. 3 MAIL
NORTHO
�CITY�
TEL.No
1 AM THE/, EGAL POS ESSOR OF THE ABOVE LOS
ANGELES COIL TY CERT
ATE GUA`L��C,fATION.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE..
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
ATH TUB• FURNACE 1i
ROWER DISHWASHER
VATORY REFRIGERATOR
KITCHEN.SINK WATER SOFTENER
FLOOR SINK QAND TRAP
LOP SINK FLOOR DRAIN
L
ASH TRAY URINAL APPROVALS
ATER CLOSET DRINKING FOUNTAIN DATE INSP6CTOR's.NwYs
ATER HEATER DENTAL LAVATORY ROUGH PLUMBING
ETER RAS BODA FOUNTAIN GAS PIPING
I
OUTL
GAS VENT
n�•� CESSPOOL �
OTAL NUMBER OF FIXTURES ' �—_- SEPTIC TANK
--CESSPOOL aEPTIC TANK SEWER' v J
S UTILITY CO.NOTIFIED I a t
TOTAL FEE FINAL
76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
OUP I ZONE �ERMIT ME].
FOR APPLICANT TO FILL IN, DISTR
r `(
PLUMBERS x vp ,fRE IVE BY EADY FOR DATE ISSUED
J FIRST INSPECTION e
ADORES 9 � � ¢
CITY 21
BUILDING
TEL.N !/(��V /�^ ADDRESS 1 ��/•
/ •' ,A LOCALITYCOUNZ
�/� �S/j
LICEN No. EXPIRES
cnm
PERMIT FEES lie ar. �♦♦� bJ
�^�'�V �/sCJIJ-`r•
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERMAIL
WATER CLOSET(TOILET) 0.50 R ADDRESS
BATHTUB 0.50
CITY✓ji/�J�`� .pR/�•1 TEL No.
SHOWER Q 0.50 I HER BY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 ::J APPLICDN AND STA rE THAT THE ABOVE IS CORRECT
AND AGREE TO CO rWITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS RE ULATING PLUMBING.
1 CERTIFY TH/Tfl„P09BERS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LINSEeUR O AMHE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 OF THE REBIDENTIA` PROPERTY
SIGNATURE
WATER HEATER 0.50 PERMITTED
SLOP SINK 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ O.SO
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.90 Z_
MISCELLANEOUS O
O
O o
APPROVALS
DATE- INBPEOTORIB NAME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL 1;00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT .
I l.00 GAS TEST
TOTAL FEE UTILITY CO.NOTIFIED \
i� FINAL 1 y
76Af.k DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FCR APPLICANT`T�O FILL IN DISTRIET
./ P �S3 RMIT -7
PLUMBERl� V �� /�/i/�i(/ r (� Q READY FOR
/t/ i/ /i RECEIVED BY DATE ISSUED
FIRST INSPECTION 112
ADDRESSP. / ( e6
BUILDING
CIT Yy'1' ���_��,pp ��/}��{ TEL Np: ® � �'� ADDRESS
LICENSE COUNII,dNO. [F'' ��f� t> � LOCALITY
EXPIRES NEAREST fj
PERMIT FEES CROSS ST. rG
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER •"
MAIL 'OY-r 1 ��;4e-'�n
WATER CLOSET(TOILET) � 0.50 $ t-/ Z ADDRESS (( /blIGCJ
r ���
BATH TUB 0.50 CITY Y� q_-r•'� TEL No.
SHOWER 0.50 1 yEggEBY ACKIIIUy/LEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLI@/CTION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY•TUB OR TRAY 0.50 ANGELES COUNTY LICENSE: -LEGAL OWNER
OAS SYSTEM OUTLETS @ 0.50 OF THE RESIDENTIAL PK�7°Y DdE/j�SCRIBED,ABOVE.
WATER HEATER 0 0.50
SIGNATURE ,4/T � �
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER (E 0.513 t.
DRINKING FOUNTAIN G 0.50
URINAL @ 0.50 J
HOUSE SEWER 0 0.50 Z
MISCELLANEOUS B
lz
♦ • p
// iel 4 W
1� 4
v
APPROVALS
DATE INSPECTORPS NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1:00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
� FINAL l/