HomeMy Public PortalAbout5957 PRIMROSE AVE_Plumbing__ D.B..» ssM sEra 12-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PL 1
WM.J. FOX..CHIEF ENGINEER
NG
NATURE OF INSTA TION DIIITRI NO. GROUP ZONE
PERMIT NO.
ROUGH FIXTURES COMPLETE
R IV . Y m READY FOR DATE ISSUED
HEATER CESSPOOL -I SEPTIC TANK 'L FIRST INSPECTION 'T
AS MISCELLANEOUS +�=y�f/ y13`�"�7 �✓ ��/ 7
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
E NAME d� '°n= t .� ��P ADDRESS _ J al.
m ADDRESS LOCALITY.
S r NEAREST
CITY (TEL,Nol fi� a CRO BST. s9c {
COUNTY
CERT.No. -EXPIRES ®-7 m' NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL 3 AMAIL
DDRESS �Fr)�; °�►. .=:-t ►,�r .
' NORTH O - o
CITY TEL.No.
I AM THE',,L`.EGAL POBSBSSO OF THE ABOVE LOB
ANGELES COUNTY CERTF.ATB.O qU 'L'IFIC TION.re
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY.DESCRIBED
ABOVE.
Ll
f •_ OWNER
CORRECTIONS
E
SOUTH
J
DESCRIPTION OF WORK _z
ATH TUB FURNACE a
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR.
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP.
, SLOP SINK FLOOR'DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY I
ROUGH PLUMBING
METERGAB SODA FOUNTAIN
OUTL GAS PIPING I I
GAS VENT I .
f CESSPOOL I
LTOTAL
TAL NUMBER OF FIXTURES SEPTIC TANK
SSPOOS SEPTIC TANK SEWER i
S _UTILITY CO.NOTIFIED —
EE v/
} FINAL
,76AEf87
g•89 .APPLICATION FOR -PLUMBING PERMIT
C�B•17 7
DIVISION OF BUILDING AND 'SAFETY i■
Department of County Engineer
County of Los Angeles IBIS
BUILDING
WM.J.FOX, COUNTY ENGINEER ADDRESS.
a CASSATT D.GRIFFIN,SUPT OF'BUILDING
�y
OCALITY
FOR APPLICANT TO FILL IN LNEAREST
OWNER SS
�j(�./'�y>3�J'
MISTR0. GROUP ZONE READY FOR INSPECTION
AlIL I -r I/ply-3
_ADDRESS, "? yam /
INDUSTRIAL
CITY / .�Yi/�I C TEL.NO- WASTE APPROVAL
PLUMBER-,-k,* INSPECTION RECORD
ADDRESS �/ y / �/9 L7A/1/YG1./�
CITY T�ELAAC�f'
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM. FEE
WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK �..
DISHWASHER /y/ /t `/
LAUNDRY TUB OR TRAY _- _4/.��--r ai f�H �k_ �f/Ile
CLOTHES WASHER
TOTAL NO. @ o.eo G, APPROVALS.
GAS SYSTEM OUTLETS' 1.00 DATE INSPECTOR'S SIGNATURE
WATER HEATER 1.00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 00 '
7-
GASP IPING
TOTAL FEE c GAS'VENT
I
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
LCALIFORNIA
MBING.
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
OR THAT I AM THE. LEGAL 0 NER OF T}{E ABOVE UTILITY CO.NOTIFIED
CRIBED RESIDENTIAL PROPERTY. /
GNATURE 'F PERMITTE � � FINAL_ �'••' C/6xL4•C' .
WILLIAM J.FOX,COUNTY ENGINEER
VALID1gTION R.A.WOOD,CHIEF PLBG.INSPECTOR
._JC0 5 8 6 L n AUL 21 3
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