HomeMy Public PortalAbout6018 ROWLAND AVE_Plumbing__ 78A�87-CE#81.7 93 -•''"'�� } y�. /V�JJ
APPLICATION FOR. PLUMBIN PERM ,/
COUNTY OF LOS ANGELES ' -.;; , ' .
'DEPARTMENT OF COUNTY ENGINEER*
BUILDING AND SAFETY DIVISION BUILDING -,.
JOHN A. LAMBIE. COUNTY ENGINEER.: ADDRESS y
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY ' f I
FOR APPLICANT TO FILL IN CROSS ST.NEAREST
. c� �' ra
NUMBER y FIYTURE OR ITEM EACH FEE
OWNER
WATER' OSET 11.25. MAIL
CL
BATH TUB 1.25ADDRESS
SHOWER 1.25 CITY TEL. NO.
VATORY 1.25 CONTRACTOR' ,,' v ` -•y f
SINS 1.25 ADDRESS f rl I
DISHWASHER 1.25 CITY ► TE
LAUNDRY TUB 1.25 CO CTOR' —v STATE
REGISTRATION NO. COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 '� ;a
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O1'� INDUSTRIAL SYSTEM OUTLETS WTOVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD LU
O
O.
W
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00
UNDER SLAB WORK
a�
S4' ROUGH PLUMBING
TOTAL FEE •. G{1S PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT '
AND STATE THAT THU ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
X•
.-.I HEREBY CERTIFY THAT I AM PRQPEqLY.!RRbISTERh'D AND/OR PLUMBING,FIXTURES ,1
LICENSED AS REQUIRED BY LOS ANGELES'COUNTY:.AND STATE OF GAS TEST
CALIFORNIA OR
.THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
,RESIDE IN,THE ABOVR,%'.DESCR ED RESIDENTIAJ.PROPERTY. UTILITY CO.NOTIFIED r
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SIGNATURE . I ,•.�„���
OF PERMITTEE' FINAL
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"VALIDATION ROBERT A. WOOD 4
i; M.o. CASH SUPERVISING MECHANICAL'ENG'R t
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0.8.9.17 BSM BETS 1-48
DEPARTMENT OF BUILDING AND SAFETY FOR.VA.PERMIT
'
COUNTY OF LOS ANGELS �L
WM.J.FOX.'CHIEF ENGINEER
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NATURE OF INSTALLATION STI . GROUP ZONE' PERMITNO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL SEPTIC TANK RECEI • . Y READY FOR qsISSUED
f FIRST INSPECTION �
M18 ELLANEOUS /
APP4. LICANT FILL IN HEAVILY OUTLINED PORTION ONL�Y� y�
JOB
S NAME.�.D / �r/YP�af#:�FoEr � DDRESB,3/ r jI�/"l_(s[,l d (/d. Cf
X. ADDRESS ( � / So I ,lm m,d e•-?rL�'I LOCALITY (/ ��// e
7 NEAREST
CITY ( /�"ct/ WVVIe. TEL.N.,wig I VA. CROSS ST. A9
CBRT.No. 6XPIREB i7 6/
NAME R.
LOCATION OF SEPTIC TANK, OR CESSPOOL- a MAIL- /1 q
3 ADDRESS `7A . I�'11iPi"l�d �tVA In
NORTH O
-TEL.No.
I AM THE LEGAL POSMO13OR OF THE ABOVE LOS
ANGELES COUNTY CERTIP'IG�ATE•OFF�QUALIFI TI N.
�E/
{� PLUMBER
I AM THE LEGAL OWNER OF THE t'ROPERTY DESCRB3ED
ABOVE.
3 owMElt
CORRECTIONS
1 ca
` 1
SOUTH. J
DESCRIPTION OF WORK Z '
ATH TUB. FURNACE O
MOWER DISHWASHER Q
—LAVAINDRY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
Of BINK SAND TRAP
SLOP SINK FLOOR DRAIN'
V.WATER
ASH TRAY URINAL APPROVALS
ATER CLOSET ^RiNK1NG FOUNTAIN DATE IMSPECTOR•B MANIC
HEATER DENTAL LAVATORY I
ROUGH PLUMBING
SODA FOUNTAINQpg pIPiNGOUnGAS VENT
CESSPOOLOTAL NUMBER OF FIXTURES SEPTIC TANK
ESSPOOL SEPTIC TANK SEWER I
$ UTILITY CO.NOTIFIED I c I
TOTAL FEE . RIMA
D.B.S.-37 25M BETH'1.1-46 APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX.CHIEF ENGINEER
NATM OF INST. TION _ DISTRICr NO. GROUP o PERM NO.
ROUGH FIXTURES COMPLETE 1 �
READY FOR'
HEATER - CESSPOOL SEPTIC TANK. R TVBD BY FIRST INSPECTION /DATE 188UEDy
GAS- M18CELLANEOU O�-�"� �' d11
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Joe
IC NAME ADDRESS , cP��7stst�
W
O
g ADDRESS '` LOCALITY
D NEAREST
d CITY �, • L.sN� CROSS ST. 0 /J
COUNTY —r-• ��r--
CERT.No. EXPIRE
NAME .B
LOCATION OF SEPTIC TAN$, OR CESSPOOL z . MAIL
NORTH O ADDRESS
CITY TEL.No.
I AM THE LEGAL POSSESSOR O THE ABOVE LOB
ANGELES COUNTY CERTIFI F IFII;ATION.
• PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIB
ABOVE.
3 OWNER
CORRECTIONS
,
SOUTH
J
DESCRIPTION OF WORK Z
BATH TUB FURNACE
ROWER DISHWASHER G
■AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTDR•e HAMS. .
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER GAS aODA FOUNTAIN. I I
OUTL • GAS PIPING
GAS VENT I I
CESSPOOL I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK.
_ —CESSPOOL SEPTIC TANK l SEWER I
TOTAL FEE UTILITY CO.NOTIFIED I
FINAL