HomeMy Public PortalAbout5103 SANTA ANITA AVE_Plumbing__ D.B.8.-1 r 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES P`U I G• 1
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE/ PERMIT NO.
ROUGH FIXTURES. COMPLETE .�/ I. 1
HEATER CESSPOOL I. SEPTIC TANK CY
REC• Ely
READY FOR DATE ISSUED
/ ' FIRST1NBPECTIONlI r
GAS` MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION.ONLY
JOB 1:1>. ,�J _, ,4F`
NAME ADDRESS 1 q J/.
■ ADDRESS LOCALITY
7 NEAREST ' C
OJ CITY TEL.No. CROSS ST.
COUNTYer�,� y
CERT.No. EXPIRES NAME ,✓ V"', d ! k
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL ' s
3 ADDRESS �/� s�-�ti sl AAI
NORTH O r--
i4�•
CITY y: •+p r�:�-• .r•�TEL.No. '
1 LE THE LEGAL CERTIFICATE
OR U THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
fL/4L `
PLUMBER
IAM THE LEGAL OWNER OF THE PROPERTY DESC�IBlCD
ABOVE.
✓ �• �`� OWNER 'k
CORRECTIONS
SOUTH_
DESCRIPTION OF WORK,
4
ATH TUB 'FURNACE (y
SHOWER, DISHWASHER
-AVATORY REFRIGERATOR
rITCHEN BINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN.
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INe0 NAYS
WATER HEATERDENTAL LAVATORY ROUGH PLUMBIRG. 3 It w 1.4 1` A& ,
ER GAC 4 ODA FOUNTAIN VU
37 IV v TL GAS PIPING o 14
�
! Qr i GIS VENT
j CESSPOOL
J✓ TOTAL NUMBER OF FIXTURES SEPTIC TANK. I -.31 HL>
ESSPOO EPTIC TANK a SEWER
>$ d®
I
TOTAL FEE UTILITY CO.NOTIFIED
� � � � `�� �
76A667 (CE-817)-8-71 611/1 �-- ` r� 3
AP PLICATION OR PL[JMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION' AoloRESS
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. S'
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 MAIL
BATH TUB 1.75 ADDRESS t—/
SHOWER 1.75 CITYI�i , TEL. NO.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY _jZTEL. N /U
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. l " CLASS
DISTRICT N GROUP ZO E POC S BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 7 INDUSTRIAL 96
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTI ECOR
OUTLETS OVER
5 PER SYSTEM .30
1u
Vl
Z
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 GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBE RESIDENTIAL P PERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
�
76A667 (CE-817)-8-71 fJ�"''��''
APPLICAI, ION FOR PLUMBING E M '
COUNTY OF LOS ANGELES -e6T.`e
DEPARTMENT OF COUNTY ENGINEER �
BUILDING AND SAFETY DIVISION BUIL F
DRESS DI �.�/�QCALITY vcFOR APPLICANT TO FILL IN (PRINT OR TYPE) AREST `c �
CROSS ST. riIGJ�-.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER T
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO. YP
LAVATORY 1.75 CONTRACTOR G L +
SINK 1.75 ADDRESS 'ooQ � _
DISHWASHER 1.75 CITY TEL.
O�X_G NO
Q
CLOTHES WASHER 1.75 STATELIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. 117 CLASS
DISTRICT N0._ GRP Z(PE BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75
INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30
4
- V
61a
Vl
z
o
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 GAS TEST
PLUMBING..
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED '
LICENSED AS REOU IR ED
BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TA ,
RESIDE IN THE ABOVE DESCRIBED RES IDENTIAL ROPERTY. FINAL 4••23--]Z , -7,7T
SIGNATURE C/✓//4'A- ,
OF PERMITTEE
PERMIT VALIDATION CK. M CASH
PLAN CHECK VALIDATION CK. m.o. CASH
LACo 6 5 8.4" JW21 5 D `� 44?5N a
79A867 17 s-so
.r APPLICATION FOR PERMIT
DEPARTBUNT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES :�
WILLIAM. J. FOX,,CHIEF' ENGINEER i
..F R APPLICANT TO FILL IN,, DISTRICT NO. GROUP ZONE PERMIT N
PLUMBER ,r RECEIVED BY READY FOR DATE ISS D
FIRST INSPECTION
ADDK ~
,BUILDING
CIT ���'Y/�i:�A+ TEL..NO)CO.
f /� ADDRESS
COUNTY
LOCALITY
_LICENSE NO. �.z EXPIRES
NEAREST
PERM FEES cRoB's sr.:
rUM�3.FR TYPE OF FIXTURE OR'ITEM FEE OWNER,
MAIL
WATER CLOSET(TOILET) O:SO 8 ADDRESS
BATHTUB C..SO. CITY TEL. NO.
SHOWER Q 0.56 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY.(WASH BASIN) Q 0.50' �. AGREE TO 'COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50: STATE LAWS REGULATING PLUMBING.
I CERTIFY. THAT 1 'POSSESS THE ABOVE' VALID 'LOS
LAUNDRY TU13ORTRAY' ® 0.50 ANGELES COUNTY LICENSE, OR-1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY. ESCRIBED ABOVE.
GAS SYSTEM ' OUTLETS' 0.50
SIGNATURE OP / �p
WATER HEATER. @ 0.50 PERMITTE ""�.
SLOP SINK, Q o.so INSPECTION RECORD
FLOOR SINK .. . @ 0.50
FLOOR DRAINa 0.501 r
DISHWASHER @-0..50
DRINKING FOUNTAIN .. 0.50
URINAL, @ :0.SO .
' HOUSE SEWER @ •C.50 Z
..MISCELLANEOUS (�
O
APPROVALS
:DATE INSPEOTOR•S NAME
".ROUGH PLUMBING
5 ..
GAS PIPING .."
GAS VENT
CESSPOOL @ 1.0.01, CESSPOOL
SEPTIC TANK: SEPTIC TANK -
I "DRAIN ( ) PIT ( ) @ 1.00 1 SEWER
PERMIT'.. 1:00
GAS TEST ?
UTILITY CO. NOTIFIED '
TOTAL. FEE .I 0j I .
J V FINAL
D.B.S.-17 26m BETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY '
COUNTY OF LOS ANGELES P`U I (G• 1
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONEr• PERMIT!NO.
ROUGH FIXTURES. COMPLETE z I f
HEATER CESSPOOL I-I SEPTIC TANK REC yyyE�a ' READY FOR DATE ISSUED
/ /1 FIRST INSPECTION
dA8• MISCELf..ANEOUe
APPLICANT FILL IN HEAVILY OUTLINED PORTION ON�.Y „
JOB .qq11
NAME ADDRESS 64 '
Fl•—
ADDRESS LOCALITY CE- ,P,r'n:!(D�; 1 r
aNEAREST
tL CITY TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES NAME �-
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS A-A7 A-1 I
NORTH O r
CITY ?1 l r I r�;4; 1 L.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL'OWNER OF THE PROPERTY DESCIIIBHD
ABOVE.
-1
CORRECTIONS
' ate"
SOUTH
a
DESCRIPTION OF WORK
ATH TUB FURNACE
HOWER, DISHWASHER 0
VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
N,
LOP SINK FLOOR DRAIN,
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING 1FOUNTAIN DATE IMBP,a MAMIs
WATER HEATER DENTAL LAVATORY ROUGH PLUMBIN®
Y• I
ETER fSAS ODA FOUNTAIN GAS PIPING 1 �
UTL I. y,-din ��®
go I GAS VENT I-
+� 1/ CESSPOOL
TOTAL NUMBER OF FIXTURES a SEPTIC TANK.
ESSPOO SEPTIC TANK SEWER I ,
S /
1 UTILITY CO.NOTIFIED I /%
I TOTAL FEE
76A667 (qE-8 17)-8-71 /�, ® , ii/ � V
APPLICATION OR PLUMBING PERMIT
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS --31--23
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. .S S
NUMBER FIXTURE OR ITEM- ® FEE
OWNER ooy�
WATER CLOSET. 1.75 MAIL
BATH TUB 1.75 ADDRESS C5-2
SHOWER 1.75 CITY .� `� �� ~ .TEL. NO. ?¢�
LAVATORY 1.75 CONTRACTOR.14
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. N
CLOTHES WASHER 1.75 STATE LIC
���SWIMMING POOL RECEPTOR 1.76 LICENSE NO. CLASS
DISTRICT N TP
ZO E P O S BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTpIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECT15aECORZ V
OUTLETS OVER .30 ��
5 PER SYSTEM
V
W
FA
Z
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 1 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 '
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED_ BY LOS ANGELES COUNTY AND STATE OF ,
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF; AND INTEND TO
RES IDE IN THE ABOVE DES:2RESIDENTI]&PIFRTY, FINAL '
SIGNATURE
OF'PERMITTEE
PERMIT VALIDATION „ CK. M.O. CASH
PLAN CHECK VALIDATION CK.. M.0. CASH
6 ...3 s 1.3 y V' 071 . 4,7v
I
76A667 (CE-817)-8-71 (�y�7--��-- � ' �, ��� G�;- •-"'
APPLICATION FOR PLUMBING E MM T
COUNTY OF LOS ANGELES. - e.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION F
UILDI
ADDRESS , 4
ocauTY ,
FOR APPLICANT TO FILL IN (PRINT OR TYPE) EAREST �p
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. ,
WATER CLOSET 1.75 OWNER
BATH TUB 1.75 ADDRESS '�� d
SHOWER 1.75 CITY :::�'Z7 • TEL. NO. 6�
LAVATORY 1.75 CONTRACTOR
G G
SINK 1.75 ADDRESS i00
DISHWASHER 1.75 CITY -TEL. NO _
G �
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. 1r CLASS
DISTRICT NO. GR= I ZO E rRq BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75
INDUSTRIAL
WASTE APPROVAL A.
GAS SYSTEM OUTLETS 1.750
INSPECTION RECORD u
OUTLETS OVER
5 PER SYSTEM .30 g
I
Lu
A.
N
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE I �
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER -2•z:7 9 r,';?%j Sl3') �„ ,�,•f
AND STATE THAT THE ASO VE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REG15TERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND T.O
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL ROPERTY. FINAL
SIGNATURE ✓
OF PERMITTEE
PERMIT VALIDATION CK. M CASH
PLAN CHECK VALIDATION CK. M.O. CASH
LAC o 6 ;!5 8'4 N JIM 21 D 41c'.�.5N v
76AS67 17 5-80 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
F R APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NQ/
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION -
ADDR
CIT �AJ��� ����-y�i /��" ) ( BUILDING
IICIO 6 TEL. NO/ " toO aJ 3'X ADDRESS J �/
COUNTY LOCALITY
LICENSE NO. EXPIRES NEAREST
PERMIT FEES
CROSS ST.
/
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 S I ADDRESS
BATH TUB @ 0.501 sv CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 a3"' APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF
1 WATER HEATER @ 0.501 PERMITTEE
SLOP SINK @ 0.501 I - INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.501 J
J HOUSE SEWER @ 0.501 I Q
Z
MISCELLANEOUS (�
0
1 I
1 I
1
APPROVALS
1
1 DATE INSPECTOR'S NAME
1 ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.001 CESSPOOL
1 SEPTIC TANK: 1-� SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 I SEWER
PERMIT . 1,00 GAS TEST
TOTAL FEE I S F UTILITY CO. NOTIFIED
t 1
FINAL