HomeMy Public PortalAbout5123 SANTA ANITA AVE_Plumbing__ D.D.S.17 SSM BETS 10-47 APPLICATION FOR PERMIT
REPARTMENT OF BUILDING AND SAFETY '�T
COUNTY OF LOS ANGELES �
WM:J.FOX.CHIEF ENGINEER PMBIG
NATURE OF INSTALLATION —DISTRICT W GROUP P .
ROUGH FIXTURES COMPLETE
�
HEATER CESSPOOL SEPTIC TANK R IV BY READY FOR DATB ISSUED
FIRST INSPECTION '�
fA APPLIICANT FILL 12Iil AVII.Y LINEDPORTIONONLY
Joe
MEADDRESS �DRB$ LOCALITYTY - TEL.No. A/�t��}!� i CROSSST.UNTY a'
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL 3 MAIL 'AMDREOR d� , i*' a Ysr/T.,
NORTH //l t
CITY. � sl fs TEL
No. l9.
I AM THE LEGAL 'POODWOOR• OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUIaOSR
1 AM THE LEGAL OWNER OF HE PROPER DESCRIBED
ABOVE..
0,
Ir /A!p
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATHTUB FURNACE i7
ROWER DISHWASHER O
LAVATORY _REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK - "AND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSP&TOR'O MANE
�L -WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
ETER 1`01AS ---------SODA FOUNTAIN
GAS PIPING
OUTL
GAS VENT 1
CESSPOOL I
TOTAL NUMBER OF FIXTURES gEPTIC TANK I I
CESSPOOL SEPTIC TANK SEWER �.
•S
UTILITY CO.NOTIFIED
TOTAL FEE ci
D.B.B.17 25M BETS 10.47 _ APPLICATION FOR PST ,
DEPARTETY
MENT
OF
FOF LOS ANGELESAND S� �`���� 1 —
WM.J.FOX.CHIEF ENGINEER
NATURE OINSTALLATION DlffrRl o. GROUP E P .
ROUGHFIXTURES COMPLETE g
HEATER __CEBCIPOOL SEPTIC TANK READY FOR DATE ISSUED
FIRST INOPECTION
AS M BCELLAN UB �� f� V
APPLIICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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NAME,• e ,—Pl/ 9,s— t ADDREB® p.I _ c• + ` .y
ADDRESS A1� ,�lJ i. LOCALITY
NEAREST
0• CITY TEL.No. CROSS ST. A
COUNTY
CERT.NO. EXPIRES W NAME� ll
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAILADDR � ' �l
NORTH O
CI T iy EL.NO.
I AM THE LEGAL OB®SBBOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
' PLUMBER
I AM THE LEGAL O ��yyER OF THE PROPERTY DESCRIBED
ABOVE. > /
a ..- f a� ram= --,r�--
a leyOWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATN TUB FURNACE
c�
tY
ROWER DISHWASHER G
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET - DRINKING FOUNTAIN DATE ' INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
6TBI+ OUTL ------SODA FOUNTAIN GAB PIPING I
OAS VENT
CESSPOOL /
TOTAL NUMBER OF FIXTURES I
SEPTIC TANK
CE88
TOTAL FEE POOI SEPTIC TANK SEWER L
S UTILITY CO.NOTIFIED
•/G •
FINAL "�-• '7
9J.6.S.-M.25M BKTU 71-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND .SAFETY
COUNTY OF LOS ANGELESPLUMBING
WM.J..FOX_.CHIEF ENGINEER
cl-
NATURE -OF INSTALLATION lffm q�A u , zo PERMIT .
ROUGH FIXTURESCOMPLETE ✓ �I /�" /'�
HEATER _CESSPOOL SBPTIC TANK READY FOR
,R �IVE�BY QAT6 ISSUED
�--r-- FIRBT INSPECTION
GAS- ISCELLANEOUS
APPLIC�ANT FILL IN IIEAVII.Y OUTI-INED PORTION-ONLYJoe
1
_NAME ( �r_l_hp / '1 .�•I.ld n s .rt'_ADDRESS
g
ADDRESS LOCALITYNEAREST
y LCITY TEL.NO. CROSS ST.COUNTY
L
CERT.NO. EXPIRES Y NAME 1/���� /�/Vg 4/1-I1b;'1 ,1
LOCATION OF SEPTIC TANS, OR CESSPOOL 3 ADDR
MAILWa,�l
NORTH p /�
CITY 1�'7A / lAAa TEL.NO. el /•�3
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
• _ - PLUMBER
I AMTHE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3, OWNER '
CORRECTIONS
• •BOUTH J
DESCRIPTION OF WORK a
z
ATH TUB FURNACE 19
`1 -SHOWER DISHWASHER.
sLAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
10y.
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN J ~
WASH TRAY URINAL APPROVALS
_WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
/ ETEI+ GAS SODA FOUNTAIN GAS'PIPING I I
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURESG-� SEPTIC TANK I�
CE88P001 SEPTIC TANK SEWER I
S
TOTAL FUTILITY CO.NOTIFIED
EE
AL
MM67-CE817-B-M
APPLICATION FOR PLUMBING PERMIT •
COUNTY OF LOS ANGELES
DEPARTNIENT OF:COUNTY ENGINEER
BUMD�ING AND SAFETY DIVISION ADDRESS 5-/;? �
CASSATT D.GRII'ITM IL Wt of Build w
LOCALITY Cr
FOR APPLICANT TO FILL IN NEAREST
.
NUMBER FIXTURE OR ITEM CROSS
OWNER
WATER CLOSET MAD: y
BATH TUB ADDRESS
SHOWER TEL.NO. s�
LAVATORY CONTRACTOR
SII�S ADDRESS
DM33WAMM CITY TEL.NO.
CONTRACTOR'S STATE [3LAUNDRY TUB REGISTRATION N COUNTY ❑
CLOTHES WASHER DMRIQT NO. GROUP ZONE / P ESS BY
WATER HEATER ?4 '/ ,
GAS SYSTEM INDUSTEIAL
WASTE APPROVAL
INSPECTION RECORD
g1 I APPROVALS
08 F18TUR8 S
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 2 00 ROUGH PLUMBING p //
TOTAL FEE
ed GAS PIPING
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION. GAS VENT A 's
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR - GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM AHE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL tPOPERTY.
SIGNATURE FINAL
OF PERMITTE
ROBERT A.WOOD.
®p VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. CASN
Lt&3 4 17% 14AR 13 5 A 3.0 0
0 - ..
FOAS67 - APPLICATION FOR PLUMBING PERMIT 7
3
SBS-17 O•BS 11
fiISION OF BUILDING AND SAFETY aJOL
Deportment of County Engineer
County Of Loa Angeles BUILDING /�
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS' e7
CASSATT D.GRIFFIN;SUPT OF BUILDING
NICENESS LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRI.0 1!jG, I GROUP ONE READY FOR INSPECTION
MAIL �i q� "�
ADDRESS 6 (A
RIAL
CITY TEL.N
O �� WA TEAPPROVAL
PLUMBER 1. P INSPECTION RECORD
ADDRESS
CITY TEL.NO.
LICENSE NO. 4,e51
NUMBER TYPE OF'FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 571010
BATH TUB @ $1.00 d
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 a
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
ry UNDER SLAB WORKti-
PERMIT $ 7 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE Sloe). 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEG OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL ROPE$TY.
SIGNATURE
OF PERMITTEE / FINAL
'OHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHI-EPPLBG. INSPECTOR
CK. N.0. CASH
A
,9 5 7 Jt7i4 17 3 5,00
76A667-CE817.8-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
DING
BUILDING AND SAFETY DIVISION ADDRESSSS
ADDR
JOHN A. LAMBIE. COUNTY ENGINEER f
CASSATT D. GRIFFIN;SUPT OFBUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER _FIXTURE OR ITEM CROSS ST. -
WATER CLOSET OWNER
MAM
BATH TUB ADDRESS
SHOWER CIT TEL.NO
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S STATE
-REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTRICT NO. GROUP ZO E READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1.00 PER ITEM DjkTiNsPEp'rOR-S SIGNATURE
OR FIXTURE $ DC UNDER SLAB WORK r �
1
ROUGH PLUMBING Q ,,
PERMIT 5 `,I Ow
GAS PIPING
TOTAL FEE 4Q GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY L09 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RES IDENTIA PROPERTY.
SIGNATURE
OF PERM ITTEE FINAL
ROBERT A. WOOD.
®5. VALIDATION SUPERVISING MECHANICAL.ENG'R
CR M.0. CASH
1. 1 1 7 5� OCT 29 5 A 6,Q0 M