HomeMy Public PortalAbout5227 SANTA ANITA AVE_Plumbing__ D.e:S.17 a5M`._TS I2.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
PLUM
Q&UNTY. OF LOS-ANGELES 'BI
G t
M.J. FOX:CHIEF ENGINEER
ENGINEER
--
TURE OFINSTALLATION' DiSTRICT.7NO. GROUP ZONE PERMIT NO. `
f '
ROUGH FIXTURES COMPLETB 9 3>
HEATER _CESSPOOL - -I SEPTIC TANK RECBIVBD:BY READY FOR DATE ISSUED
,� FIRST u ION
M
GAB ISCELLANEOUB.
APPLICANT FILL IN HEAVILY OUTLINED PjORTION ONLYJO
B NAME l'J ADDRESS 143
ADDRESS / LOCALITY
J
NEAREBT *-
4 CITY TEL.No. CROSS ST.
COUNTY
CERT.-NO. EXPIRES NAMED`"
LOCATION OF SEPTIC TANK,-OR CESSPOOL z MAIL _
NORTH C ADDRESS`
CITY L^"- TEL No.
I.AM THE LEGAL 'POSSESSOR CF THE ABOVE`LOS_
-ANGELES COUNTY CERT•IFiCATE OF_QuAL1FiCATIOH.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
• ABOVE. +
OWNER
J CORRECTIONS
SOUTH
DESCRIPTION OF WORK. �� r�•
�l � z
ATH TUB _ aURNACE' . U
aHOWER. DISHWASHER ' O
—LAVATORY -REFRIGERATOR
' ITCHEN SINK •WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK -FLOOR DRAIN
- WASH TRAY URINAL APPROVALS
) WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I. -
__LMETER_GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT'
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
ESSPOOf EPTIC TANK e �t�p�� SEWER (� J
'-' `' UTILITY CO.NOTIFIED'./II ty,/�
TOTAL' "FEE' �. may, ,! !151,
Y
1 FINAL'-
6 A 6.67—CE 17 8/68
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE. COUNTY,ENGINEER ADDRESS_,�p[y(
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE '
OWNER
WATER CLOSET 1.50 1
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO. _
LAVATORY1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. N
CLOTHES WASHER 1.50 STATELIC
LICENSE NO. T� CLASS
SWIMR7ING POOL RECEPTOR 1.50 DISTRICT N GROUP ZON PE D BY
LAWN SPRINKLER SYSTEM 2.00 1 :2 r �� CD
WATER HEATER 1.50 / INDUSTRIAL Z
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1.50 DdSPECTION RECORD Uu.l
OUTLETS OVER 30
5 PER SYSTEM
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 1 2 100
TOTAL FEE d
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
LANSTATE
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY PLUMBINGFIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
G.
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED AllD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO N,THE ABOVE DESCRIBED RESIDENTIAL P RTY. FINAL
URE JACK R. ALLEN, SUPE VI INC CHANICAL ENG'R.
RMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDA N CK. M.O. CASH
D.B.H..17 25M BETS 7-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM.J.FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT o.- -GROU PIR o.
ROUGH FIXTURES I_I COMPLhT6
_ R E�.H READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
AS MISCELLANEOUS IP
APPLICANT FILL IN HEAVILY.'OUTLINED PORTIO ONLY
K NAMEJOB
' ADDRESB s
ADDRESS Id-t4/� 419,/ LOCALITY
iR NEARE8T
CITY TEL. o. O. , s CROSS BT:
COUNTY g
CERT.No. Y ' EXPIRES /f• L NAME
LOCATION OF SEPTIC Ti NIK, OR oksSp L Z MAIL
NORTH
ADDRESS Q �+
O CITY TEL�O o�/Y 6 f3 o
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELEB COUNTY CERTIFI . TE OFF UAj IFICATION.
c PLUMBER
I AM THE LEGAL OWNER OF THE PROPER DESCRIBED
�p ABOVE.
W
3 owNER
CORRECTIONS
SOUTH .J
t DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER O
AVATORY- REFRIGERATOR KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
_WATER CLOSET DRINKING FOUNTAIN DATE INBP/ECCRR'B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ^"-
METER--3—GSODA FOUNTAINOUTL % si
GAS PIPING
GAS VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES - � SEPTIC TANK i
CESSPOOL a"�aEPTIC TANK SEWER I yy
8 CrW
TOTAL FEE UTILITY CO.NOTIFIED
FINAL
°J"" RPM°t ,''a � APPLICATION FOR PEFJW
DEPARTMENT OF BUILDING AND SAFETY r
COUNTY OF LOS ANGELES PLuinnamlamm
WM.J.FOX.CHIEF ENGINEER
NATURE 0 INST TION DISTRI P PP M a� .
ROUGH FIXTURESH
COMPLETE "'�� / `"cg
HEATER CESSPOOL SEPTIC TANK. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
AS• I -MISCELLANEOUS
APPLICANT FILL IN IIRAYILYUOiTTLINED PORTION ONLY
ADDR
m ADDRESS � +,►�® �.,4r °C�P�1 LOCALITY
D NEAREST
R -
CITY TEL.No. �lo� .CROW ST. a.
COUNTY
CERT.No. EXPIRES' NAME n
LOCATION OF SEPTIC TANS, OR CESSPOOL. a . MAIL
3 ADDRESS
NORTH O -
CITY TEL.No.
1 AM THE LEGAL POSSESSOR
�� THE AVE LOS
ANGELES COUNTY CERTIFc�IK�J IFIL r BION.
i
PLUMBER - -
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ADOV6
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE O
19
SHOWER DISHWASHER O
..LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
F ^^R SINK ----SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS.
WATER CLOSET DRINKING FOUNTAIN DATE INSPOCTOR•S NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I
ITER GAS SODA FOUNTAIN
OUTL GAS PIPING I I
CTAS VENT
CESSPOOL
ZESSFONC01--DEPTIC
UMBER OF FIXTURES SEPTIC TANK I
Ge TANK SEWER
S / UTILITY CO.NOTIFIED ' I
TOTAL FEE r/
FINAL