HomeMy Public PortalAbout9740 VAL ST_Plumbing__ 70A n . ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIST GROUP ZONE PM NO
PLUMBS C. NOTTINGHAM M RH 1 E BY READY FOR DATE IOSUIED
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FIRST INSPECTION _
ADDRESS123 o. "lOVCr� Ave
TEMPLE UILDING O
CITY A ♦ BUILDIH
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COUNTY LOCALITY
LICENSE NO E PIRES NEAREST
CRO ST 4L
PERMIT FEES
NUME[R TYM OF FIXTURK OR 1TLM FEE OWNER
MAIL
WATER CLOSET (TOILET) O SO
ADDRESS
BATH TUB OSO I
CITY TEL NO
SHOWER O SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY IWABH BASIN) O SO AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN BINK O SO 1 CERTIFY THAT I POSSESS THH ABOVE VALID LOS
LAUNDRYTUBORTRAY 0 O SO ANGELES COUNTY LICENSE OR 1 A THE LEGAL OWNER
OF THE REBIDENTI PROP ABOVE
GAS SYSTEM-OUTLETS ® Ono
WATER HEATER ® O SO
SLOPSINK ® D EDI INSPECTION RECORD
FLOOR BINK a O SO
FLOOR DRAIN a O SO I
DISHWASHER a O SOI
DRINKING FOUNTAIN 0 O SO
URINAL O SOI J
HOUSE SEWER 0 O SOI Z
MISCELLANEOUS a
R
I
' I
APPROVALS
DATE INNXCTOR F AAMR
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 0 100 CESSPOOL
SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) ® 100 SEWER
PERMIT I 1 Do GAS TEST
B
TOTAL FEE UTILITY CO NOTIFIED
Y
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FINAL �/h
i
IT "" ""° ;' APPLICATION FOR PRBE'IIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PL��B'�6 '
WM J FOX.CHIEF ENGINEES
ROUGH FIXTURES COMPLETE
_ INEATER CEBSFOOL BaPT16 TANK READY FORISSUEDR QIY BY INtommo
gas M e APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME GCRESB o den West TADDRMB 1 LOCALITY Tem le CitCITYAltadenaE CalifwmSy 7.0674 CROB�.
COUNTY
CERT o EXPIRES ' NAME NdmonatonLOCATION OF SEPTIC TANK, OR CESSPOOL MAIADDRESS
NORTX O
CITY TEL No1 AM THE LEGAL POSSESSOR OR THANGELtl CQYJITY CO[T RICATY O►QUALIF/ I[OL C/'1 AM THE AL OWNER OF THE PROPERABOVE.
"II
I CORRECTIONS
SOUTH
DESCRIPTION OF WORK =
ATH TUB FURNACE
rc
KNOWER DISHWASHER p
VATORY REFRIGERATOR
ITCNCN BINK WATER SOFTENER
R SINK 9ANDTRAP
SINK F DDR DRAIN
WADH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IEwa1oRY NwMs
WATER NEATER DENTAL LAVATORY ROUGH PLUMBING
ETEII SODA FOUNTAIN GAS PIPING
OUTL
GAG VENT 11-- �+�tA���/'
CESSPOOL V -
TOTAL NUMBER OP FIXTURES SEPTIC TANK \
CESSPOOL gIIPTIC TANK / ^ SEWER
UTILITY CO NOTIFIED
TOTAL FEE !/
D B IT 8.41 nM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
OF LOS ANGELES
WM J FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIJ GROUP ZONE gw+}rNO
3 ROUGH 4/ - if 6
PLUMBING PU[TURB9 TICOMPLETE
REC IVED BY READY FOR DAT 1 ED
ER
NEATCESSPOOL SEPCTANK A /I FIRST INSPECTION
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
S
AIDIX4 LOCALITY
X
NEAREST
CITY TEE. N .� CROBS BT
CEUNTY
RT NO EXPIR
NAME
LOCATION OF SEPTIC TA z MAIL
NK, OR CESSPOOL ; ADDRESS
NORTH o
CITY TEL No
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANO BL68 COUNTY CERTIPIC TS O QU LIFICATION
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1 AM THE LEGAL OW OF THE PROPERTY DESCRIBED
I>1 ABOVE
p OWNR �
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DESCRIPTION OF WORK z
BATH TUe FURNACE �. �9'YS We teat /A) ;� mn73
---��BHOWER / DISHWASHER
—/--L//
AVATORY ✓ REFRIGERATOR /
--/--KITCHEN SINK WATER SOFTENER
R SINK RAND TRAP
SLOP SINK FLOOR DRAIN
--/—WASH TRAY URINAL
APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INfrECTOR•NAM[
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
ETEC—.►J-.GAS SODA FOUNTAIN GAB PIPING
OUTL
GAB VENT
/ �yI CESSPOOL
TOTAL NUMBER OF FIXTURES `.�, U V SEPTIC TANK
SEWER /
CESSPOOL SEPTIC TANK
/ UTILITY CO NOTIFIED
TOTAL FEE I FINAL �-
TeA.BT n wB p APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
U I
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GR UP ZO E PERMITNO
PLUMBER RECEIV D Y READY OR ATH ISSUEDI
FI T INSPECTION /�
ADDRESS y a
BUILDING —
CITY TEL NO
1
COUNTY =
LlrgNSEN PIREB
NEAR99T
PERNQT FEES CROS
NUMBER TYPE OF F!"URE OR ITEM FEE OWNER
MAIL
WATERCLOSET TOILET O SO t ADDR
SATE TUB 0 0 SO CITY 7,U TEL NO
SHOWER 0 O SO I JERUSY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN O SO APPLICATION AND STATE THAT THS ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O SO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUBO Tp AY O SO ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RHDIDEN PROP TY O S RIBH A V6
6AS SYSTH OUTLfiTB O SO SIGNATURE O
WATER HEATER Ono FERMI
SLOP BINK 01501 INSPECTION RECORD
FLOOR SINK O SO
FLOOR DRAIN @ O Sol
DISHWASHER O no
DRINKING FOUNTAIN a O SO
URINAL O SO J
HOUSEBEWER O SO Q
Z
MISCELLANEOUS O
O
I
I
I
APPROVALS
DATE Ixv[cioR E NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( I ® 1 00 SEWER
PERMIT 1 DD GAS TEST
TOTAL FEE E
J UTILITY CO NOTIFIED
FINAL
TeAeeT APPLICATION FOR PLUMBING PERMIT 1
Ce en a ee
, BIIII.DING AND SAFETY DIMON
Department 01 COUnty EngmeGE
County 01 Los Angeies Su1LO1Np
JOHN A LAMBIE.COUNTY ENGINEER ADORERS
CASSATT0 GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
I ROSS bT
OWNER 1 — DISTRICT ISId GRQIM ZONA I Ra^T POe IR1Pec110R
MAIL
ADDR
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
f INSPECTION RECORD
PLUMBE L
ADDRESS :
CITY TELL NO
LICENSE NO 1/ %-
31
NUMBER TMP[OP}IITURG OR ITeM }RR
WATER CL08 ET (TOI LET) q •100 S
BATHTUB Q •100
SHOWER 1 00
LAVATORY (WASH BASIN) •100
KITCHEN SINK •100
DISHWASHER 41100
LAUNDRY TUB OR TRAY q floo
CLOTHES WASHER •100
WATER HEATER ® 100
OAS SYSTEM sloo
APPROVALS
DATE INSPECTOR B SIGNATURE
UNDER BLAB WORK
ROUGH PLUMBING
PERMIT • 1 00
OAS PIPING
TOTAL FEE pAe yENT
I HEREBY ACANOMLEDGE THAT 1 HAVE READ THIS APPLICATION H{07 WATER HEATER
AND STATE THAT THE ABOVE le CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAPS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR pABTEST fI .,7
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE DF
CALIFORNIA OR THAT 1 AM THE LEGAL OP SR THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDEMTLAL PROPERTY
SIGNATURE pINAL
OP PERMITTEE
ROBERTA WOOD,
JOHN LAMBIE COUNTY ENGINERR VALIDATION SUPERVISING MECHANICAL ENO
0 2 0 O.uN
_G3 6 9 lV; OG124 3 2.00 R
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