HomeMy Public PortalAbout9221 WEDGEWOOD ST_Plumbing__ �76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
=FORPPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST:
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 7�5 OWNER Cook)
MAI L
BATHTUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO &
/ LAVATORY 1.75 ��� CONTRACTOR51,/ 1aC
SINK 1.75 1 S ADDRESS •f 2v i�CIL
DISHWASHER 1.75t7 CITY ) �i TEL. NO.91u"e3V
CLOTHES WASHER 1.75 /7 STATE .270 CLASS LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO.
DISTRICT NO. GROUP I,ZO_NEIP SS D-$'-YLAWN SPRINKLER SYSTEM 1.75 ��r�f
WATER HEATER 1.75 7S_ INDUSTRIAL J/ '
WASTE APPROVAL
J GAS SYSTEM OUTLETS 1.75 S INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30 O
Mj
W
O.
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
Plan check applicant APPROVALS AT � PECT ,`GNATU RE
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
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 END TO
RESIDE IN THE ABOVE DESCRIBEDWESIIAL PROP RT FINAL
SIGNATURE l
OF PERMITTEE
PERMIT VALIDATION CI(, JM.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 8 4.73, MAY 17 5 D 1 5.2 5,
x
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISISIOF
ON OF BUILDING & SAFETY
WILLIAM J. FOX. County Engineer PLUMBING 1
FOR APPLICANT TO FIL IN DISTRICT N.O. GROUP ZONE .
f , . , '� T A --/ `7 e" �b
PLUMBER N �( � �� ^J .� �iEADY FOR
A , a m J R eEIV/E BY FIRST INSPECTION DATE ISSUED
ADDRE9 4- r/-)e.T f 6,z :Ifs ;'�! '� J! tel/
)4 J1� 1 p G BUILDING J'�I•,_ 1'�/Id`j"�
CITY C'( ( w..%':'' TEL.No...r /' /• l ADDRESS
COUNTY J o 1
LICEN E NO. EXPIRES G
PE IT FEES CROSS HT.
UfA BER TYPE OF FIXTURE OR ITEMFEE OWNER .}• 4 fy I f+e 1
MAIL
WATER CLOSET(TOILET) @\O-AD $ D _ADDRESS Q�A% tAA i-_ I
O. O t7 2 9
BATH TUB CITY ` ~ •'y,� aft �°���� � TEL. No.
SHOWER (@ O. O 1 HEREBY ACKNOWLEDSE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) O 50 !� ANDAPPLAGREE TO OOMPLY WITH CATION 0 STATE RT THE ABOVE ALL COUNTY ORDINANCES
/ CORRECT
KITCHEN SINK 0 O 513 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB R TRAY @ O 50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. h
GAS SYSTEM OUTLETS O 50 I SIGNATURE OF ,�/r}�A
WATER HEATER 5O PERMITTE
SLOP SINK 50 INSPECTION R CORD
FLOOR SINK 13�1513
FLOOR DRAIN AD
DISHWASHER ® LI O
DRINKING FOUNTAIN 01.40
URINAL 0.80 J
Q
HOUSE SEWER 0 0.50 Z
MISCELLANEOUS t7
O
APPROVALS
ATE, (
INSPECTOR-S)
NAME
ROUGH PLUMBING /A
SAH PIPING /
GAB VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK.' SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT • 1.00 GAB TEST /
TOTAL FEE / I D UTILITY CO.NOTIFIED /
(7 FINAL /2 �` f. �i .if.•r��.c%:S
76A667 DBS.#17 6-38 �'
-D.8:8.-17 26M SET$1$''=45
APPLICATION-FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY _
COUNTY OF LOS ANGELES PLUMBING
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DIS TRICTr NO. GROUP ZONE. PERMIT NO.
4•
ROU13H FIXTURESHAEPTIC
COMPLETE I• +✓ C�1✓ G9
HEATER .CESSPOOL TANK R�BIVBD BY READY FOR DATE ISSUED
/// `;I FIRST INSPECTION
GAS MISCELLANEOUS I I- /1 A! lc
,APPLICANT FILL IN HEAVILY UTLINtED PORTION ONLY
E NAME L%" a, /"C. r, �j .'
' JON
ADDRESS 7% c r .,� �:/LjL LOCALITY !.
J NEAREST [�
L 'CITY .- L'Jt L!y` f, / .TXL..No. : -CROSS ST. ��..J//.
COUNTV
3g 22 v
CERT.No. .4i' d O C..' NAME fit% I� .[iQ// .�
EXPIRES.
LOCATION OF'SEPTIC TANK, OR CESSPOOL Z MAIL _ ,►�
3 ADDRESS !/!/ % £:•�
NORTH 0
CITY
-I AM fHE UGAL POSE SOR OF THE ABOVE LOS:
- ANGELES COUNTY'CERTIFICA�ErOF QU'AI.rIF �N�.
_ .•. r PLUMReR
I. AM THE.LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
� e
� OWNER
CORRECTIONS
SOUTH N'x
DESCRIPTION OF WORK
ATH TUB FURNACE
ROWER DISHWASHER
_LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
—FLOOR BINK RANP TRAP
LOP'SINK FLOOR DRAIN
r. -
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN. DATE iNSPScroR's NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBINf, I'
DIETER GAS SODA FOUNTAI ( GAS PIPING
oun G�titi�N
6A8 VENT• I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
ESSPO'OL ._ - SEPTIC TANK SEWER
TOTAL FEE / �--- UTILITY CO.NOTIFIED I
I ` FINAL � vC� /f
D.B,S.-17 25M SETS 12-45APPLICATION FOR PERMIIT
DEPARTMENT OF BUILDING AND SAFETY �®
COUNTY OF LOS ANGELES PLUMBING 1
Wm.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DIST IJET NO. ',GROUPZONE PERMIT NO.
ROUGH FIXTURES COMPLETE I ~I /
HEATER CESSPOOL —I SEPTIC TANK EIVED BY READY FOR DATE ISSUED
� FIRST INSPECTION g/' `ry,
GAS MISCELLANEOUS �yy ~ I 7
PLICAN_T FILL IN H VIT.Y OUTLINED PORTION ONLY
Joe '
NAMBf ADDRESS
ADDRESS 7371LI �,9 ����'L�%�• LOCALITY
NEAREST
d CITY „/� _ TEL`.. O. CRp68 BT.
CERN EXPIRES ® C I .NAME O CFJs�'`tl Wird- ,r�
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL
NORTH 0
DDRESS
CITY TEL.NO.
1 AM TH LEGALL POSSESSPR OF THE ABOVE LOS
ANGELES COUNTY CEI FICAT UAL T
PLUMBER•
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE:
OWNER
CORRECTIONS
SOUTH
DESCRIPTION .OF WORK ,
ATH TUB FURNACE 0
HOWER DISHWASHER 4
VATORY SEFRICIERATOR
—KITCHEN SINK WATER SOFTENER
-FLOOR BINK QAND TRAP
LOP SINK FLOOR DRAIN G
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL.LAVATORY ROUGH PLUMBING i
ETES GAB SODA FOUNTjlNGAB PIPING
OUTL
GAS VENT I I
CESSPOOL I•
TOTAL NUMBER OF FIXTURES SEPTIC TANK
ESSPOOL_____SEPTIC TANK SEWER I I
I ® UTILITY CO.NOTIFIED I
I TOTAL FEE
51;�o. FINAL v x--,/
--IW6Aee7 17 S-SO +® APPLICATION.FOR:PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT�I0. GROUP I ZONE PERMIT NO.
S 03dt; �140.
PLUMBER Revere Service Cotm. RECEIVED BY READY.FOR ISSUED
a. 7FIRST INSPECTION
ADDRESS 3.1811 Teale St. 0 NOWBUILDING I
CITY GCi�oer .r . ADDRESS 9221
TEL. NO.-EX 72151. Wedgewood Ave®
COUNTY
LICENSE NO. 5495'ff EXPIRES F;-RO-fi1 LOCALITY `Pemnle Citi
NEAREST
PERMIT FEES CRoss sr. Alessandro Ave.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER D. 1. rask8m
MAIL
WATER CLOSET (TOILET) @ 0.50 ffi
ADDRESS Same as above
BATH TUB @ o.SO CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0:50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK 0.50 1 CERTIFY THAT_ 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. R I AM THE LEGAL OWNER
OF THE RESIDENTIAL PRO TY DESCRIBED ABp1(E.
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF A-.p
WATER HEATER @ 0.5.0 PERMITTE + !`%` Q .�A •1
SLOP SINK o.so INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.EO III
H
HOUSE.SEWER @ 0.50 V
MISCELLANEOUS J
1 dater Softener 50
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS.VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER'
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE -7ffi
7io FINAL'