HomeMy Public PortalAbout5452 BALDWIN AVE_Plumbing__ (2) 76AB67 17 9-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRrNO GROUP I ZONE HERMITNO
WESTERN EftN M1R"'C`E REC IVED BY READY FOR DATE ISSUED
r—ADDRESS
LUMBER
WATER SOFTENER CORPORATI P-41K— FIRST INSPECTION
11435 SO KOOPMAN - DOWNEY, CALIF
T �� BUILDING
CITY TEL NOr"'3 ^
ADDRESS -��'1 lef / l Y
COUNTYLOCALITY
LICENSE NO /J(1 U /"1. EXPIRES j/` p
NEAREST Q
PERMIT FEES CROSSST G
10,& �p �
NUMBER 1 TYPE OF FIXTURE OR ITEM FEE OWNER f,&
MAIL
WATER CLOSET (TOILET) Q O 50 I$ 1 ADDRESS dL
BATH TUB @ O 501 ICITY, TEL NO
SHOWER Q O 50 I I 1 HEREWY ACKNOWL GE THAT 1 HAVE READ THIS
LAVATORY (WASH BPSIN) Q O 50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 1 CERTIFY THAT 1 POSS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O Sol ANGELES COUNTY LI NS R 1 AM T LEGAL OWNER
GASSYSTEM OUTLETS Q O 50
OF THE RESIDENTIAL P RTY DESCRI BOVE
'
SIGNATURE OF f.WATER HEATER Q O 50 I PERMITTE
SLOP SINK Q O 501 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 501
DISHWASHER Q O 501
DRINKING FOUNTAIN O 501
1 URINAL O 501 „J
1
—1—HOUSE SEWER Q O 501 1 Z
r� 1
MISCELLANEOUS I I 2
I
0
r I x
II
I�
APPROVALS
DATE INSPECTORS NAME
1 1 ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 100 I CESSPOOL
SEPTIC TANK 1 I SEPTIC TANK
DRAIN ( ) PIT ( Q 1001 I SEWER
PERMIT I 100 GAS TEST
I V
TOTAL FEE UTILITY CO NOTIFIED
$ ..
FINAL
76AS67 n 5-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIS�C7''NO GROUP I ZONE PERMIT NO
099
PLUMBER rRErEIVEDBY READY OR DATE ISSUED
'i�,�'"" FIRST INSPECTION
ADDRESS / p- �G Q �• d
BUILDING
CITY TEL NO c7i �Q ADDRESSCOUNTY
LICENSE N tg�q� LOCALITY
EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER C/'-�✓��✓J
n'
f/ WATER CLOSET (TOILET) (@ O 50 $ MAIL
(r[J ADDRESS
BATH TUB ® O 50 () CITY TEL NO
SHOWER Q O 50 O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN) O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 0 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY7Dc7fBED
ABOVE.
GAS SYSTEM�OUTLETS Q O 50 �0
SIGNATURE OF
WATER HEATER @ O 50 Q PERMITTEE
SLOP SINK Q O 50 INSPECTION RECORD
FLOOR SINK @ O So
FLOOR DRAIN Q O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN Q 0 50
URINAL Q O 50 �]
HOUSESEWER @ O 50 Q
Z
MISCELLANEOUS r 0
J Ir
O
APPROVALS
DATE INSPECTOR S NAME
\ ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL N @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT too GAS TEST
UTILITY CO NOTIFIE /
TOTAL FEE S �
FINAL
Gam/ I