HomeMy Public PortalAbout5140 ARDEN DR_Plumbing__ 76Aee7 17 5-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICd NO. GROUP ZONE PERMIT NO.
y (� P I, 1 Ps ? -/
PLUMBER J u \?1✓ R B o \ J ovwV ), "�vl RECE VED BY READY FOR DATE ISSUED
•FIRST INSPECTION
ADDRESS 100* V
BUILDING
CITY �� TEL. NO.o'o� v- ADDRESS
` ✓,� B
COUNTY °^ LOCALITY E:A9�I
LICENSE NO. 1 " EXPIRES A±j�� T
NEAREST
PERMIT FEES CROSS ST. LL r
NUMBER L TYPE OF FIXTURE OR ITEM FE OWNS �/�`S.Ae' 6117 / rue--I C'. O
MAIL
WATER CLOSET (TOILET) @ O.So I$ (7� ADDRES � v 3- G/0-xa-wo .
BATH TUB @0.50I I' CITY 4f"SCiG('�`2,C - TEL. NO.� - f 2�
SHOWER n 0.501 -,�//, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 I V - APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 I STATE LAWS REGULATING ING.
1 CERTIFY THAT SS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY ENSE. O _ 1 AM THE LEGAL OWNER
OF THE RESIDE AL-PROP ESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50I
D SIGNATURE /
WATER HEATER @ 0.5.0 I' PERMIT
SLOP SINK @ 0.501 I INSPECTION RECORD
FLOOR SINK @ 0.50
1 1
FLOOR DRAIN @ 0.50
DISHWASHER @ O.SO
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.501 J
HOUSE SEWER @ 0.50 1 _ Q
MISCELLANEOUS
0
�I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 7.00 I I CESSPOOL
SEPTIC TANK: I� - SEPTIC TANK
DRAIN ( ) PIT ( ) @ I.Do I SEWER
PERMIT 1.00
GAS TEST l I
UTILITY CO. NOTIFIED
TOTAL FEE I $
FINAL
76A667 OBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COIINTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN D18 R ✓ O. ROUP O P
ERMIT
�5 iso PLUMBERAW_ RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION �®
� C/ � f/• ��6 -�
BUILDING L..Y
CITY ^/ '^- � �' TEL•�NO::.l�`J c-(�6,.�� ADDRESS
COUNTY
LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS sT
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ O.SO s ADDRESS
BATH TUB @ 0.50 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
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE -LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEEeJ�
SLOP SINK @ O.So INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50 _
DRINKING FOUNTAIN @ 0.50
URINAL@ 0.50
HOUSE SEWER @ 0.so
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
r
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
TOTAL FEE
UTILITY CO.NOTIFIED
�� �`�
FINAL