HomeMy Public PortalAbout4815ALESSANDRO AVE_Plumbing (2) 76A857 17 IS 45® APPLICATION FOR PERMIT
-DEPARTMENT OF BUILDING AND SAFETY
:J COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBER RECEIVED BY READY FOR DATE ISSUED
/ FIRST INSPECTION
ADDRESS
BUILD
CITY
CITY CSC,_ TEL NO ADDRESS
COUNTY �.� Q�; LOCALITY
LICENSE NO U r� EXPIRES
NEAREST
PERMIT FEES CROSSST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ ADDRES1„ J
BATH TUB Q O 50 CITY TEL N p LS
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O So STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O So ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O 50 SIGNATURE OF C i('1
WATER HEATER Q O 5o PERMITTEE
U�
SLOP SINK Q o so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 50I
DRINKING FOUNTAIN @ O s0
URINAL @ O 50
HOUSESEWER Q O 50 Q
Z
MISCELLANEOUS (;
Q'
APPROVALS
/DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING -0-"
GAS VENT f�
CESSPOOL @ 1 00 I CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER ,,✓
PERMIT 1 00 GAS TEST /� J) Q/� 46
O L
UTILITY CO NOTIFIED /1i+.Y/- i 7/
TOTAL FEE
J � FINAL �r