HomeMy Public PortalAbout5530ALESSANDRO AVE_Plumbing 76-KO07 n a ISO APPLICATION FOR PERNHT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
I WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
0 �( 4,
PLUMBER _ / RECEIVED BY READY FOR DATE ISSUED
♦ l_K�'� FIRST INSPECTION
ADDRESS
BUILDING
CITY -7 ADDRE
—A�TEL N SS
A e �
COU TY LOCALITY
LICENS O EXPIRES Pf p v
NEAREST
PERMIT FEES CROSS ST _
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER err
MAIL y Q
WATER CLOSET (TOILET) Q O 501$ ADDRESS fd
BATH TUB @ O 501 CITY RR TEL NO
SHOWER O 50 I APPT/gTTAT THE ABOVE 6 CORRECT AND
LAVATORY (WASH BASIN) Q O 50 I LICTHAT I HAVE READ THIS
A1rIbN AND STAAGREE TO COMPLY W[Tjie ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 I ANGELES COUNTY LICE E OR THE LEGAL OWNER
OF THE RESIDENTIAL P PERT ESCRIB A E
GAS SYSTEM OUTLETS Q O 50 I SIGNATURE OF
WATER HEATER @ O 501 PERM[TTE
SLOP SINK @ o Sol INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN Q O 501
DISHWASHER Q O 501
DRINKING FOUNTAIN (a) o Sol
1 URINAL @ O 501 I
1 HOUSESEWER @ O 501 Q
MISCELLANEOUS /1 J, U'
r if' l Imo'
oT .e
n Z 1
1
APPROVALS
D TE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
I CESSPOOL Q 1 00I CESSPOOL
SEPTIC TANK I SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT I 1 00 GAS TEST
i UTILITY CO NOTIFIED
TOTAL FEE $
f.�FINAL j �J`