HomeMy Public PortalAbout10018 LA ROSA DR_Plumbing_9/18/1953_70361 water fixtures and gas outlets w .
' DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
"1 'DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
t COUNTY OF LOS ANGELES Bu1Lo1NG� �/� �� }q
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TSO] FILL IN LOCALITY
ABUILDING DDRESS /L lo / I X A /.`C D J A NEAREST IIS
CROSS ST. L4/
` ,y7 �^�S DISTRICT NO. GROUP ZONE ._PERMIT NO.
LOCALITY / l1 bpi (� A/ y T /D "2 //
NEAREST e ✓ on L G�®
CROSS ST. Ari /A 4.y/ Ipm� 141-9
q,��/Y�y, y �y RECEIVEq BY Ready for Inspection DA/TE.ISSUED
OWNER MAIL /ep /J 1 Vb�• 141-jV .,L
ADDRESS 1 le)A' /me/AR9,y A I/ INDUSTRIAL 01 `
/� �
INSPECTION RECORD /
PLUMBER P.f �PV E �a �..�diP Y.G..✓ 4 ,: •
ADDRESS /,
CITY TEL.N0. Y//./I L /� ..
[I STATE L/l�Nr CSN'-D✓L /„N, r7 f1rA IF
LICENSE N0: r7 COUNTY
PERMIT FEES ✓�/ �,l z
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VUMOER TYPE OF FIXTURE OR ITEM FEE Q
WATER CLOSET(TOILET) @ 0.80 $ D
BATHTUB @ 0.80 O
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80 i
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
r GASSVSTEM...._*-.OUTLETS @ 1.00 VV
WATER HEATER @ IAO O✓
MISCELLANEOUS I/
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 11 00 ROUGH PLUMBING
TOTAL FEE 9 tf Q GAS PIPING mak. �I 4 I q./
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT /N YYd''..AA,
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF ER OF THE ABOVE DESCRIB DIFORNIA AR SIDENTIAL PROPERTY,T I AM THE LEGAL! UTILITY CO.NOTIFIED 2•J. S /�.
SIGNATURE '.
OFPERMITTEE._....---.----......------.---........_.........._.................._...........-
FINAL
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76A667 DDS 17 1/53 of ?T