HomeMy Public PortalAbout5452 BALDWIN AVE_Plumbing__ 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
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WATER SOFTENER CORPORATI P-41K— FIRST INSPECTION
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LICENSE NO /J(1 U /"1. EXPIRES j/` p
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NUMBER 1 TYPE OF FIXTURE OR ITEM FEE OWNER f,&
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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
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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
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APPROVALS
DATE INSPECTORS NAME
1 1 ROUGH PLUMBING
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GAS VENT
CESSPOOL Q 100 I CESSPOOL
SEPTIC TANK 1 I SEPTIC TANK
DRAIN ( ) PIT ( Q 1001 I SEWER
PERMIT I 100 GAS TEST
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TOTAL FEE UTILITY CO NOTIFIED
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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
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PLUMBER rRErEIVEDBY READY OR DATE ISSUED
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ADDRESS / p- �G Q �• d
BUILDING
CITY TEL NO c7i �Q ADDRESSCOUNTY
LICENSE N tg�q� LOCALITY
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NEAREST
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NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER C/'-�✓��✓J
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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
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MISCELLANEOUS r 0
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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
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