HomeMy Public PortalAbout5644 BALDWIN AVE_Plumbing__ YGAEe7 17 5-50 10 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
f COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO. GROUPZONE PERMITN�Oj.
* s~ I r //7Q/ _ /
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
G^ FIRST INSPECTION /3r-
ADDRESS 8308 EAST VALLEY BLVD. f� / 1
BUILDING
CITY ROSCOUNTY QEWAD TEL. Ivo. GAT. 2.2719 ADDRESS �: �
LICENSE NO. 93M EXPIRES 6-30- LOCALITY
NEAREST
PERMIT FEES CRoss Sr. _
NUMBER_ TYPE OF FIXTURE OR ITEM FEE OWNER
}}�� MAIL
WATER CLOSET (TOILET) @ O.50 S V MAIL SS 3
BATH TUB @ 0.50 C.IT
SHOWER @ 0.50 D i HEREBY ACKNOWLEDGE THAT I HAVE R1:AD THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
a AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 Q ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIA P OPERT/Y�DESCRIBED ABOVE.
/ GAS SYSTEM OUTLETS @ O.SO �.sD� SIGNATURE OF
WATER HEAT R @ 0.50 ' V PERMITT6 (�/
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.501 1
FLOOR DRAIN @ 0.501 1
DISHWASHER @ 0.501 1
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 ..1
HOUSE SEWER @ 0.50 Q
Z
MISCELLANEOUS (�
a
0
1
APPROVALS
/rte DATE INSPECTOR'S NAME
ROUGH PLUMBING
i
GAS PIPING f E'$'
GAS VENT I
CESSPOOL @ 1.001 CESSPOOL
SEPTIC TANK: 1 SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
Q !
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE
�dO /�-�'I'�+ !-
FINAL I ��