HomeMy Public PortalAbout9109 BLACKLEY ST_Plumbing__ 76A667 nes 17 11-513 APPLICATION FOR PERMIT
DEPAR"WENT OF BUILDING AND SAFETY
COCOUNTY,OF LOS ANGELES
W14LIAM J. FOX, CHIEF ENGINEER PLUMBING 1
_PMMIT NEI.
FOR APPLICANT TO FILL IN IS �• OU O
PLUMBER RECEIVED BY READY FOR DATE ISSU D
FIRST INSPECTION
ADDRESS (�_ '� /(
BUILDING
CITY TEL. No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
i WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL No.
SHOWER @ 0.50 I HERESY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ O.so INSPECTION RECORD
FLOOR SINK @ 0.50 /
FLOOR DRAIN @ 0.50 l/
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ O.SO Z y S Z_ Q
HOUSE SEWER @ 0.SO _Z
MISCELLANEOUS0
Ir
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.pp CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . . I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE �
�50 r FINAL
74.b7 Dr 17 11-W APPLICATION i ION FOR PERBli 1
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
CIT OF LAS ANGELES
WILLIAM J. FOX, oi-m r [No1NEER
DISIR El PERMIT N
FDR APPLICANT TO FILL IN 7�� I!�= ry
PLUMBERE
VD n READY FOR DATE IE UED
FIRfT IN!•PEOTION
A.PDRMM ;?2:/
UILDINO
CITY TEL ND. ADOR[DB
COUNTY ,OOok I Y
N EAA EBT
P +R�T FEESCROiS BT.
NUMmQi TIT[OF FI%TuRi OA rf'o1 F[E CWN[R
CIO e
MAIL OF u
WATER CL05ET(TOILET) • 0.5C 11 ADDR[1I•
OATH TUB • 0.60 CITY Til., NC.
SHOWER • 0.613 1 HERESO
Y AKNCWLMME THAT I HAV[ READ THIS
LAVATORY (WANH DAMLIC
N) • 0.60 APPLICATION AND WrATIE THAT Tl-1[ MOVE IE OCRR[CT
AND AORQ TD COMPLY WITH ALL COUNTY ORDINANOEN
KIT13HKM LINK • 0.6O AND STATE LAWS REDULATINO PLUM51N0.
I OERTIrY THAT 1 POlSt>r THC ARCV[ VALID LOW
LAUNDRY TUB OR TRAY • 0.60 ANBELrE COUNTY L10EN5[. OR I AM THE LEDAL OWNER
OF THE RESIDQrTIAL PROPE
R
TY D[S/O1111II6�[D�AMDV[.
a" fsYBTE M D UTLKT6 • 0.60
■IONATURE Or
WATER HEATER • 0.6C PERMITTTx l
BLOP ■1 N K • C.So INSPECTION RECORD
FLOC R ■INK • 0.50
FLOOR DRAIN • 0.60
DISHWASHO! • 0.513
DRINKING FOUNTAIN • 0.5C
URINAL • O.SO
HOUN[ ■EWER • 0.50
M 1 RD Ki-LAN EC US 0
Q'
O
APPEOVAM
DATI INEPS=" NAIL
ROUGH PLUMSINO
OAS PIPING
DAA VENT
CESSPOOL • 1.UD CESSPOOL
5iPT1 O TAN Kl ■STI O TANK
DRAIN ( PIT ) • 1.00 NEWER r —
PERMIT 1.1313 uAs TEAT
n UTILITY Co.NOTIFIED
TOTAL FEE V Z �®