HomeMy Public PortalAbout9218 BLACKLEY ST_Plumbing__ 76A667-CE817 6-60 A�
FOIA PLUMBIN�P>=I�MIT
APPLICATION
DEPARTMENT OF LOS
YGENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, Sup'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS 3T.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET AIL
ADDRESS
BATH TUB
CITY TEL. VO.
SHOWER _
LAVATORY CONTRACTOR
SINS ADD
DISHWASHER CITY TEL. NO. D
CONTRACTOR'SSTATE
LAUNDRY TUB REGISTRATION NO. 0 COUNTY
CLOTHES WASHER DISTRICT NO. GR ZONE PRO ESSED BY
WATER HEATER St?
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
O
U
P.
W
O
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U
W
W
m
a $1.00 PER ITEM U
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2 00 UNDER SLAB WORK
TOTAL FEE QPj ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT {/�`J(_ .., r •� n_ �Il i
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
_
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF HE ABOVE _
DESCRIBED RESIDENTIAL PROP UTILITY CO NOTIFIED �� r
SIGNATUREi n
OF PERMITTE FINAL 17
®r VAL ERT A. WOOD
0. UP j
p�, M.p, �/�yg/SUPERVISING MECHANICAL ENG'R
L �1 41-0 aU0 l 6 5 a 3-0 0 r
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING I
PERMIT Nu.
F R APPLICANT TC FILL IN Q S R D. 1
.J wl3 �'
PLUMBER �RECFJWD BY READY FpA IEW D
FIRST INSPORECTION /�yE E1. 3
ADDRESS (�
BUILDING
CITY EL No. 31 ADDRESS
Y
COUNTY /.^ -I LOCALITY
LICENSE NO. EXPIRES
wr NEAREHT
PERMIT FEES CROSS 9T.
NUMBER TYPE OF FIXTURE CR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) (9 O 50 $ ADDRESS p/►�¢(�
BATH TUB 49 O. O CITY .�.+ C.
TEL. N❑ /ejo3
21
SHOWER @ 0150 1 HEREBY ACKNOWrE OE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) .50 APPLICATION AND STT THAT THE ABOVE 19 CORRECT
AND AGREE TQ COMPL WITH ALL COUNTY ORDINANCES
KITCHEN SINK (9 .50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ 50
OF THE RESIDENTIAL P OPERTY DE IBED ABOVE.
.
SIGNATURE OF A
WATER HEATER Q 50 PERMITTE
SLOP SINK 0150 INSPECTi N RECORD
FLOOR SINK @ 13150
FLOOR DRAIN @ 0150 y �
DISHWASHER @ 0.60
DRINKING FOUNTAIN @ O 50
URINAL @ .50
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS
Q.'
D
APPROVALS
DATE INS ECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 0 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER _
PERMIT 1.00 GAS TEST
i
UTILITY CO. NOTIFIED
TOTAL FEE � � I/S_'
FINAL
76A667 DBS#t 17 10/52