HomeMy Public PortalAbout9469 BLACKLEY ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Departmentof County Engineer
DIVISION OFFBUILDING & SAFETYPLUM ' I
WILLIAM J. FOX, County Engineer P NJ
�f r , DIS RI GROUP .
FOR ARP ICAX1T r FILL IN � I -11
• 7•�2z �
PLUMBER - REC IVE B READY FOR TE ���gggggg
F� pay f FIRST INSPECTION
ADDRESS 9(e�cE��p9
CITY I� F! � � 'Nn ('t 'B LDINO
/�DDRESS
COUNTY�� w LOCALITI !rs
LICENSE NO. I EXPIRES ..FI � I�
NEAREST f/r�
PERMIT FEES CROSS HT.
NUMBER - TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL _ 4_
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. N �i✓
SHOWER - Q 0.50 THEREBY 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 Q 0.50. AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ,� O.SO ANGELES COUNTY LICENSE, OR I A.4 TH LEGAL OWNER
❑F THE REBIDEN I �O�PaROPE DEBCRI�ED�ABOVE.
GAS 9YSTE UTLET9 0.50 /,r���6�"
SIGNATURE (�
WATER HEATER @ 0.50 PERMITTE
SLOP SINK cep 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50 ,
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50
URINAL Cm 0.517
Q
HOUSE SEWER 0.50 _z
MISCELLANEOUS �J' _ P
D
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING -
GAS PIPING
GAS VENT
CESSPOOLy 1.00 'CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT . . 1.DD GAS TEST
• UTILITY CO. NOTIFIED _y /
TOTAL FEE `b / {/
FINAL Y �O `•`�`��� �! �'y
76A667 DBS#17 10/52
PLUMBING I
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION-
COUNTY OF LOS ANGELES BUILDING /oj/ // �/
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS 77 / � 1 6'r-,t' r_d � l
`
FOR,APPLICANT LOCALITY
FILL IN NEAREST /
BUILDING " jgg%, CROSSST �X®I/'�pJlq
ADDRESS ze
DISTRICT NO. GROUP, ZONE PERMIT NO.
LOCALITY re/ 7 �1 f (� �//J
NEARESTloor
CROSS ST. -/ { /RECEIVED BY Ready for Inspection DDATTEE�IIISSlSUUEE�D�j
OWNER �h
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY rTEL.NO. INSPECTION RECORD
PLUMBER E-"4 •6 ,A-c'VV 'R"S
ADDRESS 2 Q /'7 AM o-/-)I 7S74]NGe--
CITY X 227 O61;e- TEL.NO. A2 O/ J 7
LICENSE NO (?2
6n
2 FI COUNTY T J
PERMIT FEES
_Z
VLIMOER TYPE OF FIXTURE OR ITEM FELE/ V Ur
WATER CLOSET(TOILET) @ 080 $
BATHTUB @ OBO /
SHOWER @ 0.80 ✓.e Tnj F/Ge A:g,
LAVATORY (WASH BASIN) @ 080 G 4:soi$ a9. ��e
KITCHEN SINK @ 0 80 'ic
LAUNDRY TUB OR TRAY @ 0 80 O �
O[rip
SLOP SINK @ 0 80 _
FLOOR SINK @ 080
FLOOR DRAIN @ 0.80
DISHWASHER @ 0 80 P-Z'aawaim
DRINKING FOUNTAIN @ 0.80
URINAL @ 080
GAS SYSTEM---. -._OUTLETS @ I.00 J
WATER HEATER @ 100 OO �� ���
MISCELLANEOUS C gr. "Q
APPROVALS �C
DATEINSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING y a
TOTAL FEE b O GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. GAS VENT
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 2
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN. ti
ER OF THE ABOVE DESCRIBED RES ENTIAL PROPERTY. UTILITY CO.NOTIFIED •� /a
SIGNATURE / A
OF PERMITTEE --.t.. .................-........._...... ...._....
lllFINAL l�cLco-
76A667 DBS 17 1/53