HomeMy Public PortalAbout9560 BLACKLEY ST_Plumbing__ 76A667-CE�817 6-65 \�
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST _
CROSS ST. —
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY , TEL. NO.
SHOWER 1.25
LAVATORY 1.25 ; CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO CLASS
CLOTHES WASHER 1.25 DISTRICTING GROUP ZONE P70 ES BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL n�
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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F-
V
LL,
CL
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK I —. —
ROUGH PLUMBING 77P ,Uva, '
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT _
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 M PROPE REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRBY S ANGE 5 OUNTY AND STATE OF GAS TEST Y
CALIFORNIA OR TH 1 AM E LEG OW ER OF,AND INTEND TO
RESIDE IN,THE AB E EI IBED R IDE AL PROPERTY UTILITY'CO. NOTIFIED
4
SIGNATURE ��S✓I
OF PER ITT FINAL LA�'� i9� '
VALIDATION '
CK M O CASH
� tLO 0 3 '06 NI5 Q ..7JCIQ
76A663 oag„ 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT GROUP ZONE P .
FOR APPLICANT TO, FILL IN ,
/I\ PLUMBER READY FOR T1.
yy p ., .� r RECEIVED BY FIRST INSPECTION b�ATE IUEZ
ADDRESS
BUILDING
CITY TEL No. ADDRESS
LOCACOUNTTYyEXPIRES LITY
6�-9
�
NO.
PERMIT FEES NEAREST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /� ./4fC�✓Yw �AC
MAIL
J WATER CLOSET(TOILET) a 0.50 $ j b ) ADDRESS
/ BATH TUB @ 0.50 tar CITY TEL. No.
SHOWER 0 0.50 � 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 f7 Q 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.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LO®
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LE AL OWN
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM UTLET9 0.60 sO
SIGNATURE OF
WATER HEATER 0.50 .S' PERMITTEE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR BINK @ 0.90
FLOOR DRAIN @ 0.50 /
DISHWASHER O:SO .d► T1Fn'rp �i C,• - Cr(.I LA.v 'L49ve3AId
DRINKING FOUNTAIN 0.50 I.r f_f /
URINAL 13.513
a
HOUSE SEWER O.SD f' ..L
MISCELLANEOUB
APPROVALS
DATE INBPECTOR'B NAME
ROUGH PLUMBING n�,
GAB PIPING c� tir
GAB VENT /
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER /
PERMIT .
1.00 GAS TEST
`o UTILITY CO.NOTIFIED
TOTAL FEE — FINAL �/� ���