HomeMy Public PortalAbout9411 - 9415 BROADWAY_Plumbing__ rfiAEETD17 5-49 EAPPLICATION FOR PERMIT
PARTMENT OF. BUILDING AND SAFETY
COUNTY OF LOS ANGELES P L U I N
III
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO. GROUP ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
ADDRESS
.I 1,. J11/ l FIRST INSPECTION
��H � yl//ILIAD I.IJ Gr RC
I G _ BUILDING
T
CITY / G M r IC l..I I/ TEL. NO.f6 '!S'-77� ADDRESSCOUNTY
—LICENSE L NO. EXPIRES A/ — 5 LOCALITY G
NEAREST
PERMIT FEES cRoss sr. //JJ Le
N- J�O es PI
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER AD
MAIL
/ WATER CLOSET (TOILET) @ 0.50 $ 3-6
ADDRESS
/ BATH TUB Q O.50 O CITY PA. r4. . GrV A TEL. NO,S ! Aa L
SHOWER @ 0.50 _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 `� STATE LAWS REGULATING PLUMBING.
/ 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS -
LAUNDRYTUBORTRAY Q 0.50 G ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
g _44 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEMA—OUTLETS Q 0.50
TURE OF
WATER HEATER Q 0.50 �D SIGNPERMITTE 'v/0 0' 41014[A�
SLOPSINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
UNA,G�I SG.Op
FLOOR DRAIN Q 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 '
URINAL @ 0.50 ;J
HOUSESEWER @ 0.50 Q
2
MISCELLANEOUS 0
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL' }'
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT . . I 1.00 GAS TEST l
TOTAL FEE $
UTILITY CO. NOTIFIED
I t/I�(� - /' e •t
FINAL
• 1
� f
Ta.aAPPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY' 1
COUNTY OF LOS ANGELES '
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICyAIO. GROUP ZONE PERMIT NO.
.. IV D I��
PLUMBER /(h RECEIVED BYREADY FOR OATEISSU ED
T �`� FIRST INSPECTION
ADDRESS •�/ �/
BUILDING ( lelt_
CITY TEL, NO. ADDRESS - V
AA
COUNTY LOCALITY Q
LICENSE NO. EXPIRES
-
NEAREST
PERAT FEES CROSS ST.
NUMBER TYPE OF FILATURE OR ITEM FEE OWNER
1 - MAIL _
WATER CLOSET (TOILET) @ 0.50 S I —ADDRESS
1 BATH TUB @ 0.501_1_ CITY TEL. NO.
SHOWER @ 0.50 _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.501 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @-0 .. ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESC BEp ABOVE.
GAS SYSTEM OUTLETS Q 0.50
SIGNATURE OF
WATER HEATER @ 0.501 PERMITTEZQ
SLOP SINK @ O.So INSPECTION RECORD
FLOOR SI NK @ 0.501 ,
FLOOR DRAIN @ 0.501
I DISHWASHER @ 0.501
1 DRINKING FOUNTAIN @ 0.501_
1 URINAL @ 0.601 J
—_X—I HOUSE SEWER @ 0.50I_If� Z
( MISCELLANEOUS O
It
I
1 APPROVALS
- I DATE INSPECTOR'S NAME
1 1 ROUGH PLUMBING
GAS PIPING
1 GAS VENT
CESSPOOL @ I.00 �}eO CESSPOOL �Z 7
SEPTIC TANK: " 1 1 SEPTIC TANK
L
DRAIN ( 1 PIT ( ) @ 1.001 1 SEWER
PERMIT . t.00 GAS TEST n
S J'V UTILITY CO. NOTIFIED +/
TOTAL FEC: I 2� FINAL