HomeMy Public PortalAbout9602 BROADWAY_Plumbing__ 4• •"` 1 y= COUNTY OF LOS ANGELES
-KATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING
DISTRICT NO. GROUP ONE
FOR APPLICANT TO ,FRILL IN Jr- — " =DATEIS
PLU M B ER F;j� � (?[( /I ry.Niti ARECEIVED BY READY FOR
} I �/,/ VF (� NS lte♦„�
FIRST INSPECTIlDp3N
ADDRESB� iA
CITY ZA, 3 / TEL Nd
BUILDING
UI ING
ADDRESS /y,�ZQJ
COUNTY L✓/ d �✓./�'� 3)Ltn LOCALITY /FC�Lt11�c"F�. � �1�t I /
LICENBE NO. C v}.� EXPIRES / -r' � �f- /
NEAREST Sf�y^...f�.;n CI/P/� /Jq/ i
PERMIT FEES CROSS STT. N�
NUMBER TYPE OF FIXTURE DR ITEM FEE OWNER
AIL
WATER CLOSET(TOILET) 0 O.SO 8 ADDRESS <���FY2 '17-/
BATH TUB @ 0.50 Q CITY TEL No.
SHOWER @ D.SD p I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 y G APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NN AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 4� p 6 AND STATE LAWS REGULATING PLUMBING.
0,50 p I CERTIFY THAT 1 POSSESS THE ABOVE VALID LDS
LAUNDRY TUB OR TRAY
p O ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAB SYSTEM_ OUTLETS @ 0.50 I OF THE REBIDENTIA PROPERTY
DESCRIBED ABOVE.
WATER HEATER 0.50 J.
SIGNATURE
Al,6Y
SLOP BINK ® 0.50 INSPECTION RECORD
FLOOR SINK Q O.SO yV/ psi •7'_ �.® Q
FLOOR DRAIN 0.50 7 _
DISHWASHER @ O.SO
DRINKING FOUNTAIN 0 0.50
URINAL 0.50 �� _ A, J".047'gTia 7'8w. 77r” J
HOUSE SEWER. ... ..(. . ® 0.50 Z
MIBCELLANEOUB:�,;� /N A. � ✓ �
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT l.Po GAB TEST ( r�
,9 UTILITY CO.NOTIFIED A r 1d +
TOTAL FEE g �J a
/ FINAL
76A6G7 DBS#17 6-52
COUNTY OF LOS ANGELES
APPLICATION FOR PERMIT
Dof County Engineer PLUMBING
' 1
DIVISIONSION OFF BUILDING gi SAFETY
WILLIAM J. FOX, County Engineer
//�FF/OR APPLICANT TO/FRILL IN DI NO. G P ZO%E 1/ IT NU.
61
PLUMBER ?T/ Lellr 1,a uA'a RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDR ESHd 9` � I/O N J/pa/y �/ J // ♦ !-S
OITYL ..! TEL Na'. '
SUILDINp
ADDRESS
COUNTY T — p yrs, LOCALITY
LICENSE NO. N' YTaJ EXPIRE 'Io
NEAREST W
PERMIT FEES DRpsssT.t£.wOL�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS �yL
BATH TUB ® 0.50 CITU//l M/i�!' /. TEL. No.
SHOWER ® 0.50 1 HERE ACKNOWLED E THAT 1 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 D!SO AND STATE LAWS REGULATING PLUMBIND.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ($ OI50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERT DESCRIBEDE.
GAS SYSTEM OUTLETS O!50
1 SIGNATURE OF
WATER HEATER Q 0.50 PERMITTE
1
SLOP SINK ® O.SD INSPECTION RECORD
FLOOR SINK (0 0.50
FLOOR DRAIN Q 0.50
DISHWASHER Q 0.50 D
1
DRINKING FOUNTAIN Q 0.50
J
URINAL 0.50 Q
HOUSE SEWER Q O.SOI _z
MISCELLANEOUS 1
APPROVALS
DATE INSPECTDR'n 04AME
ROUGH PLUMBING
GAS PIPING
r r ,
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.p0 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED _
TOTAL FEE 7/7
/ � Q
FIfiAL a
76A667 D3S#17 6-52 Y"~