HomeMy Public PortalAbout6228 BURTON AVE_Plumbing__ 76A66T IT ISM SETS T-NB APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 0
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR G O P Z
PERMIT NU
PLUMBER A+/ �- Y_ �V11.' Pi. READY FOR
J p� RECEIVED BY FIRST INSPECTION DATE ISSUED
ADDRESS
CITY TEL No. JOB
COUNTY
ADDRESS 7 8i
LICENSE NO. EXPIRES
LOCALITY y Y
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST
ANGELES COUNTY LICENSE. CROSS ST. _
I 'Il" I OWNER
MAIL
PLUMBER ADDRESS
PERMIT FEE 19 81.00 FOR. THE FIRST FIXTURE OR CITY TEL. No.
ITEM LISTED BELOW, PLUS SOD FOR EACH ADDITIONAL - 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
G 1.OD. MINIMUM FEE FOR ANY PERMIT $t.00. EACH
GAS SYSTEM IB A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
BAS SYSTEM OUTLETS
WATER HEATER
SLOP SINK Q
FLOOR SINK Z
FLOOR DRAIN CI
DISHWASHER It
0
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
/ GAS VENT
CESSPOOL
SEPTIC TANK - DRAIN 1 ) PIT ( ) S �A SEPTIC TANK
D
CESSPOOL 8 4i::;o SEWER
HOUSE SEWER -i3Z GAS TEST `
TOTAL FEE mV UTILITY Co. NOTIFIED
FINAL / -V // -
76ASST 17 S-CS ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILLIN DISTRICT NO. GROUP ZONE PERMIi.NO.
`
PLUMBER T RECEIVED BY) READY FOR DATE ISSUED
( // FIRST INSPECTION
ADDRESS \ L L
BUILDING
CITY TEL. NO. J� ADDRESS
COUNTY ,{ LOCALITY I
LICENSE NO. �(J E%PIRES —3c� a o
NEAREST
PERMIT FEES CROSS ST.
L
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) C. 0.50 S I ADDRESS
BATHTUB p 0.50 CITY TEL. NO.
SHOWER p 0.5011 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) p 0.50I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK p 0.501 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY p D.SOI r ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS p O.601 OF THE RESIDENTIAL PROPERTY DESCRIBED BOVE.
SIGNATURE OF
WATER HEATER p 0.301 PERMITTEE
SLOP SINK p 0 0 INSP CTION REC RD
I FLOOR SINK (]n 0.501
FLOOR DRAIN p 0.501
DISHWASHER p 0.501
1 DRINKING FOUNTAIN p 0.501
1 URINAL p 0.60 J
HOUSESEWER p 0.501 C
MISCELLANEOUS LD
h 0
I I��
I I
I I
I I
�-� APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
I�-- GAS VENT
CESSPOOL @ I.001_1 CESSPOOL
SEPTIC TANIC: SEPTIC TANK
DRAIN ( ) PIT ( ) p 1.001 1 SEWER
PERMIT . 1.00 GAS'TEST
TOTAL FEE
UTILITY CO. NOTIFIED
13 I r
�l O FINAL