HomeMy Public PortalAbout5100 DALEVIEW AVE_Plumbing__ LUMBONG `0
i DEPARTMENT OF COUNTY ENGINEER R_ -
'-DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
A WILLIAM J. FCX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN NEARSLOCALITY Gr
BUILDINGNEAREST
T.
ADDRESS S�Qp ND, l/Yf CROSS RI OUP
DISTRICT H0. GROUP I ZONE— PERMIT N0.
LOCALITY �G,I �/I��� 00
NEAREST ��!� .J ISSUED CROSS ST. RECEIVE BY Ready for Inspection �D��.SS�
OWNER - Q S
*DD `„n� INDUSTRIAL
ADDRESS .a# WASTE APPROVAL J
CITY TELL.NO. hI INSPECTION RECORD
PLUMBER os�,_ -VZ..J C-r'Wit
ADDRESS lQoo-It, Zrti►7wC_L.I._Ayd
CITY &i eiyo ATEL.NO. ..c
LICENSE NO. 44./ 3 fXEOU NTY,
J
PERMIT FEES z
z
J.IK:RER TYPE Or FI%TLIRE OR ITEM FEE UI
WATER CLOSET(TOILET) Q 0.80 $ It
O
BATHTUB @ 0.80
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
-_� LAUNDRY TUB ORTRAY @ 0.80
SLOPSINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM,.... -------OUTLETS @ 1.00 DD
WATER HEATER Q 1.00 (�
MISCELLANEOUS
APPROVALS
_ DATE .INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE 8O GASPIPING /9-[1/ 141, ,.1/1.1_
I HEFEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WAT ER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES L i
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST
A N 0 STATE OF CALIFORNIA OR THAT I AGAL OWN
ER OF THE ABOVF DESCRIBED RESIDENT AL PROPERTY. UTILITY CO.NOTIFIED �..�-
SIGNATURE
OF PERMITTEE._`�._..�..L!.............L.f....� ..................
�.
FINAL f 1
7GA687 DBS 17 I/55 //
76A667 IT 25M SETS 7-40 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �L U W B 0 H�I a
• COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. R J'ZE I P _ .
R APRLICTO FILL IN
PWM READY FOR
RECEIVED BY DATE ISSUED
FIRST INSPECTION
ADDR
CITY TEL. No. JOB
CDUNTI p
ADDRESS I?VV
LICENSE NO. EXPIRES LOCALITY.
I CERTIFY THAT 1 P THE ABOVE VALID LOS NEAREST
ANGELES COUNTY CENB �q CR0555
OWNER
MAIL
PL MBE ADDRESS
PERMIT FEE IS $1.00 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 GRAINFIELDERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM 15 A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIKTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
GAS SYSTEM DUTLETS
WATER HEATER
SLOP SINK - Q
FLOOR SINK Z
FLOOR DRAIN !, E3
DISHWASHER
DRINKING FOUNTAIN -
URINAL
MISCELLANEOUS �"''^F.1
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL
TIC TANK - DRAIN 1 ) PIT I ) $ SEPTIC TANK
CESSPOOL g SEWER /1
HOUSE SEWER y GAS TESTI
UTILITY CO. NOTIFIED
TOTAL FEE y
FINAL. i "'T
76A&67 ,T 25M BETS ,-AS APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
. DISTRICT O. GROUP PE773--S��-'7
FOR APPLICANT TO FILL IN
PLUMBER .. YC.i FOR �
RECEIVED BY READY FOR DAFIRST INSPECTION /ADORES3 , � (� `
CITY TEL. NO. JOB OO
ADDRESS JD/-f
COUNTY
LICENSE NO. EXPIRES LOCALITY
I CERTIFY THAT i POSSESS THE ABOVE VALID L05 NEAREST _
ANGELES COUNTY LICENSE.
CROSS ST.
OWNER ,77 /
MAIL
PLLM.ER ADDRESS
PERMIT FEE 19 $1.00 FOR THE FIRST FIXTURE OR
'CITY LBS TEL. Nv. C� O
ITEM LISTED BELOW, PLUS 50C FOR EACH ADDITIONAL 1 AM THE LEGAL D. NER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR GRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
OWNER
NUM9ER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB pR TRAY
GAB SYSTEM JOUTLETS
WATER HEATER _
SLOP SINK - -)
Q
FLOOR SINK Z
FLOOR DRAIN ED
DISHWASHER 0
DRINKING FOUNTAIN q
URINAL
MISCELLANEOUS
APPROVALS
\ DATE \INSPECT6R'S NAME
'ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL
SEPTIC TANK - DRAIN 1 ) PIT (' ) $ SEPTIC TANK
CESSPOOL g 'EWER
HOUSE SEWER $ GAS TESTI
TOTAL FEE .S UTILITY CO. NOTIFIED
' FINAL
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