HomeMy Public PortalAbout9956 DUFFY ST_Plumbing__ reAee� iy 1�-ag APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER FONTANA PLUMBING C 1 RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 344 W. Garvey - MontereyPark. C . �A- �(—
antic 2-4654 C(amberland 3.104 BUILDING �� '
CITY TEL. N ADDRESS �d9
COUNTY /' -3p �) LOCALITY i
LICENSE NO. _� EXPIRES (c,
NEAREST a
PERMIT FEES CROSS ST. -
NUNIBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 S I ADDRESS
BATH TUB Qi O.50 CITY TEL. NO.
SHOWER Q 0.501 1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK C 0.5011
STATE LAWS REGULATING PLUMBING.
I 'CERTIFY THAT I OSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LI SE, OR AM THE LEGAL OWNER
�I GAS SYSTEM—R--OUTLETS OUTLETS Q 0.50OF THE RESIDENTIALRISED ABOVE.
1 II O
_I SIGNATURE O p
WATER HEATER Q 0.501 ��- -
PERMITTEE -
-FSLOP SINK @ 0.501 INSPECTION RECORD
FLOOR SINK n 0.50
_ I FLOOR DRAIN Q 0.50
DISHWASHER g 0.501
DRINKING FOUNTAIN ca) O:50
IURINAL @ 0.501 -J
I HOUSE SEWER O.SOI Q
Z
MISCELLANEOUS
Q'
O
� I
I I I
� I
1 i APPROVALS
DAiT EINSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
I-
GAS VENT �
CESSPOOL - @ 7.00 I I CESSPOOL
SEPTIC TANK: I 1 SEPTIC TANK
DRAIN ( ) PIT ( ) a 1.001 I SEWER
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
I TOTAL FEE
FINAL
I
76A667C (CE-817B) -9/75
APPLICATION FOR. PLUMBING PERMIT
BUILDIIQG AND SAFETY DI �10
FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
SHOWER _/ OWNER y. Lj Aa 21 A
LAVATORY ✓ MAIL
ADDRESS 7
SINK CITY TEL. NO.
DISHWASHER CONTRACTOR r
CLOTHES WASHER
ADDRESS "�'
SWIMMING POOL RECEPTOR
CITY TEL. NO. ?r.
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO. / CLASS o
DISTRICT NO. GROUP E CESSED BY V
GAS SYSTEM OUTLETS Q� I CD
OUTLETS OVER
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APP DATE SY�ECT 5 5 GNATU RE
ALAS
UNDER WORK -'r/r•7
Address
ROUGH PLUMBING ✓
City Tel. NO. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDE IAL PROPERTY. UTILITY CO. NOTIFIED ,ry
SIGNATURE
OF PERMITTEE FINAL
PLAN CHECK VALIDATION CK. M.O. SH P&MITVIIDATION q moo; CASH
9 OCT tSi 1