HomeMy Public PortalAbout9111 EMPEROR AVE_Plumbing__ 70AGO7 17 5-50 I® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN / t DISTRICT GROUP ZONE PERMIT�NO
/A J
A RECEIVED BY READY FOR DATEIS3U
PLUMBER � Y� 1 Cqa FIRST INSPECTION
ADDRESS J
,,[�,,. °' V BUILDING t
CITY p Qlr'fa'i TEL NO�,,rS���19 1 ADDRESS
COUNTYLICENSE NO rb&J EXPIRES {rt;� ;i C9 LOCALITY
NEAREST v
PERMIT FEES CROSS ST /1 s
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 5o $ I ADDRESSy ,� S{
6AT.TUB @ 0 501 CITYiW4✓'P-de�0 TEL NO
SHOWER @ O 50 I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING
LAUNDRY TUB OR TRAY Q O 50 I I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS Q O 50 I OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
SIGNATURE
ERMIT Er
WATER HEATER @ O Sol
SLOP SINK @ o Sol I INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER Q O So
DRINKING FOUNTAIN Q O 501
URINAL @ O SOI Q
HOUSE SEWER @ O 501 I Z
MISCELLANEOUS Imo` qq ny'y"�-�� y�y��� /A,
8.r� �i )!�i fa'ALiJ7�llV ��J �
I� R e I.,o dJ r 1-1)
1 APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING A
GAS VENT
ICESSPOOL @ 1 001 CESSPOOL
SEPTIC TANK I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 00 SEWER l
PERMIT I 1 00 GAS TEST TEST !r dW��1 77 !
Z UTILITY CO NOTIFIED
TOTAL FEE $ r
FINAL 4 a ~Z-�"' M4
)
76A6APPLICATIO I°OFt P lollBING PERMIT
DBS 77'DIVISION OF BUILDING AND SAFETY
Depaztment of County Engmeer
County of Los Angeles BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT NO GROUP ZONE R ADY FOR INS ECTION
MAIL Some Q
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER GENERAL INSTALLATION CO. INSPECTION RECORD
ADDRESS 6558 West Blvd.
CITY L.A. 43 TEL NO Pleasant 3-2541
LICENSE NO 787 C-36 151839
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $100 $
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASHBASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
-I- WATER SOFTENER
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 00
GAS VENT
AND TATE THAT TTHEEDGE ABOVEH ST CORRECT I HAVETEAD HIS
AGREEAICATION TOLCOMPLY HOT WATER HEATER '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM HE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED /
DESCRIBED RESIDENTIAL P
�J
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE, COUNTY ENGINEER (C.
ALIDATION ROBERT A WOOD. CHIEF PLBG INSPECTOR
M 0 CASH
OCT 5 5 D 3 00 `�