HomeMy Public PortalAbout9432 EMPEROR AVE_Plumbing__ 7GA667 DSS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES 'LU MR col N
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GR P ZONE PERMIT N .
FOR APPLICANT TO FILL IN /�.�J6/
PLUMB' — /�, RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION /G
ADDRESSt _jam
,S L ADDR 188 .�
CITY &;e,� TENo �-'CJ6.�Cj
COUNTY / / LOCALITY
LICENSE NO/ ✓ EXPIRES -
NFARE6T
PERMIT FEES CROSS ST. ;Z—1
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ O 50 $ ADDRESS
BATH TUB @ 'O 50 CITY TEL No
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
L CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 1350 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 050
SIGNATURE OF
WATER HEATER @ O 50 PERMITTEE
SLOP SINK @ 050 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ O 5r0
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ O 50
URINAL @ 050
Q
HOUSE SEWER @ O 5O yQ _Z
MISCELLANEOUS L7
(Y
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK l 17,
,�," �
DRAIN ( ) PIT ( ) @ 1 OO SEWER f I l'�'( Lllx
PERMIT I �.aD GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE
/ FINAL
'Yewe67 17 15-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FTNOCGROUP ZONE PER IT NO.
47PLUMBER ij . ED BY READY FOR DATEISSUED
FIRST INSPECTIONADDRESSG
CITY ► TEL ®�� ADDRESS f'•.
COUNTY LOCALITY
LICENSE NO f7 ,. EXPIRES : �t�l L�/ f
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 S 1 .4-6) ADDRESS
BATH TUB Q O 501 1 \i"'-'7 CITY TEL NO
SHOWER Q O 50I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 I Com/ APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 �� 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O 50 � SIGNATURE OF ,�//jTJ��
WATER HEATER @ O 50 PERMITTED
SLOP SINK Q O 50 I vINSPECTION RECORD
FLOOR SINK Q O 501 � ,�e�� awl C �q
/ v ��
FLOOR DRAIN Q O 501 b-�/ }--,
DISHWASHER Q O 50 7,
DRINKING FOUNTAIN Q 0SOI .8� / I0 C'..l� �lnr
URINAL Q O 501 �C� — dYq/,c�c".� cIT C_A9r r
HOUSE SEWER @ O 50 II f /� L t7 tl �0 ,e �Ct•TJ- Z
MISCELLANEOUS
I I O
I I
I
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 001 CESSPOOL
SEPTIC TANK I SEPTIC TANK
I I DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST
I UTILITY CO NOTIFIED /A
TOTAL FEE I S .
FINAL