HomeMy Public PortalAbout9434 EMPEROR AVE_Plumbing__ 7GA867 17 5-49® APPLICATION FOR PERMIT
,. DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO
/ EIVED BY READY FOR DATE ISSUED
PLUMBER i V r:..,E° : / <u_ �_!�*��- ,.7,�n� REC /� FIRST INSPECTION /
ADDRESS (� I. Gam'"
¢ �y BUILDING
CITY /Ul.! 1 TEL NO/"rD- ./ � ADDRESS
COUNTY r LOCALITY lri 1
LICENSE NO EXPIRES
NEAREST /
PERMIT FEES CROSS ST /n,
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ClLe f•.F'le
MAIL
WATER CLOSET (TOILET) @ O 50 $ S'D ADDRESS
U—
BATHTUB @ O So CITY ,C � TEL NO
SHOWER O 50 _ 1 HEREBY 1ACKNOWLFDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) O 50 Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE, OR-I—AM THE LEGAL OWNER
OF THE RES IDENTIALI-PROPERTY PRIBED ABOVE.
GAS SYSTEM OUTLETS @ O s0 SIGNATURE OF
/ TTE 'r=
WATER HEATER @ O PERMI
50 U
SLOP SINK @ o so SPECTION RECORD
FLOOR SINK @ O s0
FLOOR DRAIN @ O 50
DISHWASHER @ O SO
DRINKING FOUNTAIN qp O 50
URINAL @ O s0 J
HOUSESEWER @ O 50 �� Q
Z
r
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR S NAME
1 �
ROUGH PLUMBING A,Er•!Y�1
GAS PIPING
GAS VENT q
CESSPOOL "Y" @ 1 00 I CESSPOOL /
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT t on GAS TEST qq
�q�q UTILITY CO NOTIFIED
4115�
TOTAL FEE I $ fidL/ U
FINAL t