HomeMy Public PortalAbout10607 FAIRHALL ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUP ZONE PERRIT NO.
FOR APPLICANT TO FILL IN S /A P 1 �, bsz! m xlz
PLUMBER 11 rmr, Il. n F+ ne 1 A RECEIVED BY READY FOR DATE ISSUED
II
&@VAP IT_T�V! tl n FIRST INSPECTION
ADDRESS
�e o=x'�F34 �p �`Y ^ BUILDING
CITY - - ���• ADDRESS i
c�r-n..P• TEL No.A-r- n "77r,
v�IrIL� { .
COUNTY * A' I. 2-2719 LOCALITY
LICENSE NO. EXPIRESr -n
NEAREST
! PERMIT FEES P-30• CROSS ST.
C
NUMBER TYPE OF FIXTURE OR ITEM FEE c OWNER
MAIL
WATER CLOSET(TOILET) 0.50 111 ADDRESS
BATH TUB 0.50 CITY TEL. No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
2 LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB-OR-TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAB SYSTEM---3--OUTLETS @ 0.50 OF THE RESIDENTIA PROPERTY DESCRIB ABOVE.
SIGNATURE OF
WATER HEATER @ 0.513PERMITTE r
SLOP BINK 13.50 f INSPECTION RECOR
FLOOR SINK @ 13.50 J�/�5.- C �C��t.0 U .✓
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50 J�'�y-•� �p
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.90 -1
a
HOUSE SEWER @ 13.50 _Z
MISCELLANEOUS
Q'
0
APPROVALS
DATE INSVCTOR•9 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1,130 CESSPOOL
SEPTIC TANK: SEPTIC TANK NI �" �jI"l�_r,
DRAIN ( ) PIT ( ) @ 1.00 SEWER " p � v
PERMIT . . . . . • 1.00 GAS TEST J '/J ,Iia(Mill,
Q/
D/Nn UTILITY CO.NOTIFIED 0 `Mill A
TOTAL FEE o (Y`! I1 FINAL
76A667 DBS.#17 6-52
76A667 (CE-817)-4/72 C- '
it
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION . . .
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 106
0 Q
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST 17
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY TEL. NO.
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY ` . ((y� T''EIIL. NO.
CLOTHES WASHER 1'75 STATE LICENSE-NO. ��LJI
� �`1�1 CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP � ZO E F.ROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 i-- ,. rt—
WATER HEATER 1.75 INDUSTRIAL •1_
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 l INSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM - p
F—
V
W
h
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE f
APPROVALS DATE INSPECTOR 5 SI,NATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO / 4 (1
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL < 177
SIGNATURE
OF PERMITTE
PERMIT VALIDATION CK CASH
PLAN CHECK VALIDATION CK. M.0. CASH
, .. GCT 31 -5 D 4'.75-