HomeMy Public PortalAbout10403 FREER ST_Plumbing__ -76AG67 17 r.-SO 18 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 I ZONE PERMIT NO.
PLUMBER, �v t,I�E„Cr l Q t�� 4 RECEIVED BY READY FOR DATE ISSUED
,�/ B d �Jo �g FIRST INSPECTION � _ 'S_S�
ADDRESS fie�E7 dt, /V.0 �/p�l �s' oic
BUILDING J
CITY �� p� �f�' Y TEL. NO. 'Q�� , � ADDRESS �*Y,.�a �9
COUNTY p� ��� LOCALITY �Y L^-=
LICENSE NO.C' A 7(d �`` EXPIRES '�9A f" F-'_41
• NEAREST / ��ya,/�
PERMIT FEES CROSS ST. Y f
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS_
�I BATH TUB @ 0.50 f
CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
"LAVATORY (WASH BASIN) @ 0.50 /' AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.50 �� 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
LAUNDRY TUBO :4Y @ 0.50 G I /
-I'1GAS SYSTEM Z.. OUTLETS @ 0.50 S 0 OF THE RESIDENTIAL PROPS DES 'ABOV�E.�`
^ � � j SIGNATURE OF _ �
A' N ATER HEATER @ 0.50 V PERMITTE
SLOP SINK @ O 50 I INSPECTION RECORD
FLOOR SINK @ 0.501
G /V o �J•cp rJ. hal p d� l�Fr�'�-
I FLOOR DRAIN @ 0.501 i ---
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ O 501
URINAL @ 0.501 J
IHOUSE SEWER @ 0.501 Z
MISCELLANEOUS I _0
I� 0
.O
I
1
I
APPROVALS
RATE INSPECTOR'S NAME
ROUGH PLUMBING
v
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I CESSPOOL �I
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $. LFINAL
1
7eaee7 17 a-Bo ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLU 1
WILLIAM J. FOX, CHIEF ENGINEER
' FOR APPLICANT/TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
b�
PLUMBER ..,/- -4.,r- REC IV D BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS" ' � r� {`,'/'� ��,'•N;L_.��'.� j i� tel_
ppm. BUILDING
_CITY � ��µ/ � ,� TEL.�,NQ'l:.C� (: ADDRESS
COUNTY V
LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. �J
,I"Gl�c—".•—�ydi1�
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL '
WATER CLOSET (TOILET) [t O.50I$ I ADDRESS �t✓ ��'�};t1�'-
BATH TUB 0.50 CITY TEL. NO.
SHOWER a 0.50 I1- 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) a 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.501
I CERTIFY THAT�11 POSSESS�THE /�BOVESVALID LOSS
ANGELES COUNTY LI E �E. ORR . AM?THE _, L OWNER
LAUNDRY TUB OR TRAY a O.SOI Gf M ,,LL /- Lqy v
OF THE RESIDENTI L�P*"R PEf2TYf--DESCRIBED A`BOVEf "
GAS SYSTEM--OUTLETS @ 0.501 SIGNATURE OF
WATER HEATER Q 0.501 I PERMITTEE
SLOPSINK Cil 0.501 INSPECTION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN @a 0.501
IDISHWASHER @ 0.501
DRINKING FOUNTAIN @a 0.501
_ JO'URINAL t? O 501 I J
�/ 1 HOUSE SEW ER @ 0.501 I Z
MISCELLANEOUS
1 APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.001 CESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( Q 1.00 SEWER I l 1
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE S
FINAL