HomeMy Public PortalAbout8909 GARIBALDI AVE_Plumbing__ 7GA667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 2
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
NE PERMIT NO.
FOR APPLICANT TO FILL IN DISTRICT\r/NO. Q JP
PLUMBER RECEI ED BY REREADY FOR DATE ISSUED
FIRST INSPECTION
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ADDRESS - L '
BUILDING -
CITY
TEL. ADDRESS
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COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS 9T.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 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.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.5D INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ O.SO
DISHWASHER Q 0.50
DRINKING FOUNTAIN @ 0.50
W
URINAL @ 0.50 Q
HOUSE SEWER @ 0.50I� U_
MISCELLANEOUS IL
a
0
APPROVALS
DATE INSPEOTOR'f NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAB TEST
iUTILITY CO.NOTIFIED
TOTAL FEE Sly,/
FINAL
D.D.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
PLUMBING '
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE / /
HEATER CESSPOOL II SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
GAS FIRST INSPECTION
MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB r '
K NAME ADDRESS V O �1 ��t�C-•�1_
m ADDRESS I,!)- LOCALITY
f
NEAREST
J CITY y TEL.No. CROSS ST.
IL
COUNTY
CERT.No. O --A - EXPIRES /W A/L. 7 NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIF14kTE OF QU ICATION;
PLUMBER
1 AM THE LEGAL OWN OF THE PROPERTY DESCRIBED
ABOVE.
i OWNER
CORRECTIONS
I _
SOUTH a
e;
DESCRIPTION OF WORK
BATH TUB FURNACE ~
a
o
—SHOWER DISHWASHER
/ LAVATORY _ REFRIGERATOR
/ KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
/ WASH TRAY URINAL APPROVALS
/ WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
/ WATER HEATER —DENTAL LAVATORY I.,
�.- ROUGH PLUMBING
�METER4-4 GAB SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I I
CESSPOOL
17 TOTAL NUMBER OF FIXTURES T SEPTIC TANK
LCESSPOO]- 4EPTIC TANK SEWER
s Qa
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL /6 g�
D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �`���'�� ,
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO.
ROUGH _ __ FIXTURES COMPLETE _
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
ADDRESS . `...;_ 12� ��a 1S LOCALITY
J ,� NEAREST
CITY yt ` ,?. -TEL.No. CROSS ST.
COUNTY
CERT.NO. EXPIRES 11 W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
ADDRESS
NORTH 0
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
;04P4f,1
rLuwe[R
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
i
OWNER
CORRECTIONS
SOUTH a
d
DESCRIPTION OF WORK
BATH TUB FURNACE
CG
SHOWER _DISHWASHER
0
LAVATORY –REFRIGERATOR
KITCHEN SINK .__WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
—WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPHCTOR'B NAN[
_WATER HEATER _DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN 6A3 PIPING
OUTL
GAS VENT I
CESSPOOL
—_TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOLEPTIC TANK SEWER
} f UTILITY CO.NOTIFIED I
TOTAL FEE
FINAL