HomeMy Public PortalAbout8927 GARIBALDI AVE_Plumbing__ 76A667 OBS 17 11-5O APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT D. GROUPWP .
_ PLUMBER 't� �;' f READY FOR
/'1�'Yg RECEIVED BY DATE ISSUED
FIRST INSPECTION
ApDRE93 � ^ 9 �-
rr BUILDING
_ CITY .� -- b�. �{; TEL. No. ADDRESS -
COUNTY is LOCALITY
LICENSE NO. EXPIRES -
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL L
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 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 @ O.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
9113NATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
_ DISHWASHER @ 0.50
IDRINKIN13 FOUNTAIN a 0.50
URINAL @ 0.50 -1
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS L9
Ir
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1,00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ � .
FINAL
76AG67 OBS 17 11-50 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING i
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER _ tI
FOR APPLICANT TO FILL IN
DISTO. �'",P
�. a �?S3
PLUMBERIvy=
READY OR DATE ISSUED
FIRST INSPECTION
_ADDRESS r
BUILDING �¢
CITY TEL. No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 S 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.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.SO 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 @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50
MISCELLANEOUS /).6M ,f 3 6 +1 7-d ,t EDED
e'—?
— V /✓ L O
2'--0- 2-
APPROVALS APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT 2"
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE -77
FINAL