HomeMy Public PortalAbout9163 GARIBALDI AVE_Plumbing__ D1iCP"nMU OF COUNTY ENC0WEER PLUMBING. 1
DIVISION OF BUII.DING AND SAFETY PERMIT APPLICATION
COUNTY OF IAS ANGF-7- 4 I
BUILDING
WILLIAM J.. FOX, CouNTY ENOINrrR ADDRESS
FOR APPU ANT TO FILL IN
LOCALITY
BUILDING NEAREST
ADDRESS CROSS ST.
DISTRICT N0. G 0 P I j-N PERMIT N0.
LOCALITY07'r— K
NEAREST
CROSS ST. ECEI ED BY R*a�for �ti
laae■ DATE ISSUED
OWNER A)
'JAIL INDUSTRIAL
ADDRESS WASTE APPROV
CITY TEL No.
INSPECTION RECORD
PLUMBER
ADDRESS ` ` p
CITY f TEL N0. r C7 /' o
A
LICENSE 110. 7 2 ,
0 COUNTY
PERmrT FEES
qumnrJq TYrt OF FOCTUR[ OR ITEM FLC
WATER OLOSET(TOILET) • a.M
O
BATH TUB ! Lft
SHOWER • LIM
LAVATORY(WASH BAST ! I.M
KrrOHEN SINK ! •.N
LAUNDRY TUB OR TRAY ! &"
SLOP SINK • 0.30
FLOOR SINK op 5.m
FLOOR DRAIN ! LN
DISHWASHER ! '�•M
DRINKING FOUNTAIN ! LIM
URINAL • 0-St
BAS SYSTEM OUTLETS 9 1.00
WATER HEATER ! 1.80
MI LLANEOUS
APPROVAL
DATE INS.FEOTOW9 SIGNATURE
UNDER SLAB WORT(
PERMIT $ I 00 BOUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- G/1S VENT
CATION AND STATE THAT THE ABOVE 18 OOflflEOT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 All THE LEGAL OWN-
ER OF THE ABOVE BI D R DE IAL PROP[ UTILITY CO.NOTIFIED
SIGNATURE
OF PERMM _
FINAL
_ /
TOAWT DBSlT b 12-53
76A667-C1:8 17-8-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARYmm OF COUNTY ENGMM
B=ING AND SAFETY DrVISION G
JOHN A. LAMBIE, COUNTY ENGINEER r n
CASSATT D. GRIFFIN, SUPT of BUILDING LOCALITY f�/�� elT Y
FOR APPLICANT TO FILL IN
CROs ST. -,4 d MAL 17
NU MISER FIXTURE OR ITEM
oWIVER TOAN ,E d
WATER CLOSET MAIL
RATH TUB AJDDRESS
SHOWER CITY 7 C,7Y TEL.No.
J LAVATORY CONTRACTORG-
am ADDRESS d d. % 1,*
DISHWASHER CITY 4A, TEL No-e.A , 6-7 dl
LAUNDRY TUB CONTRACTOR'S3 .q 7 2_ STATE
REGISTRATION NO. A46
CLOTHES WASHER
=:j
GROUP ZONE n[ADY FOR In[F[CT ION
WATER HEATER
GAR SYSTEM VOUSTRIAL
WASTE APPROVAL
HgSPECTION RECORD
APPEOVAIS
{I.00 PER TIED[ DATE INSPECTOR'S SIGNATURE
OR FIj�$E S Z UNDER SLAB WORK
ROUGH PLUMBING /
PERMIT i 1 00
GAG PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO 9OMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES !y
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR OAS TEST
- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM TU LEGAL OW OF E ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIA ROPE
SIGNATURE eAIKZ
FINAL
OF PERMITTEE �
Tom is ROBERT A. WOOD,
CIVAI.IDATI� SUPERVISING MECHANICAL. ENG'R
C[. Y.0. CATH
L&3667N AUG 8 5 A 3.00 ;9