HomeMy Public PortalAbout9417 GARIBALDI AVE_Plumbing__ 76AS67 TY ►-y ® APPLICATION FOR PERMIT
DEPARTMENT OF BUII.DING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHI[F ENaIN[ER
Fp R PLICANT TO FILL IN DI O. GROUP ZONE PERMIT NC}
PLUMD
IVKD BY R[ADY FOR T=IssU[D
FIRST i.Ml7.[GFION �
ADDREOB
BUILDING
CITY ,T NO / (/� /yr '�DRK"
COUNTY {,- p --{`7 Loc' L Y
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N[ARM&T
PERMIT FEES CROS[ST.
N U N BIUI TYP[OF FIITURII OR IT[Y FE[ OWNLQ!
MAIL D
WATIR CLOSET TOILET 0.50 ADDS
EiATH rue 0.00 CITY f Tt11 NO
SHOW[R 0 0.150 I H ACKNp a[ THAT I HAV[ R[AD THIS
LAVATORY (WASH BASIN) .DO llu N Ain TIiAT THAT
ADOV[ IS CORRMaT AND
AGREE TO COMPLY ITR ALL COUNTY ORDINANCXS AND
KITCHEN BINK a O.SQ STATE LAWS RIGULATING PLUMBING.
1 CERTIFY THAT 1 POSSE" TH[ ADOV[ VALID IAB
LAUNDRY TUB OR TRAY O.B ANGLES COUNTY C[N.S[. OR I AM TH[ OWN�t
OF TH[ R[OIDENTI rQtTY DES
CRIB
GAB IYSTMtu OUTLETS 0.150
SIGNATURE OF
WATER HtATKR 0.50 PER-_
SLOP SINK 0 0.250 INSPECTION RECORD
71OOR BINK 0.00
FLOOR DRAIN O.0
DISHWAS14ER O.00
DRINKING FOUNTAIN 0.00
URINAL 0.150 ..1
HOUSE OEWER 0.50 Z
M I OC ul-LAto[O US (�
a
0
APPROVALS
DAT[ INlP[CTOR'• NAJdX
ROUGH PLUMBING
GAS PIPING
G" VENT
C EBB POOL .00 C1Z"POOL
SKPTIC TANKt 6KIMC TANK
DRAIN ( ) PIT ( ) @ 1.00 9[WrR
PERMT . . t, a" TEAT
1
TOTAL FEE UTILITY CO. NOTIFIED
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F I NAL
oJL r' ZL-' , APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OFLOS ANGELES PL�JIIA�II�1 1
VNM.J. Fox, cHIQ wimmme
ROUGH FI](TURM CbYrLiTlt 6 - 7 -2 �6
HILATICR ClMPOOt SJUMC TANK RKCATVW rIRfT INfTiQT10N 7'DATZ•1lfUm
Zma
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APPLICANT FILL IN VILY O PORTION ONLY
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HAY[ ADDRC Ce 7
O I
9 ADDRl0i LOCALITY
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CITY Td No. CROOO sT
COUNTY
CtRT.He. KXPIRKS NAUR
LOCATION OF SEPTIC� TANS, OR CESSPOOL MDAD%ADD w
NORTH
CITY Tlt-Wo
I AM THR LIM" PORI R - IPA LOi
AHGQii COUNTY CimmFI T= OF ALIFLCA
1 AM THII LIMAL OWNmR THs P biFKlTY DgC1lDm
ANKMIL
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CORRECTIONS
f r
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SOUTH
DESCRIPTION OF WORK
ATH TUB R+,RNACM
1
HO'W" DISHWASHtR O
-LAVATORY n«1 G etATOR
ITCHEN SINK WATtIR SOFTQiQt
FLOOR SINK SAND TRAP "
OINK DRAIN
WASH TRAY URINAL APPROVALS
WATK R CLOORT DRINKING FOUNTAIN DATIC „arsCT0R'•KAJM
WATZR H[ATWt DQITAL LAVATORY ROUGH PLUMSING
SODA FOUNTAIN GAS PIPING
OUTL
V1QfT
CKSl
TOTAL NUMNK R OF FIXTURiS SQTIC TANK
C[SSPOO+ 213VTIC TANK S[Nl�t
S /O UTILITY CO.HOTIF M
TOTAL FEE
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SA.FET�' PLUMBING �
COUNTY OF LOS ANGtLES
WM. J. FOX CHIS KNGrNvmjm
NATURE ST TION DISTRICT NO. GROUP I ZONE PERMIT NO.
UGH FIXTURUS COMPLKTK
R6 V® BY R�AgY FOR ATIq M
RKATKR CElr1POOL sE#MC TANK fIR1T INSFIl=0N
"a MISCIELI-ANKOUs
APPLICANT IN HEAVILY OUTLINED PORTION ONLY
I09 '
NAM It ADDREf/
ADDR M" i.00ALI'1`Y .
�► - clrr T.-N Nu"
T
CROSS IS-r.
co u WrY
CKAT.No. lFt NAMK
LOCATION OF SEPTIC TANK, OR CE89POOL MAIL Al�
ADDR
NOFCTH +- O .
OITY TIL.No. -
1 AM K LYdAL POMK*iOR OI0 THF# A&PVK LOIS
ANGC..K1' OOUNTY C 1 CATyQ,P.-QV FnlrATION. ,-
. .� (r���(/
I AN THK LKGAL OWNUt OF THK PROPERTY,P90CRINK13
AJSOVIL
CORRECTIONS
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Z
DE$CR.IPTION OF WORK o
MATH TUQ
HOWKR DItHVi"HIKIi .
VATORY nE"IGKFATOR
ITCHEN 1INK WATItR 00Ir1KNEIR
—11LOOR BINK - SAND T'FIAP
OP SINK 17_OOR DRAIN - -
WA1H TRAY —I_IIR1NAL -APPROVALS -
WATID3 CLgf KT -- DRINKING FOUNTAIN - DATA •HAllt
ATKR HKATKR —_DENTAL LAVATORY ROUGFr P UMDING
Kr R—d" SDA FOUNTAIN GAS PIPING -
O UTL
V FWT
OKf}POOL
TOTAL NUMKKR OF FDCI'URM •IFi7C TANK -
C CTANK
UTILI'T'Y CO. NOTH911D I
TOTAL FEE 100 FINAL p ! —
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