HomeMy Public PortalAbout9557 GARIBALDI AVE_Plumbing__ 76A667-CE0817 10-62 CITY OF TMMZ ci-ly
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONsU1LDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY l�i (� '�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
0 W NER
WATER CLOSET $1.25 MAIL
j BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 1 21ADDRESS7921
+�,..E`
DISHWASHER 1.25 CITY S.$aD GabCONTRACTOR'sriel TEL. NO. AT 05349
LAUNDRY TUB 1.25 1 ' REGISTRATION NO. .34935 C-36 STATE
COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 y
1 d
1.50 INDUSTRIAL GAS SYSTEM OUTLETS WASTE APPROVAL u
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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W
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W
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
qe ROUGH PLUMBING
TOTAL FEE iJ GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 A HE LEGAL OWNER OF..AND INTEND TO
RESIDE IN,THE ABOVE DE [BED RESITIA ROPERTV. UTILITY CO. NOTIFIED
SIGNATURE r
OF PERMITTEE
FINAL
// VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING j
DIVISION OF BUILDING & SAFETY i
WILLIAM J. FOX, County Engineer
D NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN
PLUMBERRECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION _/
ADDRESS
BUILDING
CITY`'' TEL NO o ,3 ADDRESS
LOCALITYLICENSE 7 �
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) Q 0.50 S ADDRESS
BATH TUB @ 0.50 CITY TEL. No.
SHOWER a 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0,50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WIT COUNTY ORDINANCES
KITCHEN BINK 0.50 AND STATE LAWS REGUI-4 PLUMBING.
I CERTIFY THAT 1 d 89 THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY bei R I AM THE LEGAL OWNER
OF THE RESIDENT �211TYDESCRIBED AB
GAS SYSTEM-3—OUTLETS @ 0.50 �O
SIGNATURE DF
WATER HEATER @ 0.50 PERMIT
T
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50
i FLOOR DRAIN ® 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL Q 0.50
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS _ -/ F3
Ce D [ O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING - d
GAS PIPING _--
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: p SEPTIC TANK -
DRAIN ( ) PIT ( ) @ 1.00 a SEWER _
PERMIT 1.oO I GAS TEST 1II1�' I/�}L.
UTILITY CO.NOTIFIED
TOTAL FEE
I I—FIP-SAL---
76A667
DBS#17 6-52 p