HomeMy Public PortalAbout9500 GIDLEY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 2
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING SS
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS V� /
FO,R APPLICANT TO FILL IN LocALlry
BUILDING , NEAREST 6
ADDRESS CROSS ST.
DISTRICT NO. GROUP E PERMIT NO.
LOCALITY
MEAREST
CROSS ST. ,�ECEIVEOY Ready for Inspection D TE ISSUED
OWNER w /
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY , E TEL No. INSPECTION RECORD
PLUMBERr
ADDRESS 2
CITY TEL.NO.
e STAT
LICENSE NO. ,' COUNTY W
PERMIT FEES Q
v
NUMBER TYPE OF FIXTURE OR ITEM FEE J
IL
WATER CLOSET(TOILET) @ 0.80 $
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80
1lMMMIN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE (y GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ TH APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE j
OF PERMITTEE.------ .... °--%----�`-..1;,.�:.,.�.�ss -„_ - -- -----------
FINAL
76A667 DBS 17 1/53
71L""7 O=I' 11-50 APPLICATION FOR PST
DEPARTOF BUILDING AND SAFETY
COUNTY
PLUMBING 1
COIINT7C OF LOS OS ANAN GELES
WILLIAM J. FOX. OHI[F [NSINUM
FOR APPLI TO FILL IN
PLUMBER ( IVED BY READY FOR DATE IBBUm
DR ti SFIRST INPEOTI13M 2
tJ 7
■UI O
CITY L No. ADDR[Y
COUNTY LOCALITY
PERMIT FEES O R OSE BT.
MUMBCR TTP[OF FIXTURL OR ITDI FILE OWNER
MAIL
WATER CLOSET(TOILET) f 0.60 * ADDRESS
BATH TLIS f 0.613 DITY TEL, Mo.
■HOWER f 0.60 I H CKERY ADKNOWLEDO[ THAT 1 HAVE R[AD THIN
LAVATORY (WASH BASIN) f 0.60 APPLICATION AND STATE THAT THE MOVE IB 013RRE13T
AND ADRQ TD COMPLY WITH ALL COUNTY O"INANO[•
KITCHEN MINK f 0.60 AND STAT[ LAWN REMULATINO PLUMBIMO.
I OERTIFY THAT I PDra.ESB THE ABQV[ VALID LOS
LAUNDRY TU■ OR TRAY f 0.60 A!lOELKS OCUMTY LIO[NB[, OR 1 AM THE LEGAL OWNER
OAS wn'm UTLil7 f 0.60 O Cl OF TH[ R[SID[NTI PROPERTY-D ED ADOVL
■IONATUR[ OF
WATER HEATER f 0.60 00 PERM
SLOP MINK f 0.60 RECORD
FLOOR ■INK f O.BO
FLOOR DRAIN f 0.60
DIBHWASHER f 0.60
DRINKING FOUNTAIN f 0.60
URINAL f 0.60
Q
HOUR[ GEWER f a6O Z
MIBO[LLANEOU■
(]
APPROVALS
DATE IHirtOTOR'■ NAME
ROUGH PLUMBINO
OAS PIPING
GAS VENT
OEBSPOOL f 7.30 CESSPOOL
EM TIC TANKI MEPTIO TANK
DRAIN ( ) PIT ( ) f 7.00 I ■EWER
PERMITt.00
GAS TEST
•
TOTAL FEE OQ UTILITY ONOTIFIED A
• U 0.
F I NAL