HomeMy Public PortalAbout9502 GIDLEY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
O APPLIC, [NTT VEL I LOCALITY
"rY -,v`T NEAREST
BUILDING f CROSS ST. G d
ADDRESS
DISTRICT N0. GROUP E PERMIT NO.
LOCALITY a '
NEAREST
CROSS ST. E IVED Ready for Inspection D E ISSUED
OWNER
MAIL I DUSTRIAL
ADDRESS WASTE APPROVAL
eiry TEL,No. ` INSPECTION RECORD
PLUMBER
4DDRESS + 1� /" 67iT
771 oeT"
CITY ' !, /TEL.N0. D STATE t> TLJ/ S •S�✓"' lf�
LICENSE NO. f j f / n COUNTY
PERMIT FEES T� a
Z
TYPE OF FIXTURE OR ITEM FEE (7
WATER CLOSET(TOILET) @ 0.80 $
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
K+TGO"SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 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
UNDER SLAB WORK15 ._y
PERMIT $ I 00 ROUGH PLUMBING
TOTAL FEE b GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ TH APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT A D 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
OF PERMITTEE.."---------
FINAL
76A667 DBS 17 1/53
DWO.17 APPLICATION FOR PLUMBING PERMIT/
Dfl-��Ib-ee 7
I)MMON OF BUILDING AND SAFETY 1
D.parw ni of Com Eauftew
CouWl of Los AngalK BUILDING
JOHN A. LAMBIE, COUNTY ENGINES ADDMR" O -tO
CA8aATT D,GRIFFIN,Bur-r or BUILDING
LOCALITY
FOR APP11CANt tO FILL IN NEARaaT
OSH ST
;641
MAIL. DLNO. ORQUP NR ■[Ani roll 1979L-TIO■
DlAIL �rO'� `//•IT�
ADDRZAS
ti INDUSTRIAL
ITVor ►I 0.4 WANT APPROVAL ar.�h
PLUMBER II�P=ON RECORD
ADDR[BS
crrY TEL_ No.
LICENSE NO.
NUM1[It Tyr[Or rUCTU1tx OR mmw I"
WATMCLOSET (TOI ) Qq 1.00
BATH TUB 1.00
SHOVI" 1.00
LAVATOKY (WASHBADIN) fI.00
KrTCIjKN LINK 1.00
DISKVYABHIER 41.00
LAUNDRY TUC OR TRAY JfI.Q0
CLOTHW WASHER OLOO
WATER HEATER 11.00
GAS Sys-ow 1.00
Al
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAC WORK
PERMIT 1 00 ROUGH PLUMMING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE RE-AD THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AQRI$ TO COMPLY HOT VYATKR HEATER
WITH ALL COUNTY QRDINA-XCE9 AND•STATE LAWS RECULATINQ
PLUMBING. PLUMBING FIXTURES
I +IEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR GAS TEST
LII?(BED AL REQUIRED 9Y LOS ANGELES COUNTY AND STATE OF �
CALIFORNIA OR THAT I AM THE LEGA-L OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
JOHN A, LAMBIE. CduNTY ENGINQTR VALIDATION ROBERT A.WOOD, CHIFF PLCG. INWPILCTOR
Cl. �.�. CASA
J &7 4 3 4,+? ITJ 2 6 3 2.0 090�
l