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Home My Public Portal About9610 GIDLEY ST_Plumbing__ D.B.S.17 25M SETS 12.44, APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��'�� COUNTY OF LOS ANGELES Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. ROUGH I FIXTURES COMPLETE _ i-ISAT'eR CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED _ I GAS MISCELLANEOUS FIRST INSPECTION APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY SOB It ,. Lel�NAME � ADDRESS � J W ADDRESS q LOCALITY 7 NEAREST CITY IL TEL.No. CROSS ST. IL COUNTY / CERT.No. EXPIRES w NAME ! l LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL Z 7 3 ADDRESS NORTH D -"'mii'� +++ CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. �! PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. i OWNER CORRECTIONS SOUTH d DESCRIPTION OF WORK - z PATH TUB FURNACE ai SHOWER _DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK --WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET _ DRINKING FOUNTAIN DATE INSPECTOR'S NAME Y'rATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT kkvv CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I ` CESSPOOL SEPTIC TANK SEWER II { UTILITY CO.NOTIFIED I I TOTAL FEE I •-f I FINAL �' 76A.67 17 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N . PLUMBER ✓ RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS BUILDING CITY TEL. No. ADDRESS I'7 COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. SU NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ �_— ADDRESS �. (�w BATH TUB @ 0.50 CITY 11�2Q /T7, /�, / TEL. No. SHOWER @ 0.50 _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ O.5❑ APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 I AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. (GAS SYSTEM OUTLETS—@ 0.50 SIGNATURE OF (WATER HEATER @ 0.50 PERMITTEE -- SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 �I FLOOR DRAIN @ 0.50 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 I J HOUSE SEWER @ 0.50 Z MISCELLANEOUS I E9 Q APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSFOOL @ 1.00 I_— CESSPOOL �(SEPTIC TANK: Ir SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.001 SEWER [ _ PERMIT . . . . . . I 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE $�, - FINAL —J 76A667 -CE $817 2-62 APPLICATION FOR PLUMBING PERMIT ^� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS G - Gidley WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY e City FOR APPLICANT TO FILL IN NEAREST CROSS ST. C NUMBER FIXTURE OR ITEM EACH FEE r OWNER J. Casey WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS Samp SHOWER 1.25 CITY I _ TEL. NO. G1 g 9473 LAVATORY 1.25 CONTRACTOR T SINK 1.25 ADDRESS 1092C E- Grand DISHWASHER 1.25 CITY Temple City TEL. NO. 443 690 LAUNDRY TUB 1.25 EG S RAT ON NO. 21189$ COUNTY CLOTHES WASHER 1.25 DISTR CT NO. GROUP ZONE P OESSED BY 1 WATER HEATER He laceme t1.50 1 Q fI41--A GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD . Ca �i Ldi Lu d h APPROVALS DATE INSPECTOR'S SIGNATU UNDER SLAB WORK PERMIT $ 2 00. ROUGH PLUMBING TOTAL FEE 3 5Q GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT ANO 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 I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE4elar OF PERMITTEE FINAL ` )AiLIDATION ROBERT A. WOOD CK' M. J. CASH SUPERVISING MECHANICAL ENG'R 1.;i'✓G 1 c.� ,,LIQ 7 ) D .� iJ