HomeMy Public PortalAbout9626 GIDLEY ST_Plumbing__ 7eAEE7 17 5-ISO It 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 NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION f f
I/ /�
ADDRESS - q o yT
sRt I T_ v �-" BUILDING
CITY TEL. NO. ADDRESS 1 d
COUNTY t LOCALITY
LICENSE N0. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ,
MAIL
WATER CLOSET (TOILET) @ 0.50 I$ I ADDRESS -'
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
I OF THE RESIDENTIAL PROPERTYll /. DESCRIBED ABOVE.
J GAS SYSTEM OUTLETS @ 0.50 I SIGNATURE OF rI F
[ElWATER HEATER @ 0.501 PERMITTEE _✓ FFF - L
SLOP SINK @ 0.50 I INSPECTION RECORD
FLOOR SINK @ 0.50 I -
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501�
IDRINKING FOUNTAIN @ 0.501
URINAL @ 0.501 I ..1
IHOUSESEWER @ 0.501 ( Q
MISCELLANEOUS
O
I
I
I�
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I CESSPOOL ,Y9r
�r ✓` i;
SEPTIC TANK: II - SEPTIC TANK
rDRAIN ( ) PIT O @ 1.001 I SEWER
r
PERMIT . I 1.00 GAS TEST
TOTAL FEE
$� �� UTILITY CO. NOTIFIED
I�FINAL
76A6°' 17 5-30 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRII ?}: . GROUP ZONE PERMIT NO.
PLUMBER - RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY i TEL. NO. . _ ADDRESS / r
COUNTY LOCALITY Tf��/' '�r
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB Q 0.50 CITY TEL. NO.
J SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT ILL POSSESS THE ABOVE Vt4LIO LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABgVE.
GAS SYSTEM OUTLETS Q 0.501
SIGNATURE OF
WATER HEATER Q 0.501 PERMITTEE
SLOPSINK Q 0.501 1 INSPECTION RECORD
FLOOR SINK Q 0.50 1
FLOOR DRAIN Q 0.50
1 1
DISHWASHER Q 0.501
DRINKING FOUNTAIN Q 0.501 1
I URINAL Q 0.501 1
I HOUSE SEWER Q 0.501 Q
Z
S II
MISCELLANEOU
I�
J
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 I CESSPOOL
1 SEPTIC TANK: I SEPTIC TANK I(�
I DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT . I 1.00 GAS TEST
�- UTILITY CO. NOTIFIED
TOTAL FEE I $ '` IJ I�
FINAL