HomeMy Public PortalAbout5133 GOLDEN WEST AVE_Plumbing__ 76AS67 OBS 17,7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
' PERMIT NU.
FOR APPLICANT TO FILL IN S RI O. R P
PLUMS Q V l iV G�6.: (/� RE EIVED BY FIRST N
READY FOR - DATE ISSUED
NSPECTI
ADDRESS
CITY lefC Q` TEL. NO. - �s ,2 ADDRESS S 1 1��3 kC iV W E I
(CENSE NO. r L7 DSCOUNTYS EXPIRES ,•f� LOCALITY
� QSS ST. �,�1�!F S T
PERMIT FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER W4
MAIL �4 A l
WATER CLOSET(TOILET) � 0.50 !$ �'G 'ADDRESS
BATH TUB (>$ 0.50 CITY TEL. No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.60 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 '0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSBESS THE ABOVE VALID LOS
G
LAUNDRY TUB OR TRAY a 0.50 ANELEB COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAB SYSTEM OUTLETS ® 0,50 Q OF THE RESIDENT AL PROPERTY DESCRIBED ABOVE.
B1®NATURE OF
WATER HEATER 0.50 PERMITTE
SLOP BINK 0.50 INSPECTION AtcoRD
FLOOR SINK 0.50 _
FLOOR DRAIN 0.50
DISHWASHER 0.50 , C 6 /36 cca .•Y
DRINKING FOUNTAIN O.BO -�u/...f'/f�a...
v
URINAL 0.50
Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS E9
(Y
O
APPROVAls
DATE INSPECTOR'9 NAME
i
ROUGH PLUMBING +u. S Zp
CLAS PIPING
GAS VENT
CESSPOOL "� 1.00 CESSPOOL
SEPTIC TANK( SEPTIC TANK
DRAIN ( ) PIT ( ) db 1.00 SEWER
PERMIT I 1,00 GAS TEST
TOTAL FEE
UTILITY CO.NOTIFIED
q O
oC FINAL CCS
v
76A667 17 5-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN. DISTRICT NO. GROUP ZONE ®ER fT�N.
PLUMBER a.LLEL -L--'dtLfzfTQ RECEIVED BY' READY FOR DATE ISSUED
D l FIRST INSPECTION /A —Soo
BUILDADDRESS d �� (/I NG �'` a ��_
CITY TEL. NO. 70TEL. NO. 70 ADDREISS s. �7 /!r i
COUNTYLICENSE NO. EXPIRES LOCALITY • c—,
L
NEAREST"
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL-
WATER CLOSET (TOILET) @ O 50 ADDRESS
/ BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 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 I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM-3—OUTLETS @ O 50
OF THE RESIDENTIAL �PROPERTY DESCRIBED ABOVE.SIGNATURE OF . -
WATER HEATER Q O 50 PERMITTEE-
SLOP SINK @ o so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 5o
DISHWASHER Q O 50
DRINKING FOUNTAIN @ O 50
URINAL @ O 50 „J
HOUSE SEWER @ O 50 Q
Z
MISCELLANEOUS 0
It
O
APPROVALS
_ DATE INSPECTOR'S MAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER /
PERMIT 1.00 GAS TEST
UTILITY CO NOTIFIED i
TOTAL FEE $ a0 ��
e FINAL
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