HomeMy Public PortalAbout5203 GOLDEN WEST AVE_Plumbing__ COATY OF LOS ANGELES APPLICATION FOR PERMIT
f, Department of County Engineer �'
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN
DISTRICTLQ GROUP D �PERMIT
PLUMBER-.-,41 o -9:9 /.� ,�✓� RECE, FD BY FIRST INSPECTION DY FOR ���'I�u /4�
ADDRESS 16
BUILDING 9 n 9
CITY-ceTEL No. �� ADDRESS G Vr G�•�'G[/
COUNTY LOCALITY
LICENSE NO. 7 EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER _ f �!
MAIL
WATER CLOSET(TOILET) Q 0.150 ADDRESB _� ^
BATH TUB Q o.40 ��; CITY TEL. No.
�* SHOWER ® 40 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
/ LAVATORY (WASH BASIN) Q p, p APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ ml o AND STATE LAWS REGULATING PLUMBING.
II 1 CERTIFY THAT 1 POSSESS THE ABOVEL' VALID LOS
LAUNDRY TUB OR TRAY 19 0.150 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE or
WATER HEATER @ O!Sp O'O PERMITTEE
SLOP SINK @ o.513 INSPECTION RECORD
FLOOR SINK @ 0.so
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 Y` J
Q
HOUSE SEWER 0 0.50 _Z
MISCELLANEOUS
0!
0
APPROVALS :
TE INNBPECTOR•B NAME
ROUGH PLUMBING
J
' GAS PIPING )
OAS VENT
CESSPOOL @ 1100 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.00 GAB TEST / Ile
A� r7 1 v
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
76A667 DBS#17 10/52