HomeMy Public PortalAbout6448 GOLDEN WEST AVE_Plumbing__ 713A667 n a-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER O NNS RECFJVED BY READY FOR DATE ISSUED
7 FIR T INSPECTION
ADDRESS 4-I3 Fa eg:R 55 7-9E� - '� c ►;; ' z
J
n QF' ADDRESS O E S
CITY 'E�/PL ro`1Ti TEL. NO./�-(J �+ (� �+,I
LICENCOUNSE NO. tl 0 / EXPIRES (A_�Q_$0 LOCALITY �s. mV 1 /� y
NEAREST -� � -,�
PERMIT FEES CROSS ST. /
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Y E
MAIL rl
WATER CLOSET (TOILET) @ 0.50 $ I ADDRE S 7
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HERE ';KNOWLIAGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 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 I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTYNSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTI "ROPE ESC ISE D ABOVE.
GAS SYSTEM-AS—OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 PERMITTFIF
SLOP SINK INSPECTION CORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 1-14.
i I
DISHWASHER @ 0.50 5
DRINKING FOUNTAIN @ 0.50 '4'l
URINAL @ 0.50 _�' 7
HOUSE SEWER @ 0.5012
.50 1„ Q
Z
MISCELLANEOUS (�
a4i /EW Zn
Ir-
//
APPROVALS .'-/
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK li
I DRAIN ( ) PIT ( ) @ 1.001 1 SEWER
PERMIT . . I 1.00 GAS TEST
UTILITY CO. NOTIFIEDi-
TOTAL FEE $
C� FINAL
76A687 17 9-49 ® 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 NO.
--, ..
PLUMBER t RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION _
ADDRESS a 7
BUILDING
CITY TEL. NO. ADDRESS
COUNTY LOCALITY - ' r
LICENSE NO. EXPIRES ,
NEAREST
PERMIT FEES CROSS ST.
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50($ ADDRESS
1 BATH TUB @ 0.50 I I CITY TEL. NO.
SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 I
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.501 SIGNATURE OF
WATER HEATER @ 0.501 PERMITTEE
1 SLOPSINK @ 0.501 1 INSPECTION RECORD
FLOCR SINK @ 0.50
.1--d-
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.501 ..I
HOUSE SEWER @ O.So 1 Q
MISCELLANEOUS a
I�
1 j 1
1 APPROVALS
1 DATE INSPECTOR'S NAME
ROUGH PLUMBING
1 GAS PIPING
1 I I GAS VENT
1 CESSPOOL @ 1.00 I� a CESSPOOL 1
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.001 I SEWER
PERMIT . . I 1.00 GAS TEST
UTILITY CO. NOTIFIED )
I TOTAL FEE: I g �I�`
j FINAL