HomeMy Public PortalAbout5545 GRACEWOOD AVE_Plumbing__ 7BA667 17 9-49 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DIST R TNO.riGRQUP 0E
J
PLUMBER 1a� '�Q I �� I�I� rf� �� { � RE iAVE
gq BY IREADY FOR DATE ISSUED
{ FIRST INSPECTION
ADDRESS 3 O (? V"�A C. � k�/ L7 [� CI � �... `, 7
--'�� BUILDING •"'� 7
CITY ,A TEL. NO. _ADDRESS .J C� `/ - [_..{.4 :. +-Yt- �
COUNTY -LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER [✓'�/ .
- MAIL
1 WATER CLOSET (TOILET) C 0.50 1 s I_t�`) ADDRESS �p � ® � a �-da�+l.•
IBATHTUB C 0.501 I� CITY F'4-"�' �.--r,� ter, TEL. NO. /rrO !/ O
SHOWER C 0.501 I _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TAS
1 Sn 4,N APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) C 0.501
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK STATE LAWS REGULATING PLUMBING.
�I C 0.50 --" 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY C 0.501 .r, +, ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
1 OUTLETS C 0.50 I OF THE RES]DENTIAL,PRDPERTY DESCRIBED ABOVE.
GAS SYSTEM
i URE OF �_.... Ile-
WATER 1
;� SIGNAT
�I HEATER C 0.501 I1�..,/ PERMITTEE
SLOP SINK INSPECTION RECORD
1 FLOOR SINK C O.50 I -
_ I FLOOR DRAIN C 0.50
DISHWASHER C 0.501
DRINKING FOUNTAIN C 0-501
URINAL 0.501 y J
HOUSESEWER C 0.501
MISCELLANEOUS
I I °
I
1�
APPROVALS
I (� DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING S51 _.
GAS VENT
CESSPOOL C I.00 I CESSPOOL
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( C 1.001 1 SEWER
PERMIT . 1.00 GAS TEST
�gq
UTILITY CO. NOTIFIED
TOTAL FEE I $ [`
J FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERBUT
Department of County Engineer
DIVISION OF BIIII.DING & SAFETY PLUMBING 1
WILLIAM 1 FOX, Caocb' Eaplawr
FOR APPLICANT TO FILL IN DISTRF NO. 13ROUP I ZONE PERMIT NEI.
PLUMBER / IVm READY FOR DA ISiLI[D
F1RaT IH>ZPED7'ION
ADDRUMI
T_ BUILDING �� �/
OFTY h /G TEL.No. kDDRLM
COUNTY LDOALITY
LICENSE N I
NEAREST
PEnmri FEES CRo6B QT.
MUMMER TYPE OF FIXTIIR[OR ITOd F-KK OWNER -
MAIL
WATER CLOSET(TOILET) 0 0.6O 4 ADDRUM
6ATH TUB 0 0.60 CITY ! TEL No.
SHOWER 0 0.60 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ T'HIB
LAVATORY (WASH BADIN) 0.60 APPLICATION AND STATE THAT THE ABOVE IG CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINAHCCS
KITCHEN OINK 0 O.6o AND SPATE LAWS RE13ULATINO PLUMBING.
1 CERTIFY THAT I POSSESB THE ABOVE VALID LOU
LAUNDRY TUB OR TRAY 0 0.613 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL. OWNER
OF THE REBID[NTI PE DM01AB L
OAD BYBP'El�l UT LETS 0.60
BIGNATURE OF
WATER HEATER 0 MISO PERM ITTL
SLOP BINK 0 0.60 INSPECTION RECORD
FLOOR BINK 0 0.60
FLOOR DRAIN 0 0.60 �+
DISHWASHER 0 0.60
DRINKING FOUNTAIN 0 0.60 «"
URINAL 0 0.60
Q
HOUSE SEW-rR 0.60 Z
MISCELLANEOUS
a
0
APPROVALS
DATE INaPNEOTOR'■ NAM[
ROUGH PLUMBING
DAB PIPING
GAD VENT
CEBSPOOL 49 1.Do OEBBPOOL
6EPTIO TANKI ■EPTIC TANK
DRAIN ( ) PIT ( ) ! 1.00 SEWER
PERMIT 1.00 MD TEST
TOTAL FEE UTILITY OO.NOTIFIED
4 _
FINAL // • JL
T6AUI D112#1T 6-65
1 -