HomeMy Public PortalAbout5620 GRACEWOOD AVE_Plumbing__ 76A667 DBB 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
. COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
DISTRICT NO. G OUP O .
FOR APPLICANT TO FILL IN
PLUMBE RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
'� BUILDING 1
_CITY a fJ TEL. No. ADDRESS -
t
COUNTY CENSE NO. EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 8 ADDRESS
BATH TUB @ 0.50 CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM _OUTLETS @ 0.50
SIGNATURE ❑F
WATER HEATER @ 0.50 PERMITTEE
_'--
SLOP SINK @ 0.50 INSPECTION RECORD
FLDOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS 0
It
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I - CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER / J
PERMIT . . . . . . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE FINAL
79A967'17 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.
14 Z
PLUMBER F' .+.� `� R CEIVED BY READY FOR DATE ISSUED,_
FIRST INSPECTION
ADDRESS BUILDING
ADDRESS /�J �1 G.I�A GL�*"WOO/1
CITY TEL. NO.
COUNTY LOCALITY h- �'! ` �L�C✓7l� ! ./
LICENSE NO. EXPIRES
NEAREST
I PERMIT FEES CRosssr.L��a11'`L�'f
NUMBER L TYPE OF FIXTURE OR ITEM FEE OWNER p//I 044/4) p��
G G4 YVI' O
MAIL
WATER CLOSET (TOILET) Q 0.50 Is ADDRESS2.3
/' /�
�I BATH TUB @ 0.501 CITY L`Yy G,, Qi c-,i JY/.�r�Z TEL. NO.,O7y
O • Sq /y
4'
SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
�—� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q 0.501
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.501 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
1 LAUNDRY TUB OR TRAY @ 0.501 S-a ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PR ERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O.50 I I _ SIGNATURE
1 I WATER HEATER @ 0.501 PERMITTE
OeFof-
SLOP SINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN to 0.50 1
DISHWASHER @ 0.501
wr
DRINKING FOUNTAIN @ 0.501 .64 4.0 Isar — w4...►jr<'— r�'b
URINAL @ 0.501 G;,p
I HOUSE SEWER @ 0.501 1 A Q
1Tt Q�ew
MISCELLANEOUS A _
i
APPROVALS
1 DATE IN11,04E 9wOR'S NAME
ROUGH PLUMBINGcol
�Jr
1 1 1 GAS PIPING /'y
1 I I GAS VENT
CESSPOOL @ 1.00 i !I I.�C(, CESSPOOL
1 SEPTIC TANK: lT SEPTIC TANK /
DRAIN ( ) PIT ( Q 1.001 I SEWER
PERMIT I 1.90
GAS TEST Y
IUTILITY CO. NOTIFIED
TOTAL FEF. S
I
"i
FINAL