HomeMy Public PortalAbout10215 GREEN ST_Plumbing__ 78A68' 17 °"°O RP APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NQ.-
PLUMBER R VV I (a- RECEIVED BY READY FOR, DATE ISSUED
(' ^ _ FIRST INSPECTION
ADDRESS 14 AlBUILDING
fLI S "j� r F I-N
CITY O NTT R F� RI'TEL. NO. ZZ'Gb`y- ADDRESS CJ V C K_rJ
COUNTY f 3 a i�`' LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER tj
MAIL
' WATER CLOSET (TOILET) @ 0.50 $ I_ ADDRESS
BATH TUB @ 0.501 llrQ � o {� n
CITY TEL. NO.r {/
1 SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 j APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
A KITCHEN SINK @ 0.501 b A STATE LAWS REGULATING PLUMBING.
1 CERTIFY THATICI POSSESS THE ABOVE VALID LOS
1. LAUNDRY TUB TRAY @ 0.501 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1 GAS SYSTEM OUTLETS @ 0.50 1 SIGNATURE OF ° }
WATER HEATER @ 0.501 PERMITTE
SLOP SINK @ 0.501 INSP ION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.501
'1 DISHWASHER @ 0.501
1 DRINKING FOUNTAIN @ 0.50
URINAL @ 0.501 1 J
J HOUSESEWER @ 0.501 1 Q
MISCELLANEOUS
I O
1
1 APPROVALS
1
1 DAT9 INSPECTOR'S NAME
ROUGH PLUMBING 1..
1 i 1 GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I CESSPOOL
1 SEPTIC TANK: 1 _SEPTIC TANK
DRAIN ( ) PIT ( @ 1.001-4 SEWER 1
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED 'J
TOTAL FEE $ I
�+� FINAL
76AS67 17 a-So KB 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. GRONE PERMIT NO.
UP ZO
PLUMBER BURKE"HO y)`,ARD RECEIVED BY READY FOR DATE ISSUED
2436 N. POSEAAEAD A VB. FIRST INSPECTION. � �//
ADDRESS
rt r, BUILDING
CITY TEL. NO. ADDRESS
COUNTY LOCALITY r'
LICENSE NO. EXPIRES -
NEAREST r'
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL -
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 I CITY TEL. NO.
A
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 KITCHEN SINK @ 0.50.1 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY LICENSE. OR IDEAM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50
1 OF THE RESIDENTIAL;PROPERTY SCRIBED ABOVE.
@
1 SIGNATURE OF
WATER HEATER @ 0.501 PERMITTEE
1 SLOP SINK @ 0.501 I INSPECTION RECORD
FLOOR SINK @ 0.50 1
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.501 ,J
1 HOUSE SEWER @ 0.50 - Z
MISCELLANEOUS 1 1 2
1 w
1 APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
1 1 GAS VENT
CESSPOOL @ 1.00 I� CESSPOOL
r
1 SEPTIC TANK: 1 SEPTIC TANK t
DRAIN ( ) PIT ( +) @ 1.001 1 SEWER I'
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
I TOTAL FEE $ . I-
^
FINAL