HomeMy Public PortalAbout5205 HALLOWELL AVE_Plumbing__ 76A667 Des 17 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
GROUPDISTR 0. .
FOR APPLICANT TO FILL IN
also 7 -7
PLUMBER r—/ RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION /
ADDRESS
BUILDING_12,®
CITY TEL NO Q�� ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROBa ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 111 ADDRESS
BATH TUB @ 0.50 CITY TEL No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SO 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.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF .w WATER HEATER HEATER @ 0.50 PERMITTEEP
SLOP SINK 0.513 INSPECTION RECORD
FLOOR SINK Q 0.50 _
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL @ 0.50
HOUSE SEWER 0.50 (/ Z
MISCELLANEOUS - 5
lz
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
/ CESSPOOL @ 1.00 •� Q CESSPOOL
I
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE
FINAL
I
ieaee7 17 a-so APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIrO. GROUP ZONE PERMIT NO.
PLUMBER,5q?e •�_ ' �1IQY�I
► � RECEIVED BY READY FOR DATE ISSUED'
FIRST,INSPECTION
ADDRESS/6-0k4 - �ft�/"AC�LfoAl.� s"
BUILDING +�,.•, -rr
CITY / „Hyl,/,r O H�� 0 TEL. O. a/ 1� ADDRESS /� "�[ O G(/P.il� Z��
COUNTY �,� I �� LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. //`L�I
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNE 'Q /��/.°�� ,•+.��s /"Y'CiCTI ��
MAIL
WATER CLOSET (TOILET) Q 0.50I$��r^-- ADDRESS,— 6.3.,/ ,
BATH TUB Q 0.501 IV D' CITY �` u �26L.. TEL. NO. c
SHOWER Q 0.50 I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING NG.
KITCHEN SINK Q 0.501
1 CERTIFY THATSSSS THE ABOVE VALID LOS
LAU NDRY TUB QRTRAY Q 0.50 J10 ANGELES COUNT EN R 1 AM THE LEGAL OWNER
a OF THE RES 1 P DESCRIBED ABOV
GAS SYSTEM-0—OUTLETS Q 0.50
SIGNATURE
WATER HEATER Q 0.601 PERMI T
SLOPSINK Q 0.501 INSPECTION RECORD
FLOOR SINK Q 0.50
1 FLOOR DRAIN Q 0.50
DISHWASHER Q 0.501
DRINKING FOUNTAIN Q O 50
URINAL Q 0.501
HOUSESEWER Q 0.501 Z
MISCELLANEOUS 0
It
I
I
APPROVALS
/
DATE
INSPECTOR'S NAME
ROUGH' PLUMBING
1 GAS PIPING
GAS VENT
CESSPOOL Q 1.00 I CESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( Q 1.00 SEWER
PERMIT . I.00 GAS TEST
•I ^
TOTAL FEE UTILITY CO. NOTIFIED
� IU .
$ c
FINAL