HomeMy Public PortalAbout5619 HALLOWELL AVE_Plumbing__ 76ASS7 Des 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT GROUP N PERMIT
s- - ii jo�-
PLUMBEREADY FOR R
I` RECEIVED BY DATE ISSUED
FIRST INSPECTION
7
ADDRESS
BUILDING
CITYEL No. ADDRESS
COUNTY LOCALITY
WMENSE N0. EXPIRES
NEAREST
PERMIT FEES CROBB ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
A AJ
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB (d 0.50 CITY. TEL No.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.513 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.
t CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY C$ 0.50 ANGELES COUNTY LICENSE, OR, C I
I AM,THE LEGAL OWNER
DF THE RESIDENTIAL PROPERTY DESB ABO E.
GAS SYSTEM �UTLETB 0.50 SIGNATURE OF
WATER HEATER 0.50 PERMITTE '��.p'
SL13P SINK o.SD INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUW'TAIN @ 0.513
URINAL 0.50 J
a
HOUSE SEWER 0.643 _Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1.430 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Cay 1.00 SEWER
PERMIT t.13o GAS TEST
UTILITYCO.NOTIFIED
TOTAL FEE S
FINAL /�rn
DBS-17 D 12.54 APPLICATION FOR PLUMBING PERMIT
-DiIVISION OF BUILDING AND SAFETY �.
♦" Department of County Engineer
County of Los Angeles BUILDING /
WM. J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY /
FOR APPLICANT TO FILL IN NEAREST
/ CROSS T.
OWNER y1,1�1^ �.LJ �( /C f"J.( �.;, _ DISTRICT NO. GROUP /t,ZNE(/J� READY FOR INSPECTION
ADDRESSY'
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER 1 I `''�? INSPECTION RECORD
ADDRESS ..r 1 , A*#e Olt
J ryy '
CITYOv TEL. NO. + k
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.80 �[ D APPROVALS
DATE INSPECTORS SIGNATOR
AS SYSTEM OUTLETS @ 1.00
UNDER SLAB WORK f
WATER HEATER @ 1.00
ROUGH PLUMBING
PERMIT $ I 1 00 GAS PIPING
L t r
TOTAL FEE i�o GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGYILATING _ PLUMBING FIXTURES 1-� ✓ l _�S= _
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST -G 0
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ UTILITY CO. NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWVR E ABOVE
DESCRIBED REST 1 PROPE Y.
SIGNATURE
OF PERM FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
To 4 5 0 5 u^-, JUN 3 4 r6 Q 9)
By
DEPUTY