HomeMy Public PortalAbout5640 HALLOWELL AVE_Plumbing__ 76,�,66Z• 08517 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FAlf?PLICANO L /
DISTRICT5� R [ZONE --PERMIT NEI.
PLUMBER READY FOR VED BY D
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UE
FIRST INSPECTION
ADDREBSrE4l 91 N ",0//
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CITY .,4s.Y®��`� [iQ TEL No.�^.Y P1�„ O." BUILDING _ sppp y/�
ADDRESS
COUNTY ` �' 7� �_^,p cyl� LOCALITY
l,tCENSE NO. to Y EXPIRES
NEAREST
PERMIT FEES / CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER .A
MAIL
WATER CLOSET(TOILET) 0 0.50 IS ADDRESS
BATH TUB 0 0:50 CITY TEL No.
.� SHOWER (9) 0.50 I HEREBY ACKNOWLEDGE THAT I 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.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (� O.SO ANGELES COUNTY LICENSE, OR I AM THE/LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1• GAS SYSTEM OUTLETS 0 0.50 _
SIGNATURE E �,.Z, 9s .`
WATER HEATER (� 0.50 PERM ITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER fi@ 0.SO
DRINKING FOUN`T'AIN 0.50
URINAL 0.50 Q
HOUSE SEWER O.SO _Z
MISCELLANEOUS
r' S AI
APPROVALS
DATE IN9P CTO •% NAM
E E
!' -i (l
ROUGH PLUMBING �nI/
GAS PIPING f
'GAS VENT -
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER ,
v
PERMIT 1.DD GAS TEST
TI LITY CO.NOTIFIED G
TOTAL FEE v /
FINAL _ _/,� �,6a.► i Y�! '�, ,02
�.
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DIS NO. GRO �
UP I ZC� /
PLUMBER RE lyxP—BY �READY/FFOOR DATE®IIBBSUED
27 6U FIRST INSPECTION .
ADDRESS _ Cy,
BUILDING
CITY , ,-�:,;� TEL NO. ADDRESS
COUNTY 'LOCALITY
�_
LICENSE NO. EXPIRES >
NEAREST
PERMIT FEES —CROSS ST_ A_
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER est ..hili_
MAIL
WATER CLOSET(TOILET) Q 0.50 $ ADDRESS Ii
BATH TUB @ 0.50 CITY m. T L. NO:
SHOWER @ 0.50 I 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.
I 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 RESIDENTI L.PROPERTY DESCRIBED ABO X.
OAS SYSTEM OUTLETS @ 0.50 �"
_ SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE 4
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS
C7
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT /_ J
CESSPOOL @ 1,00 / D ., CESSPOOL
ip
SEPTIC TANK:
DRAIN ( ) PIT ( ) @ 7.00 SEWER r �2
PERMIT 1.00 GAS TEST
/� UTILITY CO. NOTIFIED
TOTAL FEE $ OQ
FINAL
76A667 DBS#17 6-52 �/