HomeMy Public PortalAbout9704 LEMON AVE_Plumbing__ 7eAee7 17 25-50 (!� APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZ ONE PERMIT O.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL. NO. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $I I ADDRESS
BATH TUB @ 0.501 I CITY TEL. NO.
SHOWER @ 0.5011 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.501 I STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.50 I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM--OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.501 I
PERMITTEE
SLOP SINK @ 0.50 I INSPECTION RECORD
, J FLOOR SINK @ 0.50 1
FLOOR DRAIN @ O.50
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.501 I ,,
HOUSE SEWER @ O.50 I I Q
Z
MISCELLANEOUS I ( U'
1 I �
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
�•. � GAS VENT it
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: I I SEPTIC TANK
DRAIN ( ) PIT ( @ 1.00'{ 1 SEWER
PERMIT . I 1.00 <. GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $
``! FINAL
�erear rr g-�g APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO. GROUP ZONE PERMIT NO.
'r 5-Z 727
PLUMBER Belvedere Plumbing Co. RECEIVED BY READY FOR DATE ISSUED
ADDRESS 136 S• Palm Ave• AA FIRST INSPECTION 1217—'—vv
CITY Alhambra ^ BUILDING
p TEL NO. AT95025 ADDRESS Lemon ` s
COUNTY NO 808M , EXPIRES 6/30/51 LOCALITY emple City
LICENSENEAREST Suns et
PERMIT FEES CROSS ST j�
OWNER D.1�o Ladd
NUMBER I TYPE OF FIXTURE OR ITEM FEE DAT
2 WATER CLOSET (TOILET) Q O 50 I$l I )0 MAIL
ADDRESS
BATH TUB Q O SOI 150 CITY TEL NO.
SHOWER Q O 501I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O Sol 5 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 I O
1 I I 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50
ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAS SYSTEM_--I�--OUTLETS Ca O 50
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I I SIGNATURE OF
WATER HEATER Q O SOI PERMITTEEvn.0
SLOP SINK Q O so 1 I INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
1 1
11 DISHWASHER Q O 501 ,,I
DP.INKING FOUNTAIN Q O SOI I /��� 1 I AA-/�
URINAL Q O 50 I / Q
HOUSESEWER Q O 501 I - Z
MISCELLANEOUS I I D
Ir0
I
I�
I I�
r 1 APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT I ��
CESSPOOL Q 1 001 I CESSPOOL
1 SEPTIC TANK I I SEPTIC TANK
DRAIN ( ) PIT ( ) Q I 00 I SEWER
PERMIT . I 1 00 GAS TEST GCOAVftL
UTILITY CO NOTIFIED II �`�
TOTAL FEE $ 5
00 FINAL
895 M