HomeMy Public PortalAbout9824 LEMON AVE_Plumbing__ 7GAe87 » 9-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
'COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX,', CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER RECEIVED BY READY OR DATE'ISSUED'
/ FIRST INSPECTION
ADDRESS /
/
BUILDING
CITY ADDRESS
COUNTY FJLPIRES LOCALITY
NO.
LICENSE �/
� NEAREST �
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /' Q
WATER CLOSET (TOILET) Q O 50 S I
ADDRESS `/ A'
f I BATH TUB Q O 501 I CITY .In TEL. NO.
SHOWER Q O 50I 1 HEREBY
LAVATORY (WASH BASIN) Q O 50 I ACKNOW DGE THAT 1 HAVE READ THIS
Cb APPLICATION AND STATAHAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O Sol
�I 0 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
ANLAUNDRY TUB OR TRAY Q O 50 I s LES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDEN IAAL,PROPER FY DESCRIBED ABOVE.
GAS SYSTEM.3- OUTLETS Q O 501 SIGNATURE OF
WATER HEATER Q O 50 I PERMITT
SLOP SINK Q O 501 INSPE TION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 501
DISHWASHER Q O Sol
DRINKING FOUNTAIN Q O 501 �—
URINAL Q O 50I
HOUSE SEWER Q O 50 I 1 Z_
MISCELLANEOUS I U�
O
I�
I I�
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
v
GAS PIPING
GAS VENT
CESSPOOL Q 1 00I CESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( Q I OOI I SEWER
PERMIT . I, t 00 GAS TEST PI���.
I I -^ UTILITY CO NOTIFIED
TOTAL FEE - _
FINAL
I
7eA6e7 n 3-50 I® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI?O. GROUP ZONE PERMIT N
q
PLUMBER R EIVED BY READY F DATE IS UED
FIRST INSPECTION —7— 7
[ADDRESS J J
B ILDIN
CITY TEL NO. ADDRESS 1
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CFOSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 S I ADDRESS
1 BATHTUB @ O 50 CITY TEL NO.
SHOWER @ O 50I I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
1
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
1 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL ROPERTY D C BED ABOVE.
GAS SYSTEM OUTLETS @ O 50 1
SIGNATURE OF _
WATER HEATER @ O 501 PERM ITTE
SLOP SINK @ O 50 INSPECTION RECORD
FLOOR SINK @ O.SO
FLOOR DRAIN @ O Sol
DISHWASHER @ O S01
DRINKING FOUNTAIN @ O 501
URINAL @ O 501 I J
1 HOUSE SEWER @ O Sol I Q
Z
MISCELLANEOUS I 1 D
ItO
I�
I-J
1 APPROVALS
DATE INSPECTOR'S NAME
1� ROUGH PLUMBING
GAS PIPING
11.-1 GAS VENT
CESSPOOL @ 1 00 I CESSPOOL
1 SEPTIC TANK' I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00I i SEWER
PERMIT . I 1 00 GAS TEST
UTILITY CO NOTIFIED I `
TOTAL FEE $
FINAL