HomeMy Public PortalAbout5630 LOMA AVE_Plumbing__ COUNTY OF LOSANGELES APPLICATION FOR PIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX; County Engineer
om. ROUP i Z
FOR APPLICANT TO FILL IN DISTRICT NI
PLUMBER Yri/Vt/ b - R CEIVID BY READY FOR T ISSUED
FIRST INSPECTION
ADPREEEIS
BUILDIN
C1"F\ TEL. NO. ® ADDRESS
COUNTY r- C LOCALITY Y .dme• _
LICENSE NO. EXPIRESNEAREST-
PERMIT FEES CROSS ST. L (; to
/7`9L.) At-FT]A*
NUMBER TYPE OF FIXTURE OR ITEM \ FEE OWNER - L/ /uw.• 1,/ s7 /
[s. 'WATER CL13SET(TOILET) @ 0.50 /' 10 O I ADDRESS _
BATH TUB 0.50 Q'D• ~
_ -CdTY TEL. No.
'
SHOWER - @ 0.50 �' I- HEREBY ACKNOWLEDGE THAT I HAVE. READ THIS
LAVATORY (WASH BASIN) @ 0.50 I �'�; APPLICATION AND,STATETHAT 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
GAS SYSTEMOUTLETS @ 0.50
OF THE REBIDENT ' ROPERTY ESCRIBED ABOVE.
®®
SIGNATURE OF.
WATER 'H EATER @ 0.50 0 PERMITTE
-SLOP SINK - '@ 0.50 INSPE TION RECORD- '
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 - _ <Z49,
��7 .
DIBHWASHER @ O.SO <Z4 `Sv--
DRINKING,FOUN.TAIN C$' 0.50 - l J L.L�A d� 4,lA,-0,0A2
URINAL @ 0.50
HOUSE SEWER @ 0.50 3 € Z
MISCELLANEOUS - -
CtA/
Q``�. @ A4_;� O
C'�/at/ /GI%
APPROVALS
- - DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
• GAS VENT -
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK! SEPTIC TANK /}
•DRAIN_-( ) PIT ( ) C� -1.00 'SEWER
PERMIT 1.00 GAS TEST /A &- zL__4f &rf=
� UTILITY CO.NOTIFIEDTOTAL FEE
1,40
FINAL
76A667 DBS#17 10/52