HomeMy Public PortalAbout5648 LOMA AVE_Plumbing__ 76A667 DBS 17 11-SO APPLICATION FOR PERMIT
DEPARTMENT,OF BUILDI1vG AND SAFETY
COUNTY OF LOS ANGELES,
WILLIAM &'FOX, CHIEF'ENGINEER
ROUP ZONE .
FOR BOULEVARD
TO FILL IN � Z Lf,!;'��
PLUMBERVALLEY CO°ULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 �EAST VALLEY BVD. � L''��
ROSEfv1EF,DBUILDING
A n ADDRESS
CITY TEL. NO.AT. 22719 ��
g M LOCALITY - 6
LICENSE NO. 93 EXPIRES 6-30 '
- NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER -
MAIL ,
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. No.
SHOWER @ 0:50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 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 I AM THE LEGAL OWNER
GAS SYSTEM__7_OUTLETS @ 13-50OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF
WATER HEATER @ O.SO PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.SD
FLOOR DRAIN @ 0.50 --
DISHWASHER @ 0.50 _
DRINKING FOUNTAIN O.SO
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS O
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
_I GAS VENT 3
CESSPOOL @ 7:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMITi 1.00 GASB TEST
• UTILITY CO.NOTIFIED
TOTAL FEE ��;S�
FINAL '�'��7 21