HomeMy Public PortalAbout6005 LOMA AVE_Plumbing__ a 7GA667 DBS 17 117SR APPLICATION FOR PERMIT
-DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
7MIT NLJ-
FOR APPLICANT ❑ FILL LN I O• OUP O
NE
PLUMBER dffy." "" `r`� "�'� R BY READY FOR DATE ISSUED
7 FIRST INSPECTION
ADDRESS � � (! ,� r,�.. fj��� ��
BUILDING
CITY 61, TEL. Na.�i�� �J y ADDRESS L��a
' a�ffCOUNTY
ff" �_�r A
LICENSE N0. . EXPIRES / LOCALITY /2'. -0 � n
PERMIT FEES
NEAREST T.
r .
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER V �
/ MAIL �Ay� (�
WATER CLOSET(TOILET) @ 0.50 $ S-11 ADDRESS /f i "r..✓�•
BATHTUB @ 0.50 'Sid CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
B/ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.513 x} AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 AN"
COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESICRISED ABOVE.
GAS SYSTEM--4--OUTLETS @ D.513 ,.�®
SIGNATURE OF:9/1 �''1
WATER HEATER @ 0.50 �(� PERMITTEE_s'r C_ --
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.SO
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50 yam,/d,, f�
DRINKING FOUNTAIN @ 0.50 p a ~ 6 �-��' �Ai �X)9
URINAL @ 0.50
HOUSE SEWER @ 0.50 /,-
MISCELLANEOUS //
V?/i/,RrIel
APPROVALS
/ DATE/ INSPECTOR'S
NAME
ROUGH PLUMBING /— I-Y ✓ I/"I/
GAS PIPING ... /
GAS VENT 7 ✓e;
CESSPOOL @ 1;00 CESSPOOL
BEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1,130 GAS TEST /--d Ni'L- & '�� p er✓ m �
UTILITY CO. NOTIFIED �i�''-�� 1 J1 ��lA��
TOTAL FEE $
FINAL ✓ �'s�' W "-`