HomeMy Public PortalAbout9087 LONGDEN AVE_Plumbing__ DBS-17 10.65 APPLICATION YI FO � PLUMBING PERMIT
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DBS-17 A
DIVISION OF BUILDING AND SAFETY
DepcIr ent of County Engineer
County of Los Angeles BUILDING i
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10A-;e0
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CASSATT D GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT 'TO FILL IN
y I CRASS sT D 1J
OWNER 1A o AV DISTRICT NO. GR041P I 7�QNF I READY FOR INSPECTION
MAIL ` /I �
ADDRESS ifJ
INDUSTRIAL
CITY
CITY lri� TEL. NO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CIT TEL NO 1¢ 0
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ 1 00
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2t. `
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
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SIGNATURE
OF PERMITTEE FINAL
JOHN A. L AMBIE. COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG INSPECTOR
CK. ( 7 4 7 3 APR 2 3 3 2.0 0 In
DEPARTMENT OF COUNTY ENGINEER L U B
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION' ,
COUNTY OF LOS ANGELES BU I L D I N G
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FIL IN LOCALITY13UILDING NEAREST
ADDRESS 4 CR SS ST.
DISTRICT NO. GROUP IJAZONE PERMIT NO.
LOCALITY T7 _/ Q/0-3
NEAREST ' ! /
CROSS ST. ^RECjEIhVE/D,BY Ready for Inspection DATEEj ISSUED
OWNER •� GIVL//C�C7 � L r`S�
MAIL pj p p INDUSTRIAL
ADDRESS N Q • �+ WASTE APPROVAL
CITY ' TEL.NO INSPECTION RECORD
PLUMBER
ADORES
CCS���� ` R
CITY TEL.NO. 3
/04
$ STATE
IJCENSE NO �J` []COUNTY
J
PERMIT FEES z
VUME3ER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $ It
O
BATH TUB @ 080
SHOWER @ 0.80 I
LAVATORY (WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0 80
FLOORSINK @ 080
FLOOR DRAIN @ 0.80
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 0.80
URINAL @ 080
GAS SYSTEM--------------OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ I 00 ROUGH PLUMBING
TOTAL FEE 1, gD GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR_THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL—WRPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE........ +.-
FINAL
7 GA667 DBS 17 1/53