HomeMy Public PortalAbout9427 LAS TUNAS DR_Plumbing__ 76A667 17 s-so '® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
% RELIVED BY READY FOR DATE ISSUED
'PLUMBER_ ,/' „ppq/�,y�3 �',lj`j�` s_..... FI g2T�ECTI ON y
ADDRESS \'/� ypa�'!_Y',LS-ti���}° L► —
,�/ -- BUILDING /�
� ,!F `p .�./' TEL. NO ADDRESS a
CITY
COUNTY //' LOCALITY
LICENSE NO. i EXPIRES
NEAREST 'R
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.501$ I ADDRESS
BATH TUB @ 0.50 I CITY TEL. NO.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
�I LAVATORY (WASHBASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH. ALL COUNTY ORDINANCES AND
410, _1 KITCHEN SINK @ 0.501 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50( ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL .ROPERTY DESCRIBED ABOVE.
GAS SYSTEM�OUTLETS @ 0.50
SIGNATURE OF`— d'F
WATER HEATER @ 0.50 I :F-- PERMITTEE_. e 6` •fy F'�- 1'I-"'� i
SLOP SINK @ o.so I INSPECTION RECORD
FLOOR SINK @ 0.50 I '
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
I URINAL @ 0.501 (� �-'�o(S�� / Y i=�/y/TL_ ISL Po-- Apif Q
I HOUSE SEWER @ 0.501 I r
MISCELLANEOUS
`2r 0
(
1
I�
APPROVALS
I DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
1. CESSPOOL @ 1..00 II CESSPOOL
1 SEPTIC TANK: 1 I SEPTIC TANK
I DRAIN ( ' ) PIT ( ) @ 1.00 1 SEWER
PERMIT . I GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE I $
FINAL �,
DEPARTMENT OF COUNTY ENGINEER PLUMBING t
DI•VISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING .^�
WILLIAM J. FOX, COUNTY ENGINEER
FQPPLICANJ FILL y� LOCALITY 1
BUILDING �� NEAREST
ADDRESS CROSS ST.
DISTRICT N0. GROUP ZONE PERMIT N0.
LOCALITY J
NEAREST /� V
CROSS STEIVED BY Ready for Inspection DATE ISSUED
OWNER � ��B�q+ ��
MAIL V INdUSTRI L
ADDRESS WASTE APPROVAL
CITYTEL,No. INSPECTION RECORD
PLUMBER
-ADDRESS
CITY / TEL.NO.
0 ❑STATE
LICENSE NO. Y P-COUNTY J
PERMIT FEES
'4U MCER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM.....-- -----OUTLETS @ 1.00 G O
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK _
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE ®0 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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
STERED
AND/OR LICENSED IAS REQUIRE DA BY PROPERLY
ANGELES (COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT-I AM THE LEGAL OWN-
ER OFT BOVE DESCRI ED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATU
OF PERMIT
=—v..• ...................... FINAL L/1'71`SP4 !F1" 44Ym'e
76A667 DB117/1/53