HomeMy Public PortalAbout9515 LAS TUNAS DR_Plumbing__ ye—Asp ty g-as �5 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP ZONE PERMIT NO.
yf""t - 9231S
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PLUMBER .1-04-.I _ S_�-",l'�'°.s��� RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS .(Oma+
t q BUILDING
CITY /J�y i,1.- 9 TEL. NOyr9, ADDRESS
COUNTY EXPIRES LOCAL[TY
LICENSE � ry7" 1 NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER »^
MAIL
I WATER CLOSET (TOILET), @ 0.501S I
ADDRESS 9-p --J (,? �d2f2
IBATHTUB @ 0.501 I CITY dE,?Ya�_/Nj fi//��y TEL. NO.
SHOWER @ 0.501 1 HEREBY ACKNOWLEp'GE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE lILLfIii AT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.501 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OP.TRAY @ 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEMOUTLETS @ 0.501 O
SIGNATURE OF
WATER HEATER @ 0.501 PERMITTEE �
SLOP SINK @ 0.501 I INSPECTION RECORD
FLOOR SINK @ 0.50 1
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
IURINAL @ 0.501
IHOUSESEWER @ 0.501 I Q
MISCELLANEOUS
O
I II
1 I
I
I
APPROVALS
DATE INSPECTOR'S NAME
I I ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I I CESSPOOL
SEPTIC TANK: SEPTIC TANK /Q
DRAIN ( ) PIT ( ) @ 1.001 I SEWER I /
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $
/dj� FINAL I�'-��"/