HomeMy Public PortalAbout9435 LEMON AVE_Plumbing__ 76A
DBS-17
12.54 APPLICATION FOR PLUMBING PERMIT.
- "
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
t County of Los Angeles
WM. J. FOX, COUNTY ENGINEER BUILDING
,ADDRESS
CASSATT D. GRIFFIN. SUPT OF BUILDING -
LOCALITY
APP ANT TO FILL IN NEAREST
CROSS ST r
OWN E �'� DISTR�NO GROUP" ZONE READY FOR INSPECTION
MAIL jr - I
ADDRESS
INDUSTRIAL I- -
CI Y TEL NO WASTE APPROVAL
PLUM p INSPECTION_ RECORD
ADDRESS 1 - -
CITY TEL NO.
LI NS AN 1 _
NUMBER T OF FIXTURE OR ITEM, FEE'
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN) -
KITCHEN SINK -
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER �� ��rY `�C �j1 �,e/ (/•p lr�
TOTAL NO @ 080 APPROVALS
ffzDATE INSPECTOR S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00 _��
UNDER SLAB WORK
WATER HEATER Q 1 00 -
ROUGH PLUMBING
I PERMIT $ I I OO GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 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 FIXTURES
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE O UTILITY CO NOTIFIED
CALIFORNIA OR THAT I LEGAL OWNER OF THE A8
DESCRIBED RESIDENTIAL �-y /�/
SIGNATURE
OF PERM TTEE FINAL i>""0 iS—C7 �2 14...v(i -Z,,l`4
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
..: o l•2,6 4 12''(BAR 8 3 2.4 0 �
By ,
C -
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELESfA
NG y� "
WILLIAM J. FOX, COUNTY ENGINEERSS
FOR APPLICANT TO FILL INITY TC�.
BUILDING ST
ADDRESS �(,/�� ST,
TRICT NO. GROUP ONE) PERMIT NO.
LOCALITY ��/V/�iZ�i �NEARE8TCROSS ST. EI ED BYi Ready for Inspection DATEyISSUEDr
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.N0.
INSPECTION RECORD
PLUMBER BAXTER & SON
ADDRES 3 an Gabriel
San Gabriel
CITY TEL.NO.T.
, 5L
State Contractor's /� :�
Llcenso No. �d� %.J C�Class .J4 J
L.A.CountyY Contractor's Q
Reg latratlon No. Z
PERMIT FEES o
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) 0.80 i
O
/ BATH TUB @ 0.80 O
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80 -^r�ss l l )✓�rFF C (�'{G
�7— KITCHEN SINK @ 0.80
/ LAUNDRY TUB OR TRAY @ 0 80 O O
SLOP SINK @ 0.80 rmS
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM.............OUTLETS @ 1.00 OD
WATER HEATER @ 1.00 U�
MISCELLANEOUS APPROVALS
DATE INSPEMR'S SIGNATURE
UNDER SLAB WORK ✓' �/
PERMIT $ I 00 ROUGH PLUMBING O
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE NOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY TH M ROPE ED
AND/OR LICENSED R B GELES CO TY GAS TEST
AND STATE OF ORNIA 0 H 1 THE LEG WN-
ER OF THE A E DES ENTIAL Y. UTILITY CO.NOTIFIED
SIGNATUR v
OF PERMI -- .. ..-. --- --------•• ........ FINAL GJ�M1 fg� �4A'Y{'LUCC..C,EJ'
7GA667 DBS 17 6/54