HomeMy Public PortalAbout9526 LEMON AVE_Plumbing__ 7BDC867 17 a-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC�TNO. GROUP ZONE PERMIT N
SS`
PLUMBER SaperjOr Plumbing Sery RECEIVED BY READY FOR DATE ISSUED
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c� -{, /S? FIRST INSPECTION
ADDRESS 1002 N.. Valley blvd.. BUILD ING
Monte
11 ADDRESS 952h Temnn St
CITY Fl 1ViQnte TEL. NO. �r� Q
V -1y62
COUNTY m,)l
7
LOCALITY Tee City
LICENSE NO 5l (7q-M EXPIRES Ii���i,�L�
NEAREST
PERMIT FEES CROs ST. Construction
s
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Celeste QnS ruc 1 n
MAIL
WATER CLOSET (TOILET) @ O 50 � _ ADDRESS
BATH TUB Q O 50 I CITY TEL. NO.
SHOWER Q O 50 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50
ANGELES COUNTY LICENSE, OR 1 AMT LEGAL OWNER
OF THE RESIDENTIA ERT DES. ABOVE.
GAS SYSTEM—L�OUTLETS Q O 501 SIGNATURE OF
} I WATER HEATER @ O 501 PERMITT E
SLOP SINK Q a 501 INSPECTION°RECORD
m
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER Q O 501
DRINKING FOUNTAIN @ O 501
URINAL @ O Sol
HOUSE SEWER Q O 50 ? Q
( 6"-713
(/. Z
MISCELLANEOUS `
APPROVALS
DATE INSPECTOR'S"NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK- SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.001 1 SEWER
PERMIT . 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $
i 50 FINAL I (�
H
76A667 DBB 17 11-50 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 I ZONE \PENMII Nu.
PLUMBER / �� /.se�•��'1a. REC IVED BY READY FOR DATE ISSUED
• try, FIRST INSPECTION o 3 ��
_ADDRESS -.Y V�,� �~'\
` BUILDING
CI a„� " TEL. No. ��� f:J ADDRESS
COUNTY I LOCALITY 5�i>
LICENSE NO. EXPIRES NEAREST �f Q J
PERMIT FEES CROSS BT�_ej�^ X46/ - G�
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL
WATER CLOSET(TOILET) Q 0.50 111 1 ADDRESS
BATH TUB @ 0.50 CITY TEL No.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 'O.SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEr �°'�•
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR BINK 0.50
FLOOR DRAIN Q 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN (10 0.50
URINAL 0.50 J
HOUSE SEWER 0.513 .SW, Z_
MISCELLANEOUS
LZ O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL @ 1.00 d O CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
/l UTILITY CO.NOTIFIED
TOTAL FEE *� v FINAL